Psychometric Properties of the Parent and Child Problem Areas in Diabetes Measures

• Published in: Journal of pediatric psychology 2019-07, Vol.44 (6), p.703-713
• Main Authors: Evans, Meredyth A, Weil, Lindsey E G, Shapiro, Jenna B, Anderson, Lindsay M, Vesco, Anthony T, Rychlik, Karen, Hilliard, Marisa E, Antisdel, Jeanne, Weissberg-Benchell, Jill
• Format: Article
• Language: English
• Subjects: Regular
• ISSN: 0146-8693; 1465-735X
• DOI: 10.1093/jpepsy/jsz018

Children with type 1 diabetes and their parents face daily self-care demands, leading to diabetes-specific emotional distress. A standardized measure of diabetes distress can guide clinical care and prevent negative outcomes. This study evaluated the psychometric properties of child- and parent-report measures of the Problem Areas in Diabetes Scale, adapted for children ages 8-12 (PAID-C) and their parents (P-PAID-C). Participants were from 42 diabetes camps in the United States. Children (N = 804; mean age = 10.3 ± 1.1) and parents (N = 968) completed measures of diabetes distress, diabetes-related strengths, and self-care skills. Half of the sample was used for exploratory factor analyses (EFA) with direct oblimin rotation and the other half for confirmatory factor analyses (CFAs). For the PAID-C, EFA and CFAs supported an 11-item two-factor measure, Cronbach's α = .91, accounting for 54.6% of the variance. For the P-PAID-C, analyses resulted in a 16-item measure, Cronbach's α = .92, accounting for 51.9% of the variance. PAID-C and P-PAID-C scores were positively correlated with HbA1c (rchild = .08, p = .04; rparent = .18, p