Assessing daily management of childhood diabetes using 24-hour recall interviews: reliability and stability.
Conducted 24-hr recall interviews concerning daily diabetes management with seventy-eight 6- to 19-year-old patients and their parents. Patients and parents were interviewed independently nine times over 3 months. Data obtained were used to construct 13 adherence measures. All measures yielded statistically significant estimates of parent-child concordance. Parent-child agreement was higher for weekday versus weekend behaviors and when based on nine versus three interviews. For the sample as a whole, parent-child concordance remained stable over the course of the study. Compared to the older patients, the 6- to 9-year-olds exhibited poorer parent-child agreement on measures involving time (e.g., injection and exercise-duration measures). This deficit disappeared, however, as the children became more practiced with the interview procedure. The dietary and glucose-testing measures exhibited moderate stability over the 3-month study. Lower stability estimates were obtained for the exercise and injection measures.
Freund
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Department of Psychiatry, J. Hillis Miller Health Center, University of Florida, Gainesville 32610-0234.
Johnson
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SB
Silverstein
J
J
Thomas
J
J
D000203:Activities of Daily Living / Q000523:psychology; D000293:Adolescent; D015190:Blood Glucose Self-Monitoring / Q000523:psychology; D002648:Child; D003922:Diabetes Mellitus, Type 1 / Q000523:psychology / Q000628:therapy*; D003927:Diet, Diabetic / Q000523:psychology; D004334:Drug Administration Schedule; D015444:Exercise; D005260:Female; D006801:Humans; D007267:Injections; D007328:Insulin / Q000008:administration & dosage; D008297:Male; D011939:Mental Recall; D010349:Patient Compliance / Q000523:psychology*; D012803:Sick Role
D007328:Insulin