If the findings regarding physical activity are replicated, it may be that moderate-intensity physical activity programs could be initiated with diabetic individuals at risk of low quality of life. Quality of life is an important and understudied topic in diabetes that appears to be related to demographic, medical-history, and self-management factors.

Both the personal-model and barriers scales had good internal consistency and predicted variance in each of the self-management variables after controlling for demographic and medical history factors. These brief self-report personal-model scales demonstrated good internal reliability and were as predictive of self-management as the lengthier interview-based measures in previous studies. The assessment of the treatment effectiveness component of personal models may be sufficient for most clinical purposes.

This study demonstrates that this intervention has the potential of positively impacting the health of broad populations of individuals with diabetes, not just the minority who are ready for change.

The construct and discriminant validity of the Children's Depression Inventory (CDI) was evaluated for a large child and adolescent sample of clinical inpatients (n = 153) and demographically comparable nonreferred subjects (n = 153). Principal component analyses of the overall sample, using separate groups of clinical and nonreferred samples, found two-and three-factor models with optimal simple structure and clinical meaningfulness. These factors characterized Depressive Affect, Oppositional Behavior, and Personal Adjustment. The first two factors exhibited adequate internal consistency and correspondence across samples, whereas the third factor was strongest for nonreferred subjects. All three factor scores entered a significant discriminant function and correctly classified most nonreferred and clinical subjects. However, only Depressive Affect and Oppositional Behavior entered into the discriminant function that distinguished depressive and conduct-disorder subjects from nonreferred subjects. The percentage of nonreferred subjects who were correctly categorized ranged from 70.4 to 71.6, whereas the percentage of correctly classified clinical subjects ranged from 25 to 60.

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Results of the study provide insights into the differences in trends between participants and nonparticipants in DSMT. People with diabetes who had DSMT encounters provided by diabetes educators in accredited/recognized programs are likely to show lower cost patterns when compared with a control group of people with diabetes without DSMT encounters. People with diabetes who have multiple episodes of DSMT are more likely to receive care in accordance with recommended guidelines and to comply with diabetes-related prescription regimens, resulting in lower costs and utilization trends. Conclusions and Policy Implications The collaboration between diabetes educators and patients continues to demonstrate positive clinical quality outcomes and cost savings. This analysis shows that repeated DSMT encounters over time result in a dose-response effect on positive outcomes.

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Psychometric characteristics of the Center for Epidemiological Studies Depression Scale for Children (CES-DC) were evaluated with 148 child and adolescent psychiatric inpatients. Test-retest reliability, internal consistency, and concurrent validity were adequate. Principal components analysis identified three distinct factors: behavioral and cognitive components of depression and a happiness dimension. However, subsequent factor scores and CES-DC total scores were unable to discriminate DSM-III diagnoses, including depressive and nondepressive categories. The CES-DC showed poor reliability and validity in the children alone but had good psychometric properties for the adolescents. More validational research is required before standard clinical use can be recommended.