The validity and reliability of the type 2 diabetes and health promotion scale Turkish version: a methodological study

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Excerpt

Type 2 diabetes mellitus is a chronic disease that is increasing in prevalence in the world and causing death. The burden of diabetes is increasing globally, particularly in developing countries. The causes are complex, but the increase is, to a great extent, due to rapid increases in cases of being overweight, plus obesity and physical inactivity 1. The worldwide prevalence of diabetes among adults has increase 2. Type 2 diabetes is a health problem with a long‐term effect that causes irrecoverable structural and functional disorders in one or more systems where illnesses overlap 3. A health‐seeking attitude in the patients with diabetes reduces and delays mortality, morbidity and complications caused by diabetes 4. Improving health is not only about preventing disease as improving health involves the behaviour an individual displays long term in order to have a high standard of life 5. Designing an initiative to improve health is complicated and is composed of many factors. While designing a program, the nurse should assess if the initiative is appropriate for the target population 6. In order to conduct this assessment, it is necessary to develop tools.
According to Pender, healthy lifestyle behaviours are composed of self‐efficacy, health responsibility, exercise, nutrition, interpersonal relationships and stress management 5. Patients with type 2 diabetes need to adopt a healthy lifestyle in order to improve their heath. In this way, they can stay clear from complications, their life quality will increase, and their lifespan will extend.
As with all other countries, because type 2 diabetes is increasing in Turkey, a tool to assess health‐promoting behaviour for diabetes is needed. Chen et al developed Type 2 diabetes and health promotion scale (T2DHPS) for diabetic patients 7. Although validity and reliability studies of this scale were conducted in English, Chinese and Persian, there have been no validity and reliability studies conducted in the Turkish language. By using this scale, primary caretakers this scale, primary caretakers can perform a standard scaling in assessing the health‐promoting behaviour of patients with type 2 diabetes. A tool, which can be used in assessing the health‐promoting behaviour of patients with type 2 diabetes, will be a guide to identify the health‐promoting behaviour of patients and help develop initiatives in Turkey. This validity and reliability study of the Type 2 Diabetes and Health Promotion Scale (T2DHPS) in Turkish responds to a need in this field. The validity and reliability study of this tool was undertaken for these reasons.

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