*Result*: Translation and Psychometric Evaluation of the Diabetes Self-Management Questionnaire in Hebrew (H-DSMQ) for Adults With Type 2 Diabetes in Israel.

Title:
Translation and Psychometric Evaluation of the Diabetes Self-Management Questionnaire in Hebrew (H-DSMQ) for Adults With Type 2 Diabetes in Israel.
Authors:
Segev-Jacubovski O; Occupational Department, Ariel University, Clalit Health Service, Tel Aviv, Israel., Rosenfeld M; Department of Occupational Therapy, New York University, New York, New York, USA., Rozen DW; Meuhedet HMO, Tel Aviv, Israel., Faran Y; School of Social Work, Ashkelon Academic College, Ashkelon, Israel.; Department of Special Education, Hemdat HaDarom Academic College of Education, Netivot, Israel.
Source:
Research in nursing & health [Res Nurs Health] 2026 Feb; Vol. 49 (1), pp. 39-48. Date of Electronic Publication: 2025 Nov 22.
Publication Type:
Journal Article; Validation Study
Language:
English
Journal Info:
Publisher: Wiley Country of Publication: United States NLM ID: 7806136 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1098-240X (Electronic) Linking ISSN: 01606891 NLM ISO Abbreviation: Res Nurs Health Subsets: MEDLINE
Imprint Name(s):
Original Publication: New York, Wiley.
References:
Eval Health Prof. 1996 Jun;19(2):208-30. (PMID: 10186911)
BMC Prim Care. 2024 Jul 29;25(1):274. (PMID: 39075401)
Ann Epidemiol. 2005 May;15(5):381-9. (PMID: 15840552)
Appl Nurs Res. 1997 Nov;10(4):202-11. (PMID: 9419917)
Diabetes Care. 2016 Nov;39(11):2065-2079. (PMID: 27926890)
Eval Health Prof. 2016 Jun;39(2):131-84. (PMID: 26130465)
Res Nurs Health. 2008 Aug;31(4):370-80. (PMID: 18213627)
Endocr Rev. 2024 Mar 4;45(2):227-252. (PMID: 37638875)
Diabetes Care. 2001 Aug;24(8):1502-3. (PMID: 11473098)
J Diabetes Sci Technol. 2010 Mar 01;4(2):435-9. (PMID: 20307405)
Res Nurs Health. 2026 Feb;49(1):39-48. (PMID: 41273156)
Nat Commun. 2024 Sep 4;15(1):7721. (PMID: 39231941)
Med Oral Patol Oral Cir Bucal. 2011 Sep 01;16(6):e834-9. (PMID: 21743426)
BMC Psychol. 2024 Jul 23;12(1):405. (PMID: 39044279)
J Appl Gerontol. 2023 Jul;42(7):1687-1709. (PMID: 36880688)
Diabetes Care. 2000 Jul;23(7):943-50. (PMID: 10895844)
Lancet. 2022 Nov 19;400(10365):1803-1820. (PMID: 36332637)
Diabetes Educ. 2007 Sep-Oct;33(5):833-8. (PMID: 17925587)
Am J Occup Ther. 2025 Jul 1;79(4):. (PMID: 40472376)
Diabetes Care. 2005 Jun;28(6):1346-52. (PMID: 15920050)
Soc Psychol Q. 2016 Dec;79(4):333-354. (PMID: 29038609)
Diabetes Care. 2007 Nov;30(11):2843-8. (PMID: 17644618)
Health Qual Life Outcomes. 2017 Oct 12;15(1):200. (PMID: 29025432)
Health Qual Life Outcomes. 2013 Aug 13;11:138. (PMID: 23937988)
Popul Health Manag. 2013 Aug;16(4):276-82. (PMID: 23537157)
Lancet. 2023 Jul 15;402(10397):203-234. (PMID: 37356446)
Adv Sci (Weinh). 2021 Sep;8(18):e2100275. (PMID: 34319011)
BMC Endocr Disord. 2013 Dec 28;13:61. (PMID: 24373686)
Diabetes Care. 2024 Jan 1;47(Supplement_1):S1-S4. (PMID: 38078587)
Int J Nurs Sci. 2017 Jun 23;4(3):236-238. (PMID: 31406746)
Front Clin Diabetes Healthc. 2022 Jan 13;2:823046. (PMID: 36994332)
Diabetes Technol Ther. 2009 Dec;11(12):775-84. (PMID: 20001678)
Value Health. 2016 Sep - Oct;19(6):844-851. (PMID: 27712713)
Grant Information:
This study was sponsored by the Foundation of Ariel University (RA2300000092).
Contributed Indexing:
Keywords: Hebrew; psychometric analysis; self‐management; type 2 diabetes; validation
Substance Nomenclature:
0 (hemoglobin A1c protein, human)
0 (Glycated Hemoglobin)
Entry Date(s):
Date Created: 20251122 Date Completed: 20260120 Latest Revision: 20260120
Update Code:
20260130
PubMed Central ID:
PMC12779217
DOI:
10.1002/nur.70030
PMID:
41273156
Database:
MEDLINE

*Further Information*

*Type 2 diabetes (T2D) is a growing global health concern, including in Israel. Effective Diabetes self-management (DSM) is critical for achieving glycemic targets and preventing complications. While several tools exist to assess DSM, none have been translated for Hebrew-speaking populations. This study aimed to translate the Diabetes Self-Management Questionnaire (DSMQ) into Hebrew (H-DSMQ) and evaluate its psychometric properties. The DSMQ was translated into Hebrew using a standard forward-backward translation procedure. A convenience sample of 220 community-dwelling adults with T2D in Israel was recruited via PANEL4ALL. Internal consistency was tested with Cronbach's α. Construct validity was examined via Confirmatory Factor Analysis and known-groups validity, and criterion validity through correlations between H-DSMQ scores, HbA1c, and BMI. The H-DSMQ construct validity was supported by CFA. In addition, known-groups validity was established, with participants with less than 7% reporting significantly higher self-management in glucose monitoring, dietary control/nutrition management, and healthcare use compared to those with above 7.1% HbA1c levels. Criterion validity was demonstrated by significant negative correlations between HbA1c and healthcare use/glucose monitoring, and between BMI and nutrition management/physical activity. The reliability of the H-DSMQ subscales ranged from poor (healthcare use, α = 0.461) to good (physical activity, α = 0.83). The H-DSMQ is a reliable and valid tool for clinical and research purposes to assess self-care behaviors related to blood glucose management in Hebrew-speaking adults with T2D. The H-DSMQ may support nurses by encouraging constructive and comprehensive dialog for assessing DSM.
(© 2025 The Author(s). Research in Nursing & Health published by Wiley Periodicals LLC.)*