Summary of Diabetes Self-Care Activities (SDSCA)
Toobert‚ Hampson‚ & Glasgow‚ 2000
مجموعه فعالیت های شخصی مراقبت در دیابت
1. How many of the last SEVEN DAYS have you followed a healthful eating plan? __________ Days Last Week
2. On average‚ over the past month‚ how many DAYS PER WEEK have you followed your eating plan? __________ Days Last Week
3. On how many of the last SEVEN DAYS did you eat five or more servings of fruits and vegetables? __________ Days Last Week
4. On how many of the last SEVEN DAYS did you eat high fat foods such as red meat or full-fat dairy products? __________ Days Last Week
5. On how many of the last SEVEN DAYS did you participate in at least 30 minutes of physical activity? __________ Days Last Week
6. On how many of the last SEVEN DAYS did you participate in a specific exercise session (such as swimming‚ walking‚ biking) other than what you do around the house or as part of your work? __________ Days Last Week
7. On how many of the last SEVEN DAYS did you test your blood sugar? __________ Days Last Week
8. On how many of the last SEVEN DAYS did you test your blood sugar the number of times recommended by your health care provider? __________ Days Last Week
9. On how many of the last SEVEN DAYS did you take your recommended diabetes medication? __________ Days Last Week
10.On how many of the last SEVEN DAYS did you take your recommended number of diabetes pills? __________ Days Last Week
11.On how many of the last SEVEN DAYS did you check your feet? __________ Days Last Week
12.On how many of the last SEVEN DAYS did you inspect the inside of your shoes? __________ Days Last Week
13.On how many of the last SEVEN DAYS did you wash your feet? __________ Days Last Week
14.Have you smoked a cigarette- even one puff-during the last seven days?
! No.
! Yes: How many cigarettes did you smoke on an average day? __________ Days Last Week
15.How many alcoholic drinks would you say you have consumed per day‚ on average‚ during the past SEVEN DAYS?
(A single alcoholic drink is equivalent to 1 ounce of liquor or 4 ounces of wine or 12 ounces of beer) __________ Days Last Week
16. On how many of the last SEVEN DAYS did you take dietary supplements (like vitamins) to help manage your diabetes? __________ Days Last Week
17. On how many of the last SEVEN DAYS did you take herbs‚ drink teas‚ or use other diabetes remedies that you found on your own (or‚ that your doctor did not tell you about) to manage your diabetes? __________ Days Last Week
نسخه ای دیگر
Diet
How many of the last SEVEN DAYS have you followed a healthful eating plan?
On average‚ over the past month‚ how many DAYS PER WEEK have you followed your eating plan?
On how many of the last SEVEN DAYS did you eat five or more servings of fruits and vegetables?
On how many of the last SEVEN DAYS did you eat high fat foods such as red meat or full-fat dairy products?
Exercise
On how many of the last SEVEN DAYS did you participate in at least 30 minutes of physical activity? (Total minutes of continuous activity‚ including walking).
On how many of the last SEVEN DAYS did you participate in a specific exercise session (such as swimming‚ walking‚ biking) other than what you do around the house or as part of your work?
Blood Sugar Testing
On how many of the last SEVEN DAYS did you test your blood sugar?
On how many of the last SEVEN DAYS did you test your blood sugar the number of times recommended by your health care provider?
Foot Care
On how many of the last SEVEN DAYS did you check your feet?
On how many of the last SEVEN DAYS did you inspect the inside of your shoes?
Smoking
Have you smoked a cigarette- even one puff- during the past SEVEN DAYS?
0. No
1. Yes. If yes‚ how many cigarettes did you smoke on an average day? Number of cigarettes:
Additional Items for the Expanded Version of the Summary of Diabetes Self-Care Activities.
Self-Care Recommendations
1A. Which of the following has your health care team (doctor‚ nurse‚ dietitian‚ or diabetes educator) advised you to do?
Please check all that apply:
a) Follow a low-fat eating plan
b) Follow a complex carbohydrate diet
c) Reduce the number of calories you eat to lose weight
d) Eat lots of food high in dietary fiber
e) Eat lots (at least 5 servings per day)of fruits and vegetables
f) Eat very few sweets (for example: desserts‚ non-diet sodas‚ candy bars)
g) Other (specify):
h) I have not been given any advice about my diet by my health care team.
