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Table 6 Summary of item scoring classifications of 20 ADNAT self-care questions with examples of some of the shorter range of responses (in brackets)

From: A mixed methods study to evaluate the feasibility of using the Adolescent Diabetes Needs Assessment Tool App in paediatric diabetes care in preparation for a longitudinal cohort study

  Scoring algorithm summaries count (%)
Domain Item no. Question (responses comprising green/amber/red) Green Amber Red
Physical activity 16 How many hours of pulse-raising exercise or physical activity did you do last week?
(7-8 hours or more than 8 hours/3-4 hours or 5-6 hours/Less than 1 hour or 1-2 hours)
8 (18%) 19 (42%) 18 (40%)
18 What stops or prevents you from starting to do exercise or physical activity? 26 (58%) 2 (4%) 17 (38%)
21 What makes it difficult to manage your blood glucose levels when exercising or doing physical activity? 19 (42%) 9 (20%) 17 (38%)
22 What usually happens to your blood glucose levels when you do exercise or physical activity? 23 (51%) 15 (33%) 7 (16%)
Eating 34 Do you eat fruit and/or vegetables?
(Yes usually every day/Sometimes but not every day/No or very rarely)
28 (62%) 16 (36%) 1 (2%)
35 How many times a week do you eat treats, such as sweets, chocolate, fast food, takeaways?
(1-2 or Less than once per week/3-4 days/Every day or 5-6 days)
20 (44%) 15 (33%) 10 (22%)
38 Which statement best describes you? (diet control) 34 (76%) 11 (24%) 0 (0%)
41 Which statement most applies to you? (carbohydrate calculation) 42 (93%) 0 (0%) 3 (7%)
45 Are you happy with your weight?
(Happy with weight and never tried to gain or lose/Happy with weight but have tried to gain or lose/Not happy with weight or Prefer not to say)
19 (42%) 12 (27%) 14 (31%)
Monitoring blood glucose 50 How often do you normally test your blood glucose in a day?
(Once or twice or 3-5 times or More than 5 times/It varies a lot depending on where I am or what I’m doing/I don’t usually test my blood at all)
35 (78%) 10 (22%) 0 (0%)
51 What motivates you to test your blood glucose? 40 (89%) 5 (11%) 0 (0%)
53 How would you describe your blood glucose results?
(They are generally within the recommended levels/They always go up and down/They are usually high or They are usually low or I’m not sure or I don’t know because I don’t usually test my blood)
20 (44%) 21 (4%) 4 (9%)
57/62 How often do you have hypos/low blood glucose (less than 4 mmols/l)?
Have you been unconscious from hypoglycaemia in the last 12 months?
6 (13%) 33 (73%) 6 (13%)
66/71 How often do you have high blood glucose (more than 10 mmols/l)?
Have you had diabetic ketoacidosis in the last 12 months (not including at diagnosis)?
24 (53%) 5 (11%) 16 (36%)
76 What would you like your HbA1c to be? 39 (87%) 0 (0%) 6 (13%)
Medication taking 80 What motivates you to do your injections or to give insulin through your pump? 30 (67%) 14 (31%) 1 (2%)
Living with diabetes 92 What would you do if you were ill with an infection (e.g. sickness/flu) and it made your blood glucose high? 38 (84%) 1 (2%) 6 (13%)
94 You are staying over at your friend’s house. Which of the following would you do? 42 (93%) 1 (2%) 2 (4%)
111 You are going to a party one Friday night with your friends and you know that they will be drinking alcohol.
Which statement best describes what you would do?
37 (84%) 4 (9%) 3 (7%)
112 Which statement best describes you? (diabetes and life) 13 (30%) 24 (54%) 7 (16%)