development and preliminary validation of diabetes adjustment assessment scale (daas): a new measure of adjustment with type 2 diabetes

Introduction: several adjustment scales are available for diabetes, but, unfortunately most of them focused on the limited dimensions of diabetes and are not specific for type 2 diabetes. the aim of this study was to develop a multidimensional scale for diabetes type 2 adjustment assessment and to test preliminary validity, reliability and clinical utility of the scale for this population. methods: in this methodological design study, the diabetes adjustment assessment scale was developed and the psychometric properties of this scale was assessed in patients with type 2 diabetes. this study included internal consistency, content validity and exploratory factor analysis. results: 1000 patients with type 2 diabetes completed the 45-item diabetes adjustment scale. after eliminating two item, the 43-item measure demonstrated good internal consistency (cronbach’s α= 0.75). factor analysis identified eight factors including; reshape (11 questions), seek to acceptance of illness (7 questions), normal life with the disease (6 questions), initial self-management (2 questions), comparing (4 questions), initial imaging of illness (4 questions), return to resources(3 questions), and advanced self- management (6 questions). conclusion: considering that validity and reliability indexes of the scale are reported in an appropriate level, it can be used as a valid and reliable tool in measuring level of adjustment with type2 diabetes.