Home⇛Health Sciences Journal⇛vol. 14 no. 2 (2025)

Validation of the Bisaya translation ofthe Insulin Treatment Appraisal Scale (ITAS) and association between Psychological Insulin Resistance (PIR) and glycemic control among patients with typ? 2 Diabetes mellitus in a private clinic in Surigao City

Dysserie Krystal Palermo-rivera | Jose Carlo Ongchangco

Discipline: medicine by specialism

 

Abstract:

Introduction The study aimed to validate the Bisaya translation of the Insulin Treatment Appraisal Scale (ITAS), which measures Psychological Insulin Resistance (PIR), and to investigate the association between PIR and glycemic control as measured by the HbA1camong persons with type 2 diabetes mellitus (T2DM) at a private clinic in Surigao City. Methods Phase 1 involved linguistic validation of the ITAS. Fifty insulin-naive and fifty insulin-using patients with T2DM participated. Phase 2 utilized a cross-sectional study design involving 390 participants who answered the validated Bisaya translation and submitted demographic and clinical data. Results For Phase 1, results showed good validity and reliability of the Bisaya translation (Cronbach's alpha 0.95). For Phase 2, the median age was 59 years old and the median HbA1c was 8.8 % with only 2.31% having controlled T2DM. The association between PIR and glycemic control was found to b? statistically significant (adjusted OR 0.07, 95% CI 0.01 - 0.73, p-value = 0.026). Conclusion The Bisaya translation of the ITAS had good validity and reliability. There was a statistically significant association between PIR and glycemic control. The high prevalence of uncontrolled diabetes and PIR in the study population underscores the need for better diabetes management in Surigao City.



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