2A. Which of the following has your health care team (doctor‚ nurse‚ dietitian or diabetes educator) advised you to do?
Please check all that apply:
a) Get low level exercise (such as walking) on a daily basis.
b) Exercise continuously for a least 20 minutes at least 3 times a week.
c) Fit exercise into your daily routine (for example‚ take stairs instead of elevators‚ park a block away and walk‚ etc.)
d) Engage in a specific amount‚ type‚ duration and level of exercise.
e) Other (specify):
f) I have not been given any advice about exercise by my health care team.
3A. Which of the following has your health care team (doctor‚ nurse‚ dietitian‚ or diabetes educator) advised you to do?
Please check all that apply:
a. Test your blood sugar using a drop of blood from your finger and a color chart.
b. Test your blood sugar using a machine to read the results.
c. Test your urine for sugar.
d. Other (specify):
e. I have not been given any advice either about testing my blood or urine sugar level by my health care team.
4A. Which of the following medications for your diabetes has your doctor prescribed?
Please check all that apply.
a. An insulin shot 1 or 2 times a day.
b. An insulin shot 3 or more times a day.
c. Diabetes pills to control my blood sugar level.
d. Other (specify):
e. I have not been prescribed either insulin or pills for my diabetes.
Diet
5A. On how many of the last SEVEN DAYS did you space carbohydrates evenly through the day?
Medications
6A. On how many of the last SEVEN DAYS‚ did you take your recommended diabetes medication?
OR
7A. On how many of the last SEVEN DAYS did you take your recommended insulin injections?
8A. On how many of the last SEVEN DAYS did you take your recommended number of diabetes pills?
Foot Care
9A. On how many of the last SEVEN DAYS did you wash your feet?
10A. On how many of the last SEVEN DAYS did you soak your feet?
11A. On how many of the last SEVEN DAYS did you dry between your toes after washing?
Smoking
12A. At your last doctor’s visit‚ did anyone ask about your smoking status?
0. No
1. Yes
13A. If you smoke‚ at your last doctor’s visit‚ did anyone counsel you about stopping smoking or offer to refer you to a stop-smoking program?
0. No
1. Yes
2. Do not smoke.
14A. When did you last smoke a cigarette?
· More than two years ago‚ or never smoked
· One to two years ago
· Four to twelve months ago
· One to three months ago
· Within the last month
· Today
شرح سایت روان سنجی: بر پایه بررسی های گوناگون، "توبرت، هامپسون و گلاسگو، 200" این ابزار را در زمینه های: رژیم، ورزش، اندازه گیری قند خون، مراقبت غذایی، دخانیات، و توصیه های مراقبتی ارائه کرده اند.
اعتبار: گزارش را در نشانی داده شده در "چگونگی دستیابی" ببینید.
نمره گذاری
Scoring Instructions for the Summary of Diabetes Self-Care Activities
Scores are calculated for each of the five regimen areas assessed by the SDSCA: Diet‚ Exercise‚ Blood-Glucose Testing‚ Foot Care‚ and Smoking Status.
Step 1:
Step 2: Scoring Scales
General Diet = Mean number of days for items 1 and 2.
Specific Diet = Mean number of days for items 3‚ and 4‚ reversing item 4
Given the low inter-item correlations for this scale‚ using the individual items is recommended.
Exercise = Mean number of days for items 5 and 6.
Blood-Glucose Testing = Mean number of days for items 7 and 8.
Foot-Care = Mean number of days for items 9 and 10.
Smoking Status = Item 11 (0 = nonsmoker‚ 1 = smoker)‚ and number of cigarettes smoked per day.
Scoring for Additional Items
Recommended regimen = Items 1A - 4A‚ and items 12A - 14A‚ no scoring required.
Diet = Use total number of days for item 5A.
Medications = Use item 6A - OR - 7A AND 8A‚ use total number of days for item 6A‚ use mean number of days if both 7A and 8A are applicable.
Foot-Care = Mean number of days for items 9A - 11A‚ after reversing 10A and including items 9 and 10 from the brief version.
چگونگی دستیابی
منبع برای آگاهی بیشتر
Toobert‚ D.T.‚ Hampson‚ S.E.‚ and Glasgow‚ R.E. (2000). The Summary of Diabetes self-care Activities Measure: results from 7 studies and a revised scale. Diabetes Care‚ 23(7)‚ 943-950.