The Health And Self-Management In Diabetes (HASMIDv1) questionnaire consists of 8 attributes, 4 about quality of life, and 4 about self-management. The overall aim of this study was to rigorously examine the psychometric properties of the HASMIDv1 questionnaire. The study comprised two phases. Phase 1 identified items of the HASMIDv1 questionnaire that potentially required rewording through consultation with a patient involvement panel and two focus groups of people with diabetes. Phase 2 involved a cross-sectional longitudinal survey where HASMID, EQ-5D-5L, health, treatment and sociodemographic questions were administered using both paper and online versions to people with diabetes. Participants were asked to complete the survey again approximately 3 months later. Psychometric analyses were undertaken to examine floor and ceiling effects, item distributions, known group differences and internal consistency. Rasch analysis was undertaken to assess differential item functioning and disordered thresholds. Phase 1 derived five alternative wordings to items: Irritable, Affects Mealtimes, Daily Routine, Social Activities and Problem. Phase 2 achieved 2835 responses at time point 1 (n = 1944 online, n = 891 paper version) and 1243 at time point 2 (n = 533 online, n = 710 paper version). Overall the HASMID items performed well, though two alternative worded items (Irritable and Social Activities) provided additional information not fully captured by the original HASMID items. Psychometric evaluation and Rasch analysis were used in conjunction with expert opinion to determine the final questionnaire. The application of psychometric analyses or Rasch analysis alone to inform item selection would have resulted in different items being selected for the final instrument. The benefit of a combined approach has produced an instrument which has a broader evaluation of self-management. The final validated HASMID-10 is a short self-report PRO that can be used to evaluate the impact of self-management for people living with diabetes. HASMID-10 can be scored using total summative scores, with utility and monetary values also available for use in cost-utility and cost-benefit analyses.

中文翻译：

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评估糖尿病患者的心理测量特性并完善其健康和自我管理能力（HASMID）。

糖尿病健康与自我管理（HASMIDv1）问卷包含8个属性，其中4个关于生活质量，4个关于自我管理。这项研究的总体目标是严格检查HASMIDv1问卷的心理计量特性。该研究包括两个阶段。第1阶段确定了HASMIDv1调查表中可能需要通过与患者参与小组和两个糖尿病患者重点小组进行磋商来重新措词的项目。第2阶段涉及横断面纵向调查，该调查使用纸质版本和在线版本对糖尿病患者进行HASMID，EQ-5D-5L，健康，治疗和社会人口统计学问题的管理。大约3个月后，要求参与者再次完成调查。进行了心理测量分析以检查地板和天花板的影响，项目分布，已知的群体差异和内部一致性。进行Rasch分析以评估差异项目功能和无序阈值。第1阶段对项目使用了五种替代措辞：易怒，影响进餐时间，日常工作，社交活动和问题。阶段2在时间点1获得2835个响应（n = 1944在线，n = 891纸本版本），在时间点2获得1243（n = 533在线，n = 710纸本版本）。总体而言，HASMID项表现良好，尽管两个替代措词项（易怒和社交活动）提供了原始HASMID项未完全捕获的其他信息。心理测量评估和Rasch分析与专家意见结合使用，以确定最终问卷。单独使用心理分析或Rasch分析来告知项目选择会导致最终项目选择了不同的项目。组合方法的好处产生了一种工具，可以对自我管理进行更广泛的评估。经过最终验证的HASMID-10是一个简短的自我报告PRO，可用于评估自我管理对糖尿病患者的影响。HASMID-10可以使用总和评分来进行评分，同时还可以将效用和货币值用于成本效用和成本效益分析。经过最终验证的HASMID-10是一个简短的自我报告PRO，可用于评估自我管理对糖尿病患者的影响。HASMID-10可以使用总和评分来进行评分，同时还可以将效用和货币值用于成本效用和成本效益分析。经过最终验证的HASMID-10是一个简短的自我报告PRO，可用于评估自我管理对糖尿病患者的影响。HASMID-10可以使用总和评分来进行评分，同时还可以将效用和货币值用于成本效用和成本效益分析。