Polish Adaptation of the Self-Care of Diabetes Inventory (SCODI)
Received 11 March 2020
Accepted for publication 26 June 2020
Published 31 July 2020 Volume 2020:14 Pages 1341—1350
Checked for plagiarism Yes
Review by Single-blind
Peer reviewer comments 2
Editor who approved publication: Dr Johnny Chen
Izabella Uchmanowicz,1 Sylwia Krzemińska,1 Davide Ausili,2 Michela Luciani,2,3 Magdalena Lisiak1
1Department of Clinical Nursing, Faculty of Health Sciences, Wroclaw Medical University, Wroclaw, Poland; 2Department of Medicine and Surgery, University of Milano-Bicocca, Monza, Italy; 3Department of Public Health and Pediatrics, University of Turin, Torino, Italy
Correspondence: Izabella Uchmanowicz
Department of Clinical Nursing, Faculty of Health Sciences, Wroclaw Medical University, Wroclaw, Poland
Tel +48 71 784 18 05
Fax +48 71 345 93 24
Purpose: As the guidelines indicate, education and self-care in diabetic patients are essential elements in the treatment process. The efficient evaluation of the level of self-care will enable the patient’s needs to be identified and education and care to be optimised. The Self-Care of Diabetes Inventory (SCODI) is a valid and reliable tool which can measure self-care behaviours among patients with diabetes. The purpose of this study was to assess the reliability of the Polish version of the SCODI.
Methods: The World Health Organization (WHO) translation protocol was used for the translation and cultural adaptation of the English version of the SCODI into Polish. The study included 276 Polish patients with type 2 diabetes (mean age 61.28± 12.02 years). There were 145 men and 131 women in the study. The internal consistency of the SCODI was evaluated using Cronbach’s Alpha.
Results: The original four actor tool structure was confirmed. The mean overall levels of self-care in the four SCODI scales in the study group were self-care maintenance (67.66 pts; SD=18.55), self-care monitoring (61.81 pts; SD=24.94), self-care management (54.65 pts; SD=22.98) and self-care confidence (62.86 pts; SD=20.87). The item-total correlations were positive, so there is no need to change the scales of any of the questions. The overall consistencies for individual scales were assessed using Cronbach’s Alpha: self-care maintenance (0.759), self-care monitoring (0.741), self-care management (0.695) and self-care confidence (0.932). Exploratory factor analysis and item factor loadings of the individual items ranged from 0.137 to 0.886 and, with two exceptions (questions number 23 and 32), were statistically significant (p< 0.05).
Conclusion: The SCODI questionnaire has acceptable internal consistency and reliability in assessing self-care among diabetic patients in the Polish population. This reliable research tool can be managed in planned studies of Polish patients with diabetes.
Keywords: Self-Care of Diabetes Inventory, reliability, self-care, diabetes