Cultural adaption and psychometric validation of the Danish Illness Identity Questionnaire (IIQ-DK) in adolescents and emerging adults with type 1 diabetes

Purpose: The Illness Identity Questionnaire (IIQ) captures the ways in which individuals integrate chronic illness into their identity. The objectives were to linguistically validate and culturally adapt a Danish language version of the IIQ, and to evaluate the psychometric properties of this Danish...

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Main Authors: Marianne Vie Ingersgaard, Dan Grabowski, Kasper Olesen
Format: Article
Language:English
Published: Elsevier 2022-03-01
Series:Heliyon
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2405844022003978
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author Marianne Vie Ingersgaard
Dan Grabowski
Kasper Olesen
author_facet Marianne Vie Ingersgaard
Dan Grabowski
Kasper Olesen
author_sort Marianne Vie Ingersgaard
collection DOAJ
description Purpose: The Illness Identity Questionnaire (IIQ) captures the ways in which individuals integrate chronic illness into their identity. The objectives were to linguistically validate and culturally adapt a Danish language version of the IIQ, and to evaluate the psychometric properties of this Danish version. Methods: IIQ was adapted through a forward-backward translation process, content validity assessment, and cognitive interviews (n = 5). Data for psychometric analysis were collected through an online Danish version of the IIQ (IIQ-DK). Data quality, internal consistency, and item correlations were assessed. Confirmatory factor analyses (CFA) were conducted. Results: Cognitive interviews resulted in re-wordings of two items. 1176 adolescents and emerging adults (15–26 years) with type 1 diabetes completed the IIQ-DK. Floor and ceiling effects were demonstrated for most items. Analysis showed good internal consistency of scales, as well as internal and discriminant item validity. CFA fit statistics after including correlated residuals were good for all scales. CFA showed acceptably high factor loadings for all items except one. Conclusion: Results demonstrated good reliability and psychometric properties of the IIQ-DK, which may be forwarded to use in research and clinical practice as a robust instrument to measure illness identity in adolescents and emerging adults with type 1 diabetes.
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spelling doaj.art-f4eeb7ecbe2e4fdb8636fae28da483962022-12-21T23:55:55ZengElsevierHeliyon2405-84402022-03-0183e09109Cultural adaption and psychometric validation of the Danish Illness Identity Questionnaire (IIQ-DK) in adolescents and emerging adults with type 1 diabetesMarianne Vie Ingersgaard0Dan Grabowski1Kasper Olesen2Steno Diabetes Center Copenhagen, Health Promotion Research, Borgmester Ib Juuls Vej 83, 2730, Herlev, Denmark; National Institute of Public Health, Faculty of Health Sciences, University of Southern Denmark, Studiestræde 6, 1455, Copenhagen, DenmarkSteno Diabetes Center Copenhagen, Health Promotion Research, Borgmester Ib Juuls Vej 83, 2730, Herlev, DenmarkSteno Diabetes Center Copenhagen, Health Promotion Research, Borgmester Ib Juuls Vej 83, 2730, Herlev, Denmark; Corresponding author.Purpose: The Illness Identity Questionnaire (IIQ) captures the ways in which individuals integrate chronic illness into their identity. The objectives were to linguistically validate and culturally adapt a Danish language version of the IIQ, and to evaluate the psychometric properties of this Danish version. Methods: IIQ was adapted through a forward-backward translation process, content validity assessment, and cognitive interviews (n = 5). Data for psychometric analysis were collected through an online Danish version of the IIQ (IIQ-DK). Data quality, internal consistency, and item correlations were assessed. Confirmatory factor analyses (CFA) were conducted. Results: Cognitive interviews resulted in re-wordings of two items. 1176 adolescents and emerging adults (15–26 years) with type 1 diabetes completed the IIQ-DK. Floor and ceiling effects were demonstrated for most items. Analysis showed good internal consistency of scales, as well as internal and discriminant item validity. CFA fit statistics after including correlated residuals were good for all scales. CFA showed acceptably high factor loadings for all items except one. Conclusion: Results demonstrated good reliability and psychometric properties of the IIQ-DK, which may be forwarded to use in research and clinical practice as a robust instrument to measure illness identity in adolescents and emerging adults with type 1 diabetes.http://www.sciencedirect.com/science/article/pii/S2405844022003978Young adultsEmerging adultsYoung peopleDiabetesChronic illnessHealth identity
spellingShingle Marianne Vie Ingersgaard
Dan Grabowski
Kasper Olesen
Cultural adaption and psychometric validation of the Danish Illness Identity Questionnaire (IIQ-DK) in adolescents and emerging adults with type 1 diabetes
Heliyon
Young adults
Emerging adults
Young people
Diabetes
Chronic illness
Health identity
title Cultural adaption and psychometric validation of the Danish Illness Identity Questionnaire (IIQ-DK) in adolescents and emerging adults with type 1 diabetes
title_full Cultural adaption and psychometric validation of the Danish Illness Identity Questionnaire (IIQ-DK) in adolescents and emerging adults with type 1 diabetes
title_fullStr Cultural adaption and psychometric validation of the Danish Illness Identity Questionnaire (IIQ-DK) in adolescents and emerging adults with type 1 diabetes
title_full_unstemmed Cultural adaption and psychometric validation of the Danish Illness Identity Questionnaire (IIQ-DK) in adolescents and emerging adults with type 1 diabetes
title_short Cultural adaption and psychometric validation of the Danish Illness Identity Questionnaire (IIQ-DK) in adolescents and emerging adults with type 1 diabetes
title_sort cultural adaption and psychometric validation of the danish illness identity questionnaire iiq dk in adolescents and emerging adults with type 1 diabetes
topic Young adults
Emerging adults
Young people
Diabetes
Chronic illness
Health identity
url http://www.sciencedirect.com/science/article/pii/S2405844022003978
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