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Development of a Psychological Insulin Resistance Scale for Korean Patients with Diabetes
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Youngshin Song, Younghee Jeon, Jeonghwa Cho, Bohyun Kim
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J Korean Acad Nurs 2016;46(6):813-823. Published online December 30, 2016
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DOI: https://doi.org/10.4040/jkan.2016.46.6.813
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 Abstract
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Purpose
This study was done to develop and validate a measure to evaluate the Korean version of psychological insulin resistance (K-PIR) in patients with diabetes in Korea.
Methods
Items were initially generated from literature reviews and interviews with 19 patients with diabetes. The content validity of the items was evaluated by experts. Participants were 424 patients with diabetes recruited through convenience sampling. A cross-sectional survey was designed for item-analysis, exploratory factor analysis with principal axis factoring, and confirmatory factor analysis. Cronbach's alpha was calculated to measure the internal consistency.
Results
For the 24 items of the Korean version of psychological insulin resistance, six items were eliminated because of low correlation with the other items. Exploratory factor analysis with 18-item showed that two factors (psycho-cognitive factor and supportive factor) explained 41.8% of the variance, and the factor structure of K-PIR model had a good fit. Internal consistency of K-PIR with 18 items revealed good reliability.
Conclusion
The findings show that the K-PIR is reliable for measuring the psychological resistance to insulin therapy for Korean patients with diabetes. However, further study is needed to evaluate the validation because the proportion of variation of K-PIR was low in this study.
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Citations
Citations to this article as recorded by  - Development and validation of a Chinese insulin medication literacy scale for patients with diabetes mellitus
Fangying Si, Tao Feng, Xiangfen Shi, Sufang Chen
Frontiers in Pharmacology.2025;[Epub] CrossRef - Using Motivational Interviewing to Overcome Psychological Insulin Resistance
Sung-Chul Lim
The Journal of Korean Diabetes.2023; 24(4): 227. CrossRef - Factors Influencing the Subjective Health Status of Men with Insulin-treated Type 2 Diabetes Mellitus: A Secondary Analysis Using Quantile Regression Analysis
Kang Sun Lee, Hyuk Joon Kim, Young Man Kim, Hye Young Kim
Journal of Korean Academy of Fundamentals of Nursing.2023; 30(4): 530. CrossRef - Factors affecting the health status of patients with type 2 diabetes mellitus receiving insulin treatments: A multi‐mediation path analysis
Kang Sun Lee, Hye Young Kim, Heung Young Jin
Journal of Clinical Nursing.2022; 31(9-10): 1285. CrossRef - Psychological Insulin Resistance: Key Factors and Intervention
Yeon Jeong Jang
The Journal of Korean Diabetes.2021; 22(3): 192. CrossRef - Diyabetli Hastalarda Psikolojik İnsülin Direnci Ölçeğinin Türkçeye Uyarlanması
Kevser IŞIK, Hilal YILDIRIM, Zeliha CENGİZ
Turkish Journal of Family Medicine and Primary Care.2021; 15(4): 726. CrossRef - The role of psychological insulin resistance in diabetes self‐care management
Ancho Lim, Youngshin Song
Nursing Open.2020; 7(3): 887. CrossRef - Psychological Insulin Resistance and Low Self-efficacy as Barriers to Diabetes Self-care Management in Patients with Type 2 Diabetes
Bohyun Kim, Youngshin Song, Jong Im Kim
Korean Journal of Adult Nursing.2019; 31(1): 61. CrossRef - Factors influencing psychological insulin resistance in type 2 diabetes patients
Ji Hyeon Yu, Hye Young Kim, Sung Reul Kim, Eun Ko, Heung Yong Jin
International Journal of Nursing Practice.2019;[Epub] CrossRef - Assessing Psychological Insulin Resistance in Type 2 Diabetes: a Critical Comparison of Measures
E. Holmes-Truscott, F. Pouwer, J. Speight
Current Diabetes Reports.2017;[Epub] CrossRef
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