Diabetes Mellitus Clinical Trial
Official title:
The Skills, Confidence & Preparedness Index (SCPI) Version 3.0: An Online Version of the SCPI to Evaluate Self-Efficacy of Diabetes Management
The LMC Skills, Confidence and Preparedness Index (SCPI) is a tool that was developed by diabetes specialists to individualize the education/support that a healthcare provider delivers to patients with diabetes. It has been shown to have high reliability, validity and generalizability. This study assessed the validity and reliability of a revised, final version of the SCPI in a large sample of patients with type 1 and type 2 diabetes, as well as the clinical responsiveness of the SCPI to a diabetes self-management education intervention in a smaller cohort of patients with poor glycemic control.
Canadian experts in diabetes care developed the Skills, Confidence & Preparedness Index
(SCPI) to assess diabetes self-management in patients. The SCPI is web-based, gives immediate
feedback to the healthcare provider, and is associated with glycemia. The SCPI was designed
to allow a healthcare provider to individualize the education/support by assessing the three
critical dimensions of self-management: knowledge of a skill; confidence in ability to change
a behavior; and preparedness to begin implementing the behavior change. Two previous
validation studies showed that the SCPI has high internal consistency, reliability,
generalizability, and external validity.
Following further focus groups with healthcare providers and patients, the SCPI questions and
response scale were edited to further optimize clarity. This study assessed the validity and
reliability of a revised, final version of the LMC SCPI in a large sample of diabetes
patients, as well as clinical responsiveness of the SCPI to a diabetes self-management
education (DSME) program intervention.
This study recruited type 1 and type 2 patients from the waiting rooms of seven LMC Diabetes
& Endocrinology specialist clinics in Ontario, Canada. Patients completed the SCPI
electronically and their demographic and health information was retrieved from their
electronic medical records. A smaller cohort of patients with uncontrolled glycemia were
enrolled into a DSME program. Participants completed the SCPI at their baseline visit and
their individual results were incorporated into the care paths that were then customized for
that participant. The DSME program provided five to seven visits with a diabetes educator
over three to four months. Patients completed the SCPI again at their final visit.
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