DIABETES ACCEPTANCE & ACTION SCALE FOR CHILDREN AND ADOLESCENTSGRECO & translation - DIABETES ACCEPTANCE & ACTION SCALE FOR CHILDREN AND ADOLESCENTSGRECO & Indonesian how to say

DIABETES ACCEPTANCE & ACTION SCALE

DIABETES ACCEPTANCE & ACTION SCALE FOR CHILDREN AND ADOLESCENTS
GRECO & HART (2005)
We want to know more about what you think, how you feel, and what you do. Read each sentence.
Then, circle the number that tells how often each sentence is true for you.
Never True Rarely True Sometimes
True Often True Always
True
1. I do things that I care about, even
when I feel sad about my diabetes. 0 1 2 3 4
2. I play video games or use the internet
to take my mind off my health. 0 1 2 3 4
3. It’s OK to feel sad or afraid about
having diabetes. 0 1 2 3 4
4. I worry a lot about my health. 0 1 2 3 4
5. I push away my sad feelings about
diabetes. 0 1 2 3 4
6. I try to forget that I have diabetes. 0 1 2 3 4
7. My life can’t be good because I have
diabetes. 0 1 2 3 4
8. I don’t do well in school when I worry
about my diabetes. 0 1 2 3 4
9. I do things that are important to me
even though I have diabetes. 0 1 2 3 4
10. I take care of my health, even when I
feel upset about having diabetes. 0 1 2 3 4
11. My life would be much better if I didn’t
have diabetes. 0 1 2 3 4
12. It’s OK for me to feel upset about
having diabetes. 0 1 2 3 4
13. I eat things that I shouldn’t so I don’t
feel different from my family or friends. 0 1 2 3 4
Revised date (4 October 2006)
139
Never True Rarely True Sometimes
True Often True Always
True
14. Diabetes messes up my life. 0 1 2 3 4
15. I can live a good life with diabetes. 0 1 2 3 4
16. I talk about my diabetes even if it
makes me feel bad. 0 1 2 3 4
17. Thoughts about diabetes can really
hurt me. 0 1 2 3 4
18. I do things to forget about my
diabetes. 0 1 2 3 4
19. Diabetes keeps me from working on
my goals. 0 1 2 3 4
20. I check my glucose and take insulin
even when I’ve had a rough day. 0 1 2 3 4
21. I don’t try out new things because I’m
afraid of having a reaction or getting
sick.
0 1 2 3 4
22. It’s not OK to think about what
diabetes can do to me. 0 1 2 3 4
23. It’s OK to feel scared about my health. 0 1 2 3 4
24. I block out scary thoughts about
having diabetes. 0 1 2 3 4
25. I don’t take my medicine because it
reminds me I have diabetes. 0 1 2 3 4
26. I wish I could wave a magic wand to
make my diabetes go away. 0 1 2 3 4
27. I do whatever I can to forget that I
have diabetes. 0 1 2 3 4
28. I stay away from people and places
that remind me of my diabetes. 0 1 2 3 4
Revised date (4 October 2006)
140
Never True Rarely True Sometimes
True Often True Always
True
29. It’s OK for me to feel mad or upset
about having diabetes. 0 1 2 3 4
30. I share my feelings about having
diabetes with other people. 0 1 2 3 4
31. I do things that I like to do, even when
I feel upset about having diabetes. 0 1 2 3 4
32. I stopped doing fun things because I
have diabetes. 0 1 2 3 4
33. My diabetes gets in the way of living a
good and meaningful life. 0 1 2 3 4
34. I can’t be a good friend because of my
diabetes. 0 1 2 3 4
35. I do worse in school when I think
about my diabetes. 0 1 2 3 4
36. Diabetes stops me from doing what I
want to do. 0 1 2 3 4
37. Diabetes stops me from having fun
with my friends. 0 1 2 3 4
38. Diabetes stops me from doing well in
school. 0 1 2 3 4
39. I try hard to forget the fact that I have
diabetes. 0 1 2 3 4
40. If I think sad thoughts about my
diabetes, it will make it worse. 0 1 2 3 4
41. My thoughts about diabetes mess up
my blood sugar levels. 0 1 2 3 4
42. Being afraid about having diabetes will
make it get worse. 0 1 2 3 4
0/5000
