Factorial structure of the perception of risk factors for type 2 diabetes scale: exploratory and confirmatory factor analyses

Sousa, Valmi D.; Ryan‐Wenger, Nancy A.; Driessnack, Martha; Jaber, Ala'a F

doi:10.1111/j.1365-2753.2009.01276.x

Cited by 11 publications

(18 citation statements)

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“…Both versions of the health‐promoting lifestyle scale have been extensively employed to evaluate health‐promoting lifestyles in different samples, such as state health employees participating in a diet and exercise promotion intervention (Perez, Phillips, Cornell, Mays, & Adams, 2009), elderly rural women (Pullen, Walker, & Fiandt, 2001), and college students (Jackson, Tucker, & Herman, 2007). The revised version of the scale has also been used to analyze health‐promoting lifestyles in individuals with medical conditions such as: child cancer survivors (Santacroce & Lee, 2006); women with fibromyalgia syndrome (Beal, Stuifbergen, & Brown, 2009); and patients with multiple sclerosis (Tyszka & Farber, 2010), diabetes (Sousa, Ryan‐Wenger, Driessnack, & Jaber, 2010), and metabolic syndrome (Chen, Wu, Hwang, & Li, 2010).…”

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confidence: 99%

Psychometric properties of the Spanish version of the health‐promoting lifestyle profile II

Pérez-Fortis

Díez

Padilla

2012

Research in Nursing & Health

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The Health-Promoting Lifestyle Profile II (HPLPII) has been psychometrically validated across several linguistic and cultural groups; however the Spanish version has not been psychometrically tested for the Spanish population. The purpose of this research was to evaluate the reliability and factor structure of the Spanish version of the HPLPII for Spanish people. Principal component analysis (PCA) revealed that a six-component model for 44 items accounted for 40% of the variance, and the scale had an internal consistency of .87. Confirmatory factor analysis demonstrated that a better fit of the six-component structure emerged from the PCA than from the model proposed in the original version of the HPLPII, suggesting that the health-promoting lifestyle might be sensitive to context and culture.

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confidence: 99%

Psychometric properties of the Spanish version of the health‐promoting lifestyle profile II

Pérez-Fortis

Díez

Padilla

2012

Research in Nursing & Health

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“…The sum of the responses makes up the total score, and higher scores represent heightened perception of risk factors (salience). PRF‐T2DM has high internal consistency (0.81) and reliability (0.83) based on major risk factors for T2D, demonstrating construct validity . We found the overall internal reliability (α = 0.68) and validity of the PRF‐T2DM to be acceptable in our study population .…”

Section: Resultsmentioning

confidence: 54%

“…The PRF‐T2DM is a measure of perceived personal risk for T2D . Using a four‐point Likert scale (0 = I do not know, 1 = there is no effect on risk, 2 = decreases the risk, 3 = increases the risk), participants rated the effects of each of 12 risk factors on their risk for developing T2D.…”

Section: Resultsmentioning

confidence: 99%

“…We found the overall internal reliability (α = 0.68) and validity of the PRF‐T2DM to be acceptable in our study population . Perception of overall risk for diabetes (vulnerability) was assessed by asking ‘What is your overall risk to develop type 2 diabetes?’ Participants rated their overall risk as no risk, low risk, moderate risk or high risk . This question was placed immediately following the 12 risk factors on the PRF‐T2DM …”

Section: Resultsmentioning

confidence: 99%

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All things considered, my risk for diabetes is medium: A risk personalization process of familial risk for type 2 diabetes

