PMID- 38450133
OWN - NLM
STAT- MEDLINE
DCOM- 20240308
LR  - 20240508
IS  - 2296-2565 (Electronic)
IS  - 2296-2565 (Linking)
VI  - 12
DP  - 2024
TI  - Validation of the Chinese version of the diabetes health profile to predict the 
      impact of mobile health education on quality of life in type 2 diabetes patients.
PG  - 1330154
LID - 10.3389/fpubh.2024.1330154 [doi]
LID - 1330154
AB  - PURPOSE: The Diabetes Health Profile (DHP18), initially created in the United 
      Kingdom, currently lacks a Chinese version. This study endeavors to authenticate 
      the Chinese adaptation of the DHP18 and assess the influence of mobile health 
      (mHealth) education intervention on the quality of life of individuals living 
      with diabetes. PATIENTS AND METHODS: The study included 470 Type 2 diabetes 
      Mellitus (T2DM) patients (204 men, 266 women), spanning an age range of 
      19-79 years, with an average age of 54 +/- 12.40 years. Data analysis employed 
      Jamovie and Mplus software. Moreover, test-retest reliability was evaluated in 52 
      hospitalized T2DM patients through two repeated measurements taken 4 weeks apart. 
      RESULTS: The Chinese version DHP18 scale exhibited high reliability, evidenced by 
      a Cronbach's alpha of 0.88, and coefficient of test-retest reliability of 0.84. 
      Individual subscales also demonstrated strong reliability, ranging from 0.76 to 
      0.84, with test-retest reliability spanning from 0.71 to 0.74. Confirmatory 
      Factor Analysis (CFA) employing a three-factor structure (chi(2) = 294.69, 
      GFI = 0.92, TLI = 0.91, RMSEA = 0.05, SRMR = 0.06) validated the scale's 
      construct validity. Notably, there was a statistically significant difference 
      (p < 0.05) in the quality of life between Type 2 diabetes patients using mHealth 
      education intervention and those without mHealth education intervention. 
      Mediation analysis revealed that Appraisal of Diabetes (ADS) and Self-Management 
      Efficacy (SED) mediated the effects of Psychological Distress (PD) and Behavior 
      Adherence (BA) on quality of life, both significant direct and indirect effects 
      (p < 0.001). In addition, Dietary Abstinence (DE) displayed significant overall 
      impact (beta = -0.13, p < 0.001) and indirect influence (beta = -0.10, p < 0.01) on 
      diabetic patients' quality of life, though lacking a significant direct effect (beta 
      = -0.03, p = 0.38). CONCLUSION: The Chinese version of the Diabetes Health 
      Profile Scale meets stringent psychometric standards and stands as an appropriate 
      measurement tool for Chinese T2DM patients, maintaining comparable results to the 
      original scale's structure. The mHealth education intervention yielded a notably 
      positive impact on the quality of life among T2DM patients. Mediation analysis 
      revealed that the three dimensions of the DHP were mediated by Appraisal of 
      Diabetes and Diabetes Self-Management Efficacy, partially mediated by 
      Psychological Distress and Behavior Adherence, and fully mediated by Dietary 
      Abstinence, providing insight into the positive effects of the mHealth model on 
      the quality of life of diabetic patients.
CI  - Copyright (c) 2024 Lyu, Zeng, Lin, Song, Yang and Hou.
FAU - Lyu, Xiaokang
AU  - Lyu X
AD  - Department of Social Psychology, Nankai University, Tianjin, China.
FAU - Zeng, Jinmei
AU  - Zeng J
AD  - Department of Social Psychology, Nankai University, Tianjin, China.
FAU - Lin, Jingna
AU  - Lin J
AD  - Department of Endocrinology, Health Management Center, Tianjin Union Medical 
      Center, Nankai University Affiliated Hospital, Tianjin, China.
FAU - Song, Yixuan
AU  - Song Y
AD  - Department of Endocrinology, Health Management Center, Tianjin Union Medical 
      Center, Nankai University Affiliated Hospital, Tianjin, China.
FAU - Yang, Tingting
AU  - Yang T
AD  - Department of Social Psychology, Nankai University, Tianjin, China.
FAU - Hou, Wenjing
AU  - Hou W
AD  - Department of Endocrinology, Health Management Center, Tianjin Union Medical 
      Center, Nankai University Affiliated Hospital, Tianjin, China.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20240221
PL  - Switzerland
TA  - Front Public Health
JT  - Frontiers in public health
JID - 101616579
SB  - IM
MH  - Male
MH  - Humans
MH  - Female
MH  - Adult
MH  - Middle Aged
MH  - Aged
MH  - Young Adult
MH  - *Diabetes Mellitus, Type 2/therapy
MH  - Quality of Life
MH  - Reproducibility of Results
MH  - Health Education
MH  - Educational Status
PMC - PMC10915233
OTO - NOTNLM
OT  - diabetes health profile-18
OT  - mobile health
OT  - quality of life
OT  - reliability
OT  - type 2 diabetes
OT  - validity
COIS- The authors declare that the research was conducted in the absence of any 
      commercial or financial relationships that could be construed as a potential 
      conflict of interest.
EDAT- 2024/03/07 06:43
MHDA- 2024/03/08 06:42
PMCR- 2024/02/21
CRDT- 2024/03/07 04:15
PHST- 2023/10/31 00:00 [received]
PHST- 2024/02/05 00:00 [accepted]
PHST- 2024/03/08 06:42 [medline]
PHST- 2024/03/07 06:43 [pubmed]
PHST- 2024/03/07 04:15 [entrez]
PHST- 2024/02/21 00:00 [pmc-release]
AID - 10.3389/fpubh.2024.1330154 [doi]
PST - epublish
SO  - Front Public Health. 2024 Feb 21;12:1330154. doi: 10.3389/fpubh.2024.1330154. 
      eCollection 2024.