Polish Adaptation of the Self-Care of Diabetes Inventory (SCODI)

Izabella Uchmanowicz; Sylwia Krzemińska; Davide Ausili; Michela Luciani; Magdalena Lisiak

doi:10.2147/PPA.S253444

Polish Adaptation of the Self-Care of Diabetes Inventory (SCODI)

Patient Prefer Adherence. 2020 Jul 31:14:1341-1350. doi: 10.2147/PPA.S253444. eCollection 2020.

Authors

Izabella Uchmanowicz¹, Sylwia Krzemińska¹, Davide Ausili², Michela Luciani^{2

3}, Magdalena Lisiak¹

Affiliations

¹ Department of Clinical Nursing, Faculty of Health Sciences, Wroclaw Medical University, Wroclaw, Poland.
² Department of Medicine and Surgery, University of Milano-Bicocca, Monza, Italy.
³ Department of Public Health and Pediatrics, University of Turin, Torino, Italy.

Abstract

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; diabetes; reliability; self-care.

Grants and funding

This study was conducted under a research project funded by the Ministry of Science and Higher Education of Poland as a statutory grant of the Wroclaw Medical University for maintaining research potential (no. SUB.E020.19.003).