Evidence mapPaperPMID 36801976Full record

ArticleActa diabetologica2023

Assessing attitudes towards insulin pump therapy in adults with type 1 diabetes: Italian validation of the Insulin Pump Attitudes Questionnaire (IT-IPA questionnaire).

Rossella Messina, Liliana Indelicato, Marica Iommi, Maddalena Trombetta, Timm Roos, Norbert Hermanns, Annamaria Di Sipio, Maria Pia Fantini, Vincenzo Calvo

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Article in Acta diabetologica, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Rossella MessinaDepartment of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy. rossella.messina3@unibo.it.ORCID http://orcid.org/0000-0001-5526-9769
Liliana IndelicatoDivision of Endocrinology, Diabetes and Metabolic Diseases, AOUI Verona, Italy.ORCID http://orcid.org/0000-0001-8215-1627
Marica IommiDepartment of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy.ORCID http://orcid.org/0000-0003-4589-3474
Maddalena TrombettaDivision of Endocrinology, Diabetes and Metabolic Diseases, Department of Medicine, University of Verona, Verona, Italy.ORCID http://orcid.org/0000-0002-0825-1117
Timm RoosResearch Institute of the Diabetes Academy Mergentheim (FIDAM), Bad Mergentheim, Germany.ORCID http://orcid.org/0000-0002-6296-947X
Norbert HermannsResearch Institute of the Diabetes Academy Mergentheim (FIDAM), Bad Mergentheim, Germany.ORCID http://orcid.org/0000-0002-2903-2677
Annamaria Di SipioDepartment of Philosophy, Sociology, Pedagogy, and Applied Psychology, University of Padova, Padova, Italy.ORCID http://orcid.org/0000-0002-6482-5330
Maria Pia FantiniDepartment of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy.ORCID http://orcid.org/0000-0002-3257-6552
Vincenzo CalvoDepartment of Philosophy, Sociology, Pedagogy, and Applied Psychology, University of Padova, Padova, Italy.ORCID http://orcid.org/0000-0002-9828-0551

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsThe aim of the study was to adapt the German version of the insulin pump therapy (IPA) questionnaire to Italian (IT-IPA) and to evaluate its psychometric properties in adults with type 1 diabetes.

methodsWe conducted a cross-sectional study, data were collected through an online survey. In addition to IT-IPA, questionnaires evaluating depression, anxiety, diabetes distress, self-efficacy, and treatment satisfaction were administered. The six factors identified in the IPA German version were assessed using confirmatory factor analysis; psychometric testing included construct validity and internal consistency.

resultsThe online survey was compiled by 182 individuals with type 1 diabetes: 45.6% continuous subcutaneous insulin infusion (CSII) users and 54.4% multiple daily insulin injection users. The six-factor model had a very good fit in our sample. The internal consistency was acceptable (Cronbach's α = 0.75; 95% IC [0.65-0.81]). Diabetes treatment satisfaction was positively correlated with a positive attitude towards CSII therapy (Spearman's rho = 0.31; p < 0.01), less Technology Dependency, higher Ease of Use, and less Impaired Body Image. Furthermore, less Technology Dependency was associated with lower diabetes distress and depressive symptoms.

conclusionsThe IT-IPA is a valid and reliable questionnaire evaluating attitudes towards insulin pump therapy. The questionnaire can be used for clinical practice during consultations for shared decision-making to CSII therapy.

Indexed as

Diabetes Mellitus, Type 1AdultCross-Sectional StudiesHumansHypoglycemic AgentsInsulinInsulin Infusion SystemsItalyPatient SatisfactionSurveys and QuestionnairesHypoglycemic AgentsInsulinAttitudesInsulin pump therapyPsychometric validationPsychosocial aspectsType 1 diabetes

Identifiers

PMID36801976
PMCPMC10063466

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.