title: [Spanish cultural adaptation and psychometric validation of the Summary of Diabetes Self-Care Activities measure (SDSCA) among persons with type 2 diabetes mellitus].
abstract: OBJECTIVE
  To undertake the cultural adaptation and the psychometric assessment of the Summary of Diabetes Self-Care Activities measure (SDSCA) in Spanish population with type 2 diabetes mellitus.
  
  
  METHODS
  Clinimetric validation study.
  
  
  METHODS
  Primary health care centers of District Malaga and Valle del Guadalhorce.
  
  
  METHODS
  Three hundred thirty-one persons with type 2 diabetes mellitus.
  
  
  METHODS
  The SDSCA validated in mexican population was subjected to semantic and content equivalence using a Delphi method, its legibility was determined by INFLESZ scale. Subsequently psychometric validation was conducted through exploratory and confirmatory factor analysis (herein after EFA and CFA), internal consistency, test-retest reliability and discriminant validity.
  
  
  RESULTS
  Two rounds were needed to achieve the consensus in between the panel members. Then, the index provided a good readability. The EFA suggested a model with 3 factors (diet, exercise and self-analysis) with 7 items which explained 79.16% variance. The results of CFA showed a good fit of SDSCA-Sp. The Internal consistency was moderate to low (α-Cronbach =0.62) and test-retest reliability was evaluated in 198 patients (t=0.462-0.796, p<0.001) with a total correlation of 0.764 (p< 0.0001).
  
  
  CONCLUSIONS
  The SDSCA-Sp is used, in a valid way to assess self-care in type 2 DM version in clinical practice and research with similar clinimetric properties to previous studies.
authors.affiliation: Instituto de Investigación Biomédica de Málaga, Málaga, España; Distrito Sanitario Málaga-Valle del Guadalhorce, Servicio Andaluz de Salud, Málaga, España. Electronic address: jorge.caro.sspa@juntadeandalucia.es.
authors.forename: Jorge
authors.initials: J
authors.lastname: Caro-Bautista
authors.affiliation: Instituto de Investigación Biomédica de Málaga, Málaga, España; Distrito Sanitario Málaga-Valle del Guadalhorce, Servicio Andaluz de Salud, Málaga, España; Departamento de Enfermería y Podología, Facultad de Ciencias de la Salud, Universidad de Málaga, Málaga, España.
authors.forename: Juan Carlos
authors.initials: JC
authors.lastname: Morilla-Herrera
authors.affiliation: Instituto de Investigación Biomédica de Málaga, Málaga, España; Distrito Sanitario Málaga-Valle del Guadalhorce, Servicio Andaluz de Salud, Málaga, España.
authors.forename: Francisca
authors.initials: F
authors.lastname: Villa-Estrada
authors.affiliation: Instituto de Investigación Biomédica de Málaga, Málaga, España; Distrito Sanitario Málaga-Valle del Guadalhorce, Servicio Andaluz de Salud, Málaga, España; Departamento de Enfermería y Podología, Facultad de Ciencias de la Salud, Universidad de Málaga, Málaga, España.
authors.forename: Magdalena
authors.initials: M
authors.lastname: Cuevas-Fernández-Gallego
authors.affiliation: Instituto de Investigación Biomédica de Málaga, Málaga, España; Distrito Sanitario Málaga-Valle del Guadalhorce, Servicio Andaluz de Salud, Málaga, España.
authors.forename: Inmaculada
authors.initials: I
authors.lastname: Lupiáñez-Pérez
authors.affiliation: Instituto de Investigación Biomédica de Málaga, Málaga, España; Departamento de Enfermería y Podología, Facultad de Ciencias de la Salud, Universidad de Málaga, Málaga, España.
authors.forename: José Miguel
authors.initials: JM
authors.lastname: Morales-Asencio
mesh_terms: D003466:Cultural Characteristics; D003924:Diabetes Mellitus, Type 2 / Q000628:therapy*; D006801:Humans; D008800:Mexico; D011594:Psychometrics; D015203:Reproducibility of Results; D012648:Self Care; D011795:Surveys and Questionnaires
keywords: Autocuidado; Cuestionarios; Diabetes mellitus tipo 2; Estudios de validación; Questionnaires; Self-care; Type 2 diabetes mellitus; Validation studies