Turkish validity and reliability study of type 2 diabetes stigma assessment scale

Turkish validity and reliability study of type 2 diabetes stigma assessment scale

Background/aim: Stigma has a high incidence and adversely affects people with diabetes. In this context, patients face difficulties such as fear of losing their jobs, travel restrictions, isolation from social life, problems related to mental health, and feeling of wellness. The aim of this study was to investigate the validity and reliability of the stigma assessment scale in individuals with type 2 diabetes. Materials and methods: The study sample consisted of 153 diabetic individuals. The validity of language, content, and construct were examined to evaluate the validity of the type 2 diabetes stigma assessment scale. Cronbach’s alpha was used to assess internal consistency reliability. Results: The content validity index of 19 items which were detected as significant was found to be 0.86. The Cronbach’s alpha coefficient of the scale is 0.92. The results of the item analysis show that all factor loads are significant (t-value > ±1.96). The coefficient of correlation between type 2 diabetes stigma assessment scale and test–retest technique was 0.82. Conclusion: It was concluded that the stigma assessment scale is a valid and reliable measurement tool in individuals with type 2 diabetes mellitus. Nurses may use this tool to better understand and help relieve the prevalence and severity stigma of individuals with type 2 diabetes in Turkey.Key words: Type 2 diabetes, nursing, stigma, validity

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  • 1. International Diabetes Federation. The Diabetes Atlas. 9th ed. 2019.
  • 2. Satman İ, Ömer B, Tütüncü Y, Kalaca S, Gedik S et al. Twelveyear trends in the prevalence and risk factors of diabetes and prediabetes in Turkish adults. Eureopean Journal of Epidemiology 2013; 28: 169-180. doi: 10.1007/s10654-013- 9771-5
  • 3. Arslan H, Konuk DS. Stigma, Spirituality and comfort concepts in Meleis’s concept development process. Maltepe University Journal of Nursing Science and Art 2009; 2 (1): 51-58.
  • 4. Oran Tuna N, Senuzun F. A chain that needs to be broken in society: HIV / AIDS stigma and coping strategies. Journal of International Humanities 2008; 5 (1): 1-16.
  • 5. Alonson J, Buron A, Bruffaerts R, He Y, Posada-Villa J et al. Association of perceived stigma and mood and anxiety disorders: results from the World Mental Health Surveys. Acta Psychiatrica Scandinavica 2008; 118: 305-314. doi: 10.1111/j.1600-0447.2008.01241.x
  • 6. Burn JY, Solomon SE, Miller C, Forehand R. Measurement of stigma in people with HIV/AIDS: a reexamination of the HIV Stigma Scale. AIDS Education and Prevention 2007; 19 (3): 198-208. doi: 10.1521/aeap.2007.19.3.198
  • 7. Macq J, Solis A, Martinez G, Martiny P. Tackling tuberculosis patients’ internalized social stigma through patient centred care: an intervention study in rural Nicaragua. BMC Public Health 2008; 8 (8): 1-10 doi: 10.1186/1471-2458-8-154
  • 8. Cam O, Bilge A. mental illness in turkey / patient beliefs, attitudes and stamping process: a systematic review. Journal of Psychiatric Nursing 2013; 4 (2): 91-101. doi: 10.5505/ PHD.2013.92300
  • 9. Carr D, Jaffe KJ, Friedman MA. Perceived interpersonal mistreatment among obese Americans: do race, class, and gender matter? Obesity (Silver Spring) 2008; 16 (2): 60-68. doi: 10.1038/oby.2008.453
  • 10. Puhl RM, Brownell KD. Confronting and cog with weight stigma: an investigation of overweight and obese adults. Obesity (Silver Spring) 2006; 14 (10): 1802-1815. doi: 10.1038/ oby.2006.208
  • 11. Kato A, Fujimaki Y, Fujimori S, Isogawa A. Onisshi Y et al. Psychological and behavioural patterns of stigma among patients with type 2 diabetes: a cross-sectional study. BMJ Open 2017 (7): 1-7. doi: 10.1136/bmjopen-2016-013425
  • 12. Kato A, Fujimaki Y, Fujimori S, Izumida Y. Suziki R et al. A qualitative study on the impact of internalized stigma on type 2 diabetes self-management Patient Education and Counseling, 2016 (99): 1233-1239, doi: 10.1016/j.pec.2016.02.002
  • 13. Liu NF, Brown AS, Folias Younge MF, Guzman SJ et al. Stigma in people with type 1 or type 2 diabetes. Clinical Diabetes 2017; 35 (1): 27-34. doi: 10.2337/cd16-0020
  • 14. Browne J, Ventura AD, Mosely K, Speight J. Measuring the stigma surrounding type 2 diabetes: development and validation of the type 2 diabetes stigma assessment scale (DSAS-2). Diabetes Care 2016; 39 (12): 2141-2148. doi: 10.2337/dc16-0117
  • 15. Burns N, Grove SK. The Practice of Nursing Research: Conduct, Critique, and Utilization. WB Saunders, London. 1997; 288-326.
  • 16. Cole DA. Utility of confirmatory factor analysis in test validation research. Journal of Consulting and Clinical Psychology 1987; 55: 584-594.
  • 17. Tavsancil E. Attitudes Measurement and Data Analysis with SPSS. Ankara, Turkey: Atlas Publisher, 2010.
  • 18. Tezbaşaran A. Likert Type Scale Development Guide. 2nd ed. Turkish Ankara, Turkey: Psychological Association Publication, 2008.
  • 19. Polit D, Beck CT. Nursing Research: Generating and Assessing Evidence for Nursing Practice. 8th ed. London, UK: Wolters Kluwer/Lippincott Williams & Wilkins. 2008.
  • 20. Phelan SM, Griffin JM, Jackson GL, Zafar SY, Hellerstedt W et al. Stigma. perceived blame, self-blame, and depressive symptoms in men with colorectal cancer. Psychooncology 2013; 22 (1): 65-73. doi: 10.1002/pon.2048
  • 21. Cho J, Choi EK, Shin DW, Cho B, Kim C et al. Association between cancer stigma and depression among cancer survivors: a nationwide survey in Korea. Psycho‐Oncology 2013; 22 (10): 2372-2378. doi: 10.1002/pon.3302
  • 22. Ernst J, Mehnert A, Dietz A, Hornemann B, Esser P. Perceived stigmatization and its impact on quality of life - results from a large register-based study including breast. colon. prostate and lung cancer patients. Cancer 2017; 17 (1) 741: 1-8. doi: 10.1186/ s12885-017-3742-2
  • 23. Yilmaz M, Dissiz G, Göcmen F, Kurtulus Usluoglu A, Alacacıoglu A. The attitude of cancer (cancer stamp) survey questionnaire - the turkish validity and reliability study of the turkish version. Anadolu Journal of Nursing and Health Sciences 2017; 20 (2): 99-106. doi: 10.4103/apjon.apjon_10_17
  • 24. Gredig D, Bartelsen-RA. Diabetes-related stigma affects the quality of life of people living with diabetes mellitus in Switzerland: implications for healthcare providers. Health and Social Care in the Community 2017; 25(5): 1620-1633. doi: 10.1111/hsc.12376
  • 25. Kalra B, Kalrai Sharma A. Social stigma and discrimination: a care crisis for young women with diabetes in India. Diabetes Voice 2009; 54 (special issue): 37-9. PMCID: PMC3748558
Turkish Journal of Medical Sciences-Cover
  • ISSN: 1300-0144
  • Yayın Aralığı: Yılda 6 Sayı
  • Yayıncı: TÜBİTAK
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