Response shift and glycemic control in children with diabetes.
BACKGROUND
The purpose of this study was to investigate the scale recalibration construct of response shift and its relationship to glycemic control in children with diabetes.


METHODS
At year 1, thirty-eight children with type 1 diabetes attending a diabetes summer camp participated. At baseline and post-camp they completed the Problem Areas in Diabetes (PAID) questionnaire. Post-camp, the PAID was also completed using the 'thentest' method, which requires a retrospective judgment about their baseline functioning. At year 2, fifteen of the original participants reported their HbA1c.


RESULTS
PAID scores significantly decreased from baseline to post-camp. An even larger difference was found between thentest and post-camp scores, suggesting scale recalibration. There was a significant positive correlation between year 1 HbA1c and thentest scores. Partial correlation analysis between PAID thentest scores and year 2 HbA1c, controlling for year 1 HbA1c, showed that higher PAID thentest scores were associated with higher year 2 HbA1c.


CONCLUSIONS
Results from this small sample suggest that children with diabetes do show scale recalibration, and that it may be related to glycemic control.
Wagner
Julie A
JA
Department of Behavioral Sciences and Community Health, University of Connecticut, School of Dental Medicine, 263 Farmington Avenue, Farmington, CT 06030, USA. juwagner@uchc.edu
D000293:Adolescent; D001786:Blood Glucose / Q000032:analysis; D002138:Calibration; D002165:Camping; D002648:Child; D003922:Diabetes Mellitus, Type 1 / Q000517:prevention & control* / Q000523:psychology; D005260:Female; D006442:Glycated Hemoglobin / Q000032:analysis; D006801:Humans; D016015:Logistic Models; D008297:Male; D010290:Parents; D011594:Psychometrics / Q000295:instrumentation*; D011788:Quality of Life; D012648:Self Care; D018434:Sickness Impact Profile; D012938:Social Perception; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D026712:Value of Life
D001786:Blood Glucose; D006442:Glycated Hemoglobin