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Schmitt A.,Forschungsinstitut der Diabetes Akademie Bad Mergentheim | Gahr A.,Forschungsinstitut der Diabetes Akademie Bad Mergentheim | Hermanns N.,Forschungsinstitut der Diabetes Akademie Bad Mergentheim | Kulzer B.,Forschungsinstitut der Diabetes Akademie Bad Mergentheim | Haak J.,Forschungsinstitut der Diabetes Akademie Bad Mergentheim
Diabetes, Stoffwechsel und Herz | Year: 2013

Background: Effective diabetes self-care requires acceptance of the condition, and the Acceptance and Action Diabetes Questionnaire (AADQ) was designed to measure diabetes acceptance. This study evaluates the questionnaire in its German version. Methods: We assessed three hundred and ten diabetic inpatients using the German AADQ and questionnaires on coping (FKV-15), diabetes-related distress (PAID), treatment satisfaction (DTSQ), self-care (SDSCA), health-related quality of life (SF-36), and depressive symptoms (CES-D); we also collected their current HbA1cvalues. We evaluated the test by item and reliability analysis, and estimating convergent validity. Results: Mean item-total correlation was 0.53; mean inter-item correlation was 0.34. The α-coefficient was 0.85; split-half correlation was 0.81. The AADQ sum score showed a significant correlation to active coping (r = 0.35), diabetes-related distress (r = -0.65), treatment satisfaction (r = 0.34), self-care behaviour (diet: r = 0.20, blood glucose self-monitoring: r = 0.26), HbA1c(r = -0.21), health-related quality of life (mean r = 0.29), and depressive symptoms (r = -0.40). Conclusion: The German version of the AADQ is a reliable, valid and efficient instrument in measuring diabetes acceptance, and may be useful when scientifically analysing diabetes-related coping processes or identifying non-acceptance in individual diabetic patients.

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