Turkish Validity and Reliability of Pediatric Diabetes Routines Questionnaire

İngilizce (OpenAlex)

Objective: The aim of this study is to evaluate the validity and reliability of the Turkish version of the Pediatric Diabetes Routines Questionnaire (PDRQ) for parents of children diagnosed with Type 1 Diabetes Mellitus (T1DM), in order to determine its applicability in assessing children's daily diabetes-related routines. Method: This methodological study was conducted face-to-face with 131 parents of children aged 5-17 who visited the outpatient diabetes clinic of a women’s and children’s hospital in the southeastern part of Türkiye. The adaptation followed standard procedures including translation, back-translation, expert evaluation, a pilot study, exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). Reliability was examined using Cronbach’s alpha, item-total correlations, and split-half methods. Results: Based on the exploratory factor analysis, it was determined that the scale was explained by five factors instead of the original two-factor structure. However, the confirmatory factor analysis showed that the two-factor structure of the original version, consisting of “daily regimen routines” and “technical/situational routines,” was largely preserved. With three modifications made without removing any items, the model fit indices of the scale were found to be at an acceptable level (χ²/df=1.60, RMSEA=0.068, SRMR=0.079, CFI=0.99, and NNFI=0.90). The Cronbach’s alpha coefficient for the total of 21 items was 0.822, while the values for the subscales were 0.752 and 0.655, respectively. These findings indicate that the Turkish version of the PDRQ is a valid and reliable measurement tool. Conclusion: The 21-item Turkish version of the Pediatric Diabetes Routines Questionnaire (PDRQ) has been found to be a valid and reliable instrument for assessing the daily diabetes management routines of children diagnosed with Type 1 Diabetes Mellitus. This scale can be confidently used in both clinical practice and scientific research to objectively evaluate the level of parental involvement in their children’s diabetes management.