PMID- 25353705 OWN - NLM STAT- MEDLINE DCOM- 20151110 LR - 20191210 IS - 1557-8593 (Electronic) IS - 1520-9156 (Linking) VI - 17 IP - 3 DP - 2015 Mar TI - Reliability, validity, and responsiveness of the Impact of Weight on Self-Perceptions Questionnaire (IW-SP) in individuals with type 2 diabetes and obesity. PG - 210-4 LID - 10.1089/dia.2014.0142 [doi] AB - BACKGROUND: The Impact of Weight on Self-Perceptions Questionnaire (IW-SP) assesses an individual's self-perception related to his or her weight. The primary objective of this study was to provide evidence of the reliability, validity, and responsiveness of the IW-SP. MATERIALS AND METHODS: Study participants were individuals with type 2 diabetes mellitus (T2DM) and obesity enrolled in clinical weight-loss programs in the United States. Data were obtained for clinical measures, IW-SP, and other patient-reported outcome measures. An intraclass correlation coefficient (ICC) and Cronbach's alpha were calculated for test-retest reliability and internal consistency, respectively. For validity, correlations and t tests were performed. For responsiveness, baseline and 6-month data for a subgroup of patients were analyzed using the paired t test and calculation of effect size (ES). RESULTS: Reliability data for 106 study participants (mean age, 52 years; 69% female; 31% white; mean body mass index, 38 kg/m(2)) yielded an ICC of 0.85 and Cronbach's alpha values of >0.89. IW-SP scores were associated with obesity-related quality of life, mental health, and vitality (r>0.50, P<0.001). In the subgroup (n=40) used to estimate responsiveness, weight was significantly less at end point than at baseline (mean, baseline=231.9 vs. end point=222.0 pounds; P<0.001; ES=0.23), and IW-SP scores were significantly better than at baseline (mean, baseline=61.0 vs. end point=72.1 [on a scale of 0-100]; P=0.01; ES=0.34). Mean IW-SP change scores significantly discriminated between those achieving >5% body weight loss and those who achieved <5% (mean change, 23.6 vs. 5.7; P=0.03). CONCLUSIONS: The IW-SP has demonstrated reliability, validity, and responsiveness in individuals with T2DM and obesity, thereby making it a potentially valuable tool in the evaluation of weight-loss interventions targeted toward patients with T2DM. FAU - Hayes, Risa P AU - Hayes RP AD - Global Patient Outcomes and Real World Evidence, Eli Lilly and Company , Indianapolis, Indiana. FAU - DeLozier, Amy M AU - DeLozier AM LA - eng PT - Evaluation Study PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20141029 PL - United States TA - Diabetes Technol Ther JT - Diabetes technology & therapeutics JID - 100889084 SB - IM MH - Adult MH - Body Mass Index MH - Body Weight MH - Diabetes Mellitus, Type 2/complications/*psychology/therapy MH - Female MH - Humans MH - Male MH - Middle Aged MH - Obesity/complications/*psychology/therapy MH - Psychometrics/*methods MH - Reproducibility of Results MH - *Self Concept MH - Surveys and Questionnaires/*standards MH - United States MH - Weight Reduction Programs EDAT- 2014/10/30 06:00 MHDA- 2015/11/11 06:00 CRDT- 2014/10/30 06:00 PHST- 2014/10/30 06:00 [entrez] PHST- 2014/10/30 06:00 [pubmed] PHST- 2015/11/11 06:00 [medline] AID - 10.1089/dia.2014.0142 [doi] PST - ppublish SO - Diabetes Technol Ther. 2015 Mar;17(3):210-4. doi: 10.1089/dia.2014.0142. Epub 2014 Oct 29.