| Penulis/Author |
Anggi Lukman Wicaksana, S.Kep., Ns., MS. (1) ; dr. Raden Bowo Pramono, Sp.PD-KEMD (2); SEVIA RANI IRIANTI (3); ROHMAH PURIANA KHUSNA (4); FATIMAH PUTRI RAHAYU (5); FISKA NUR AINI (6); NI PUTU AYU NOVIYANTINI (7); Dr. Heny Suseani Pangastuti, S.Kp., M.Kes. (8) |
| Abstrak/Abstract |
Aim: This study aimed to test the validity and reliability of a four-item patient health questionnaire as psychological distress-screening tool for Indonesian type 2 diabetic patients.
Methods: The cross-cultural adaptation using a cross-sectional study was applied in multicenter of Indonesian public health care settings for a four-item of patient health questionnaire. The content, convergent, and factorial validity were assessed, and Cronbach’s alpha coefficient was the reliability indicator.
Results: A total of 147 participants were involved. Content validity resulted in acceptable outcomes (item and scale content validity indexes were 0.95 and 0.75, respectively). Anxiety and depression were associated with total score and psychological distress status (p < 0.001), supporting the convergent validity outcomes. Principal component analysis using varimax rotation revealed two factors, explaining 76.14% of variance (Bartlett’s test = 140.197; Kaiser-Meyer-Olkin measure = 0.692; df = 6; r = 0.645–0.796; p < 0.001). Cronbach’s alpha coefficients for anxiety, depression, and total score were 0.780, 0.500, and 0.713, respectively.
Conclusions: The study demonstrates adequate outcomes of validity and reliability for the Indonesian version of a four-item of patient health questionnaire among type 2 diabetic patients. Therefore, it is applicable as a screening tool for psychological distress. |