Daack‐Hirsch

Shah

Jones

et al. 2019

Health Expectations

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Doctoral Fellow 1 | Kaitlyn Jones BSN, RN, Doctorate of Nursing Practice Student 1 | Brenda Rocha BSN, RN, CCRN, Doctorate of Nursing Practice Student 1 | Megan Doerr MS, LGC, Principal Scientist, Governance 2 | Emily Gabitzsch MS, LGC, Genetic Counselor 2 | Thad Meese BBA, MBA, Innovation Manager 2This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. AbstractBackground: A positive family history of type 2 diabetes (T2D) has been associated with risk awareness and risk-reducing behaviours among the unaffected relatives.Yet, little is known about how people with a positive family history for diabetes develop and manage their personal sense of risk.Objective: To characterize two key concepts, salience and vulnerability, within the familial risk perception (FRP) model among unaffected individuals, at increased familial risk for T2D. Design:We conducted a mixed method study. Descriptions of salience and vulnerability were collected through semi-structured interviews. Participant's perception of self-reported risk factors (family history, age, race/ethnicity, medical history, weight and exercise) was measured using the Perceived Risk Factors for T2D Tool and was compared to a clinical evaluation of the same risk factors. Results:We identified two components of salience: (a) concern for developing T2D and (b) risk awareness triggers, and two features of vulnerability: (a) statement of risk and (b) risk assessment devices. Although few participants (26%) were concordant between their perceived and clinical overall T2D risk, concordance for individual risk factors was higher, ranging from 42% (medical history) to 90% (family history). Discussion and conclusion:Both familial and non-familial events lead people to contemplate their T2D risk, even among people who have a positive family history.Participants often downplayed their overall risk and underestimated their overall risk compared to a clinical risk assessment of the same self-reported risk factors.Clinicians could leverage key components of the FRP process as way to engage patients in risk reduction strategies earlier. K E Y W O R D Smixed methods, risk perception, risk personalization process, salience, type 2 diabetes, vulnerability

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“…However, motivating individuals at higher risk to engage in lifestyle changes remains challenging. Like others (Ruffin IV et al, ; Sousa, Ryan‐Wenger, Driessnack, & Jaber, ), we believe that future tailored risk‐communication interventions based on assessment of an individual's perception of risk factors for T2D might increase an individual's ability to (a) cognitively process the risk message based on his or her personal, behavioral, and environmental characteristics; (b) determine perception of severity and threat; and (c) make a decision to engage in health‐promoting and risk‐reducing behaviors. The FRP personalization process subtypes provide insights as to how to focus interventions based on audience segments, thereby improving the likelihood of effective communication and behavior change (Slater, ).…”

Section: Discussionmentioning

confidence: 52%

Type 2 diabetes familial risk personalization process profiles: Implications for patient–provider communication

Daack‐Hirsch

Schumacher

Shah

et al. 2019

Research in Nursing & Health

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People who have a single first‐degree relative with type 2 diabetes (T2D) are at increased risk for developing T2D over their lifetime. A positive family history of T2D is also associated with developing risk awareness and engaging in risk‐reducing behaviors among the unaffected relatives. Yet, little is known about how people with a positive family history for disease personalize and process their familial risk to form perceptions about their own risk. In this mixed method study, we explored risk personalization among a diverse group of people between the ages of 18 and 60, with a positive family history of T2D, who were themselves unaffected (n = 109). We collected interview and survey data with respect to the familial risk perception personalization model. Using cluster analysis, qualitative and quantitative data were combined to inductively derive three distinct clusters representing three different familial risk perception personalization processes. These results can serve as a basis for tailored interventions aimed at reducing risk for T2D among people with increased risk due to familial history.

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Factorial structure of the perception of risk factors for type 2 diabetes scale: exploratory and confirmatory factor analyses

Abstract: All statistical estimates and measures of model fit were above the standard recommended criteria. The scale has potential uses in research and clinical practice. Further development and psychometric evaluation of the PRF-T2DM is warranted.

Cited by 11 publications

References 42 publications

Psychometric properties of the Spanish version of the health‐promoting lifestyle profile II

Psychometric properties of the Spanish version of the health‐promoting lifestyle profile II

All things considered, my risk for diabetes is medium: A risk personalization process of familial risk for type 2 diabetes

Type 2 diabetes familial risk personalization process profiles: Implications for patient–provider communication

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