Cross-cultural validation and psychometric evaluation of the Spanish Brief Religious Coping Scale (S-BRCS).

PURPOSE: To evaluate the psychometric properties of the Spanish Brief Religious Coping Scale (S-BRCS). DESIGN: A descriptive correlational design was used to conduct the study among a convenience sample of 121 Mexican Americans with diabetes. RESULTS: The positive and negative religious coping subscales had Cronbach's alphas of .85 and .86, respectively. All interitem and item-to-total correlations for each subscale were above the recommended criteria of .30. Factor loadings of the positive subscale using oblique (oblimin) and orthogonal (varimax) rotation ranged from .71 to .86 and from .72 to .86, respectively.Factor loadings of the negative subscale using oblimin and varimax rotation ranged from .64 to .83 and from .63 to .83,respectively. DISCUSSION AND CONCLUSIONS: The S-BRCS was found to be a valid and reliable instrument to measure religious coping among Spanish-speaking Mexican Americans with type 2 diabetes. IMPLICATIONS FOR FURTHER RESEARCH AND PRACTICE: Further psychometric evaluation of the S-BRCS among larger sample of Mexican Americans and other Hispanic ethnic groups is warranted. The S-BRCS has the potential to become a standard instrument that can be used by clinicians who work with Hispanic clients with diabetes mellitus to provide culturally competent diabetes care.

Analysis of behavioral risk factor surveillance system data to assess the health of Hispanic Americans with diabetes in El Paso County, Texas.

PURPOSE: The purpose of this study is to determine and describe the health of Hispanic Americans who live in El Paso County, Texas, along the US-Mexico border, particularly the multidimensional self-management practices of those with diabetes. This study also assesses Hispanic Americans with diabetes consistent with Healthy People 2010 diabetes goals and objectives. METHODS: Data from the 2002 Paso del Norte Behavioral Risk Factor Surveillance System are used for analysis of behavioral health risk factors associated with diabetes among Hispanic Americans in El Paso County, Texas. One- and two-way frequency tables with logistic regression and tests for comparison of means are used for data analysis. RESULTS: The greatest numbers of Hispanic American residents are younger, with those diagnosed with diabetes aged 45 years and older and with lower level of education, lowest income level, and unable to work. The odds of having diabetes are 4 times greater with increasing age and 6 times greater with lower income level. The type of medical treatment is consistent with the frequency of various diabetes self-management behaviors to optimize health. Hispanic Americans are within the goal for several Healthy People 2010 targets for diabetes. CONCLUSIONS: Hispanic Americans along the US-Mexico border remain at risk for development of diabetes, although several self-management behavioral activities are recognized as important for prevention of diabetes to optimize quality of life.

Diabetes nurse educators' prioritized elder foot care behaviors.

PURPOSE: The purpose of this study was to identify diabetes nurse educators' perceptions of the most important foot care behaviors for elderly people to enact in daily care. METHODS: A structured, open-ended questionnaire was mailed to a regionally stratified random sample of 90 diabetes nurse educators. Subjects were asked to identify and rank order 8 foot care behaviors perceived important for elderly people with diabetes to enact daily. Data were transcribed and coded into categories and domains using descriptive content analysis. RESULTS: Forty-seven diabetes nurse educators responded with a total of 346 foot care behaviors perceived important for elders. Twenty-one major foot care behavior content categories were grouped into 4 domains of descending importance: foot/nail care, footwear/shoes, general health, and foot emergencies. CONCLUSIONS: Diabetes nurse educators generated a range of baseline data for developing a reliable, valid, and patient foot care knowledge outcome measure to support national diabetes patient education and self-management program guidelines.