title: Adaptation of the Dartmouth COOP Charts for use among American Indian people with diabetes.
abstract: OBJECTIVE
  To adapt the Dartmouth COOP Charts for use among American Indians with diabetes and to evaluate the operating characteristics of the adapted charts because measures of health status have not been evaluated for use among American Indians with diabetes.
  
  
  METHODS
  American Indian adults participated in focus group conferences to adapt and review the Dartmouth COOP Charts for use in American Indian communities. American Indian participants with diabetes were interviewed and administered the adapted charts. The operating characteristics of the charts were evaluated by measuring internal and external consistency, reliability, and acceptability.
  
  
  RESULTS
  Some of the wording and pictures were considered to be offensive and culturally inappropriate in American Indian communities. The adapted charts showed internal consistency in a comparison of interchart variables.
  
  
  CONCLUSIONS
  The adapted Dartmouth COOP Charts are more culturally acceptable than the original charts and appear to measure constructs adequately.
authors.affiliation: Department of Medicine, University of New Mexico School of Medicine, Albuquerque, New Mexico 87131, USA. sgill@unm.edu
authors.forename: S S
authors.initials: SS
authors.lastname: Gilliland
authors.forename: A J
authors.initials: AJ
authors.lastname: Willmer
authors.forename: R
authors.initials: R
authors.lastname: McCalman
authors.forename: S M
authors.initials: SM
authors.lastname: Davis
authors.forename: M E
authors.initials: ME
authors.lastname: Hickey
authors.forename: G E
authors.initials: GE
authors.lastname: Perez
authors.forename: C L
authors.initials: CL
authors.lastname: Owen
authors.forename: J S
authors.initials: JS
authors.lastname: Carter
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000704:Analysis of Variance; D002359:Cartoons as Topic; D003920:Diabetes Mellitus / Q000208:ethnology* / Q000523:psychology; D005069:Evaluation Studies as Topic; D005260:Female; D006304:Health Status; D006306:Health Surveys; D006801:Humans; D007198:Indians, North American; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care; D010809:Physical Fitness; D015203:Reproducibility of Results; D011795:Surveys and Questionnaires