학술논문
Stigma evaluation for diabetes and other chronic non‐communicable disease patients: Development, validation and clinical use of stigma scale – The Kanden Institute Stigma Scale
Document Type
article
Author
Nagaaki Tanaka; Yoshiyuki Hamamoto; Yuri Kurotobi; Yuji Yamazaki; Susumu Nakatani; Miho Matsubara; Takuya Haraguchi; Yuko Yamaguchi; Kiyohiro Izumi; Yuki Fujita; Hitoshi Kuwata; Takanori Hyo; Masaki Yanase; Masahiro Matsuda; Shinji Negoro; Hiroko Higashiyama; Yuichiro Yamada; Takeshi Kurose; Yutaka Seino
Source
Journal of Diabetes Investigation, Vol 13, Iss 12, Pp 2081-2090 (2022)
Subject
Language
English
ISSN
2040-1124
2040-1116
2040-1116
Abstract
Abstract Aims/Introduction The aim of this study was to develop a scale to evaluate disease stigma in patients with lifestyle‐related chronic non‐communicable diseases (LCNCDs), which we named the Kanden Institute Stigma Scale (KISS), and to consider its possible clinical application for patients with diabetes. Materials and methods An initial 90 questions were drafted and categorized into six subscales according to the manifestations of stigma. The final version of the KISS was developed as a 24‐item questionnaire comprising four items for each subscale. Results A total of 539 outpatients including 452 patients with diabetes and 87 patients without diabetes were recruited. Construct validity was confirmed by assessing the correlation with previously established measures. Confirmatory factor analysis showed the KISS to have good model fitness (adjusted goodness‐of‐fit index = 0.856). Test–retest reproducibility analysis showed that the intraclass coefficient of the first and a second KISS was 0.843 (P