title: Diabetes Attitude Scale: validation in type-2 diabetes patients in multiple centers in China.
abstract: OBJECTIVE
  The aim of the paper is to report the development and psychometric testing of Diabetes Attitude Scale.
  
  
  METHODS
  A prospective study was performed. The cultural equivalency and content validity of the Diabetes Attitude Scale were determined by panels of endocrinologists, physiologists, nurses and dieticians. An accurate and usable translation was obtained for each of five subscales examining attitudes on need for special training, the seriousness of type-2 diabetes, the need for controlling the condition, its psychosocial impact and the degree of autonomy given to patients in decision making. The validation was derived from 5961 patients with type-2 diabetes, recruited from 50 centers in 29 provinces throughout China between March 1st and September 30th, 2010.
  
  
  RESULTS
  The modified Diabetes Attitude Scale showed an acceptable level of internal consistency. The strength of the inter-correlations among the domains of five subscales suggests that the instrument measures related but separate domains of patients' attitudes toward diabetes. Moreover, the test-retest intraclass correlation coefficients were high enough to support the stability of the Chinese version of the third version of the scale.
  
  
  CONCLUSIONS
  The psychometric properties of the Chinese version of Diabetes Attitude Scale demonstrated satisfactory validity and reliability and appeared to effectively evaluate attitudes toward diabetes in patients with type-2 diabetes.
authors.affiliation: Jiangsu Province Hospital on Integration of Chinese and Western Medicine, Nanjing, Jiangsu Province, China; Sir Run Run Shaw Hospital, Zhejiang University Medical School, Hangzhou, Zhejiang Province, China.
authors.forename: Qingqing
authors.initials: Q
authors.lastname: Lou
authors.affiliation: School of Nursing, Nanjing University of Traditional Chinese Medicine, Nanjing, Jiangsu Province, China.
authors.forename: Yufeng
authors.initials: Y
authors.lastname: Chen
authors.affiliation: Department of Endocrinology, Peking University First Hospital, Beijing, China.
authors.forename: Xiaohui
authors.initials: X
authors.lastname: Guo
authors.affiliation: Department of Endocrinology, West China Medical School, West China Hospital, Sichuan University, Chengdu, Sichuan Province, China.
authors.forename: Li
authors.initials: L
authors.lastname: Yuan
authors.affiliation: Department of Endocrinology, West China Medical School, West China Hospital, Sichuan University, Chengdu, Sichuan Province, China.
authors.forename: Tao
authors.initials: T
authors.lastname: Chen
authors.affiliation: Department of Endocrinology, West China Medical School, West China Hospital, Sichuan University, Chengdu, Sichuan Province, China.
authors.forename: Chun
authors.initials: C
authors.lastname: Wang
authors.affiliation: Peking University First Hospital, Beijing, China.
authors.forename: Li
authors.initials: L
authors.lastname: Shen
authors.affiliation: Institute of Diabetes, Zhongda Hospital, Medical School, Southeast University, Nanjing, Jiangsu Province, China.
authors.forename: Zilin
authors.initials: Z
authors.lastname: Sun
authors.affiliation: Department of Endocrinology, China-Japan Friendship Hospital, Beijing, China.
authors.forename: Fang
authors.initials: F
authors.lastname: Zhao
authors.affiliation: First Affiliated Hospital, Guangxi Medical University, Nanning, Jiangsu Province, China.
authors.forename: Xia
authors.initials: X
authors.lastname: Dai
authors.affiliation: The Second Xiangya Hospital of Central South University, Changsha, Hunan Province, China.
authors.forename: Jin
authors.initials: J
authors.lastname: Huang
authors.affiliation: The First Affiliated Hospital of Kunming Medical College, Kunming, Yunnan Province, China.
authors.forename: Huiying
authors.initials: H
authors.lastname: Yang
mesh_terms: D001294:Attitude to Health; D002681:China; D003657:Decision Making / Q000502:physiology; D003924:Diabetes Mellitus, Type 2 / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D011594:Psychometrics / Q000379:methods; D015203:Reproducibility of Results; D011795:Surveys and Questionnaires