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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%)