Diabetes self-management adherence

The Summary of Diabetes Self Care Activities (SDSCA) measures five self-reported activities in diabetes self-management: self-monitoring of blood glucose, diet, checking one’s feet, exercise, and smoking habits [9]. Participants answer 25 questions about the number of days in the last week on which they have performed specific aspects of diabetes self-management. For example, a participant has the choice to select a number, 0 through 7, in answer to the question, “How many of the last seven days have you checked your blood sugar?” Scores are calculated for each of the five regimen areas; higher scores indicate greater participation in self-management behaviors. Inter-item correlations have been found to range from r = 0.20 to r = 0.76 for the SDSCA subscales; 4-month test-retest reliability ranges from r = -0.05 to 0.78 in prior studies [9].