Adaptation of the Dartmouth COOP Charts for Use Among American Indian People With Diabetes
- Susan S Gilliland, MPH, RN,
- Adisa J Willmer, BA,
- Raylene McCalman, MS, RD,
- Sally M Davis, PHD,
- Martin E Hickey, MD,
- Georgia E Perez,
- Charles L Owen, MA and
- Janette S Carter, MD
- Medicine Service Department of Veterans Affairs Medical Center, University of New Mexico School of Medicine Albuquerque, New Mexico
- Department of Medicine, University of New Mexico School of Medicine Albuquerque, New Mexico
- Diabetes Research and Treatment Center Albuquerque, New Mexico
- Center for Health Promotion and Disease Prevention Albuquerque, New Mexico
- Lovelace Medical Center Albuquerque, New Mexico
- Rush Institute Chicago, Illinois
- Address correspondence and reprint requests to Susan S. Gilliland, MPH, Surge Building, Room 251, UNM-SOM Albuquerque, NM 87131. E-mail: sgill{at}unm.edu.
Abstract
OBJECTIVE To adapt the Dartmouth COOP Charts for use among American Indians with diabetes and to evaluate the operating characteristics of the adapted charts because measures of health status have not been evaluated for use among American Indians with diabetes.
RESEARCH DESIGN AND METHODS American Indian adults participated in focus group conferences to adapt and review the Dartmouth COOP Charts for use in American Indian communities. American Indian participants with diabetes were interviewed and administered the adapted charts. The operating characteristics of the charts were evaluated by measuring internal and external consistency, reliability, and acceptability.
RESULTS Some of the wording and pictures were considered to be offensive and culturally inappropriate in American Indian communities. The adapted charts showed internal consistency in a comparison of interchart variables.
CONCLUSIONS The adapted Dartmouth COOP Charts are more culturally acceptable than the original charts and appear to measure constructs adequately.
- Received September 3, 1997.
- Revision received January 15, 1998.
- Accepted January 15, 1998.
- Copyright © 1998 by the American Diabetes Association
