Cited by 2,561Diabetes Management and EducationHealth Education and ValidationDiabetes Management and Research

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The summary of diabetes self-care activities measure: results from 7 studies and a revised scale.

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Toobert, D J, Hampson, S E, Glasgow, R E·2000·Diabetes Care

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Abstract

OBJECTIVE: To review reliability, validity, and normative data from 7 different studies, involving a total of 1,988 people with diabetes, and provide a revised version of the Summary of Diabetes Self-Care Activities (SDSCA) measure. RESEARCH DESIGN AND METHODS: The SDSCA measure is a brief self-report questionnaire of diabetes self-management that includes items assessing the following aspects of the diabetes regimen: general diet, specific diet, exercise, blood-glucose testing, foot care, and smoking. Normative data (means and SD), inter-item and test-retest reliability, correlations between the SDSCA subscales and a range of criterion measures, and sensitivity to change scores are presented for the 7 different studies (5 randomized interventions and 2 observational studies). RESULTS: Participants were typically older patients, having type 2 diabetes for a number of years, with a slight preponderance of women. The average inter-item correlations within scales were high (mean = 0.47), with the exception of specific diet; test-retest correlations were moderate (mean = 0.40). Correlations with other measures of diet and exercise generally supported the validity of the SDSCA subscales (mean = 0.23). CONCLUSIONS: There are numerous benefits from standardization of measures across studies. The SDSCA questionnaire is a brief yet reliable and valid self-report measure of diabetes self-management that is useful both for research and practice. The revised version and its scoring are presented, and the inclusion of this measure in studies of diabetes self-management is recommended when appropriate.

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Authors: Toobert, D. J., Hampson, S. E., & Glasgow, R. E.
Affiliations: Oregon Research Institute (US)
ORCID: Glasgow, R E
Venue: Diabetes Care
Publisher: American Diabetes Association
Published: 2000-07-01
Volume: 23
Issue: 7
Pages: 943-950
ISSN: 0149-5992 (ISSN-L)
1935-5548
DOI: 10.2337/diacare.23.7.943
OpenAlex: W2125070970
Cited by: 2,561
References: 43
Citations by year: 2026: 101 · 2025: 140 · 2024: 158 · 2023: 165 · 2022: 182 · 2021: 159 · 2020: 165 · 2019: 132 · 2018: 143 · 2017: 133 · 2016: 155 · 2015: 144 · 2014: 141 · 2013: 127 · 2012: 97
FWCI: 4.84
Type: journal article
Language: en
Open access: hybrid
doi.org
Licence: public-domain
Locations: Diabetes Care (publishedVersion, public-domain)
PubMed (publishedVersion)
Funders: Robert Wood Johnson Foundation
National Institutes of Health
National Institute of Diabetes and Digestive and Kidney Diseases (DK 35524, DK20579)
Topics: Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
Health Sciences › Nursing › Research and Theory › Health Education and Validation
Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
Keywords: diabetes self-care, diabetes self-management, Summary of Diabetes Self-Care Activities, scale validation, reliability statistics, reference values, type 2 diabetes, diet, physical activity, blood glucose monitoring, foot care, smoking, sensitivity to change, questionnaire revision
MeSH terms: Aged, Diabetes Mellitus, Type 2, Diet, Diabetic, Female, Humans, Male, Middle Aged, Surveys and Questionnaires, Self Care, Smoking, Blood Glucose Self-Monitoring, Reproducibility of Results, Exercise, Diabetic Foot

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