Persian version of diabetes burnout scale among patients with type 2 diabetes: a validation study

Abstract

Introduction: Diabetes burnout is one of the problems of patients living with diabetes that has not been addressed enough. This study was conducted with the aim of investigating the psychometric properties of the diabetes burnout scale (DBS) among type 2 diabetes patients in Iran. Methods: This methodological study was conducted among 1034 Iranian type 2 diabetes patients in 2023 in Mashhad (Iran). Cluster sampling method was used for selecting patients. Validity of Persian version of DBS was assessed by face, content, and construct validity. Cronbach α and McDonald’s omega were used for evaluation the internal consistency and for evaluation the external reliability, test–retest reliability was used. Results: In EFA, three factors with eigenvalues above one were extracted and these factors explained 52% of variance of DBS. In EFA section, only 1 question moved from “Detachment” factor to “Exhaustion” factor. In CFA, goodness-of-fit indexes were appropriate (Some of goodness-of-fit indexes: RMSEA = 0.079, and IFI = 0.936) and the model of DBS was confirmed. Cronbach's alpha, McDonald’s omega, and intraclass correlation coefficients for DBS were 0.827, 0.842, and 0.894 respectively. Finally, Persian version of DBS was approved with 12 items and three dimensions of Detachment with 4 items, Exhaustion with 5 items, and Loss of control with 3 items. Conclusion: Persian version of DBS is a short and good instrument that can be used to check diabetes burnout status in Iranian patients living with type 2 diabetes.