Abstract：
OBJECTIVE: This study aimed to develop a Health Literacy Scale for Acute Complications of Diabetes for Children with Type 1 Diabetes (8-12 years of age) and to test the instrument in terms of its psychometric properties.
METHODS: The study is of methodological design and was conducted with 222 children, aged 8 to 12 years, with type 1 diabetes who were registered at a training and research hospital\'s diabetes outpatient clinic. The item pool of the study consisted of 22 statements. Ten experts were asked to review the scale, and when content validity was confirmed, the scale items were amended until the draft scale had 22 items. The children themselves completed the \"Diagnostic Form for Children with Diabetes\" and \"Health Literacy Scale for Acute Complications of Type 1 Diabetes for Children (8-12 years)\" questionnaire between June 2021 and October 2022. Exploratory factor analysis (EFA), item-total correlation, and split-half reliability testing were employed for psychometric properties.
RESULTS: The scale comprised 19 items and 3 factors containing information on acute complications of diabetes and health literacy.
CONCLUSIONS: A valid and accurate instrument was developed to measure the acute complications of diabetes in children and their health literacy. As such, the scale can be used as a practical tool in evaluating the understanding and implementation skills of children with Type 1 diabetes regarding the management of acute complications of the disease and in assessing their health literacy.
METHODS: The study is of methodological design and was conducted with 222 children, aged 8 to 12 years, with type 1 diabetes who were registered at a training and research hospital\'s diabetes outpatient clinic. The item pool of the study consisted of 22 statements. Ten experts were asked to review the scale, and when content validity was confirmed, the scale items were amended until the draft scale had 22 items. The children themselves completed the \"Diagnostic Form for Children with Diabetes\" and \"Health Literacy Scale for Acute Complications of Type 1 Diabetes for Children (8-12 years)\" questionnaire between June 2021 and October 2022. Exploratory factor analysis (EFA), item-total correlation, and split-half reliability testing were employed for psychometric properties.
RESULTS: The scale comprised 19 items and 3 factors containing information on acute complications of diabetes and health literacy.
CONCLUSIONS: A valid and accurate instrument was developed to measure the acute complications of diabetes in children and their health literacy. As such, the scale can be used as a practical tool in evaluating the understanding and implementation skills of children with Type 1 diabetes regarding the management of acute complications of the disease and in assessing their health literacy.
摘要：
目的：本研究旨在为1型糖尿病儿童（8-12岁）制定糖尿病急性并发症健康素养量表，并对该仪器的心理测量特性进行测试。
方法：该研究是方法学设计，对222名儿童进行了研究，8至12岁，1型糖尿病患者在一家培训和研究医院的糖尿病门诊诊所登记。该研究的项目库包括22个陈述。十名专家被要求审查该量表，当内容有效性被确认时，对比额表项目进行了修改，直到比额表草案有22个项目。儿童自己在2021年6月至2022年10月之间填写了“儿童糖尿病诊断表”和“儿童1型糖尿病急性并发症健康素养量表（8-12岁）”问卷。探索性因子分析(EFA)项目总相关性，并对心理测量特性进行了半部分可靠性测试。
结果：该量表包含19个项目和3个因素，包含有关糖尿病急性并发症和健康素养的信息。
结论：开发了一种有效而准确的仪器来测量儿童糖尿病的急性并发症及其健康素养。因此，该量表可用作评估1型糖尿病儿童对该疾病急性并发症管理的理解和实施技能以及评估其健康素养的实用工具。
方法：该研究是方法学设计，对222名儿童进行了研究，8至12岁，1型糖尿病患者在一家培训和研究医院的糖尿病门诊诊所登记。该研究的项目库包括22个陈述。十名专家被要求审查该量表，当内容有效性被确认时，对比额表项目进行了修改，直到比额表草案有22个项目。儿童自己在2021年6月至2022年10月之间填写了“儿童糖尿病诊断表”和“儿童1型糖尿病急性并发症健康素养量表（8-12岁）”问卷。探索性因子分析(EFA)项目总相关性，并对心理测量特性进行了半部分可靠性测试。
结果：该量表包含19个项目和3个因素，包含有关糖尿病急性并发症和健康素养的信息。
结论：开发了一种有效而准确的仪器来测量儿童糖尿病的急性并发症及其健康素养。因此，该量表可用作评估1型糖尿病儿童对该疾病急性并发症管理的理解和实施技能以及评估其健康素养的实用工具。
