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Background <p>Accurate home blood glucose monitoring is crucial for diabetes self-management, yet technical and behavioral errors often compromise accuracy.</p> &#xa0;Objective <p>The purpose of this methodological study was to develop and validate the Home Blood Glucose Monitoring Self-Efficacy Scale (HBGM-SES) for adults with diabetes.</p> Methods <p>A total of 300 adults with diabetes were recruited from a training and research hospital in Türkiye between December 2023 and November 2024. Construct validity was assessed using exploratory and confirmatory factor analyses. Known-group validity was evaluated with <i>t</i>-tests and one-way ANOVA. Reliability was examined using internal consistency and test–retest analyses.</p> Results <p>The overall Cronbach’s <i>α</i> was .84, and the test–retest reliability coefficient was .82. Content validity was .97. Confirmatory factor analysis supported a three-factor structure with acceptable model fit (<i>χ</i><sup>2</sup>/df = 2.068, RMSEA = .06, CFI = .90, IFI = .90, TLI = .90).</p> Conclusion <p>The HBGM-SES is a valid and reliable instrument for assessing self-efficacy in home blood glucose monitoring among adults with diabetes. The scale may help health professionals identify training needs and evaluate the impact of educational interventions, particularly in low-resource settings.</p>

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Development and validation of a home blood glucose monitoring self-efficacy scale for patients with diabetes

  • 期刊论文

  • 发表日期：

    2026年2月9日

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  • Duygu Kes,
  • Fatime Sahin,
  • Nurhayat Ozkan Sevencan

摘要

Background

Accurate home blood glucose monitoring is crucial for diabetes self-management, yet technical and behavioral errors often compromise accuracy.

 Objective

The purpose of this methodological study was to develop and validate the Home Blood Glucose Monitoring Self-Efficacy Scale (HBGM-SES) for adults with diabetes.

Methods

A total of 300 adults with diabetes were recruited from a training and research hospital in Türkiye between December 2023 and November 2024. Construct validity was assessed using exploratory and confirmatory factor analyses. Known-group validity was evaluated with t-tests and one-way ANOVA. Reliability was examined using internal consistency and test–retest analyses.

Results

The overall Cronbach’s α was .84, and the test–retest reliability coefficient was .82. Content validity was .97. Confirmatory factor analysis supported a three-factor structure with acceptable model fit (χ2/df = 2.068, RMSEA = .06, CFI = .90, IFI = .90, TLI = .90).

Conclusion

The HBGM-SES is a valid and reliable instrument for assessing self-efficacy in home blood glucose monitoring among adults with diabetes. The scale may help health professionals identify training needs and evaluate the impact of educational interventions, particularly in low-resource settings.