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Treatment Self-Regulation Questionnaire Across Three Self-Care Behaviours: An Instrument Validation Study in Iranian Patients With Type 2 Diabetes Mellitus Publisher Pubmed



Hazratimeimaneh Z1, 2 ; Zamanian H1, 3 ; Shalchi Oghli S4, 5 ; Moradnejad S4 ; Karkehabadi F2 ; Pourabbasi A6 ; Aminitehrani M7, 8
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Authors Affiliations
  1. 1. Department of Health Education and Promotion, School of Health, Qom University of Medical Sciences, Qom, Iran
  2. 2. South Tehran Health Center, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Health Psychology and Behavior Medicine Research Group, Students' Scientific Research Center, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Department of Health Education and Promotion, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
  5. 5. Moayeri Hospital, Social Security Organization, Tehran, Iran
  6. 6. Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
  7. 7. Health Psychology and Behavior Medicine Research Group, Students’ Scientific Research Center, Tehran University of Medical Sciences, Tehran, Iran
  8. 8. Department of Psychology, Faculty of Psychology and Education, University of Tehran, Tehran, Iran

Source: Nursing Open Published:2022


Abstract

Aim: The study aimed at testing the validity and reliability of the Persian version of the treatment self-regulation questionnaire (TSRQ-15) across healthy diet, exercise and medication-use/glucose-monitoring among Iranian people with type-2 diabetes. Design: Cross-sectional design. Methods: Content validity was investigated by 16 experts. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were employed. Construct validity, convergent/discriminant validity and internal consistency were examined. Concurrent validity was assessed using Spearman's rho correlation across different behaviours. Results: Content validity was confirmed for Persian TSRQ-15. A three-factor structure was revealed, in which external regulation and introjected regulations were validated, while amotivation and autonomous failed to show discriminant validity. Internal consistency was sound, and concurrent validity was approved. The Persian version of TSRQ-15 was shown to be a valid and reliable tool for assessing motivation behind the practice of healthy diet, exercise and medication-use/glucose-monitoring in people with type 2 diabetes. © 2022 The Authors. Nursing Open published by John Wiley & Sons Ltd.
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