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DIABETES ACCEPTANCE & ACTION SCALE FOR CHILDREN AND ADOLESCENTSGRECO & HART (2005)We want to know more about what you think, how you feel, and what you do. Read each sentence.Then, circle the number that tells how often each sentence is true for you.Never True Rarely True SometimesTrue Often True AlwaysTrue1. I do things that I care about, evenwhen I feel sad about my diabetes. 0 1 2 3 42. I play video games or use the internetto take my mind off my health. 0 1 2 3 43. It’s OK to feel sad or afraid abouthaving diabetes. 0 1 2 3 44. I worry a lot about my health. 0 1 2 3 45. I push away my sad feelings aboutdiabetes. 0 1 2 3 46. I try to forget that I have diabetes. 0 1 2 3 47. My life can’t be good because I havediabetes. 0 1 2 3 48. I don’t do well in school when I worryabout my diabetes. 0 1 2 3 49. I do things that are important to meeven though I have diabetes. 0 1 2 3 410. I take care of my health, even when Ifeel upset about having diabetes. 0 1 2 3 411. My life would be much better if I didn’thave diabetes. 0 1 2 3 412. It’s OK for me to feel upset abouthaving diabetes. 0 1 2 3 413. I eat things that I shouldn’t so I don’tfeel different from my family or friends. 0 1 2 3 4Revised date (4 October 2006)139Never True Rarely True SometimesTrue Often True AlwaysTrue14. Diabetes messes up my life. 0 1 2 3 415. I can live a good life with diabetes. 0 1 2 3 416. I talk about my diabetes even if itmakes me feel bad. 0 1 2 3 417. Thoughts about diabetes can reallyhurt me. 0 1 2 3 418. I do things to forget about mydiabetes. 0 1 2 3 419. Diabetes keeps me from working onmy goals. 0 1 2 3 420. I check my glucose and take insulineven when I’ve had a rough day. 0 1 2 3 421. I don’t try out new things because I’mafraid of having a reaction or gettingsick.0 1 2 3 422. It’s not OK to think about whatdiabetes can do to me. 0 1 2 3 423. It’s OK to feel scared about my health. 0 1 2 3 424. I block out scary thoughts abouthaving diabetes. 0 1 2 3 425. I don’t take my medicine because itreminds me I have diabetes. 0 1 2 3 426. I wish I could wave a magic wand tomake my diabetes go away. 0 1 2 3 427. I do whatever I can to forget that Ihave diabetes. 0 1 2 3 428. I stay away from people and placesthat remind me of my diabetes. 0 1 2 3 4Revised date (4 October 2006)140Never True Rarely True SometimesTrue Often True AlwaysTrue29. It’s OK for me to feel mad or upsetabout having diabetes. 0 1 2 3 430. I share my feelings about havingdiabetes with other people. 0 1 2 3 431. I do things that I like to do, even whenI feel upset about having diabetes. 0 1 2 3 432. I stopped doing fun things because Ihave diabetes. 0 1 2 3 433. My diabetes gets in the way of living agood and meaningful life. 0 1 2 3 434. I can’t be a good friend because of mydiabetes. 0 1 2 3 435. I do worse in school when I thinkabout my diabetes. 0 1 2 3 436. Diabetes stops me from doing what Iwant to do. 0 1 2 3 437. Diabetes stops me from having funwith my friends. 0 1 2 3 438. Diabetes stops me from doing well inschool. 0 1 2 3 439. I try hard to forget the fact that I havediabetes. 0 1 2 3 440. If I think sad thoughts about mydiabetes, it will make it worse. 0 1 2 3 441. My thoughts about diabetes mess upmy blood sugar levels. 0 1 2 3 442. Being afraid about having diabetes willmake it get worse. 0 1 2 3 4
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DIABETES ACCEPTANCE & ACTION SCALE FOR CHILDREN AND ADOLESCENTS
GRECO & HART (2005)
We want to know more about what you think, how you feel, and what you do. Read each sentence.
Then, circle the number that tells how often each sentence is true for you.
Never True Rarely True Sometimes
True Often True Always
True
1. I do things that I care about, even
when I feel sad about my diabetes. 0 1 2 3 4
2. I play video games or use the internet
to take my mind off my health. 0 1 2 3 4
3. It’s OK to feel sad or afraid about
having diabetes. 0 1 2 3 4
4. I worry a lot about my health. 0 1 2 3 4
5. I push away my sad feelings about
diabetes. 0 1 2 3 4
6. I try to forget that I have diabetes. 0 1 2 3 4
7. My life can’t be good because I have
diabetes. 0 1 2 3 4
8. I don’t do well in school when I worry
about my diabetes. 0 1 2 3 4
9. I do things that are important to me
even though I have diabetes. 0 1 2 3 4
10. I take care of my health, even when I
feel upset about having diabetes. 0 1 2 3 4
11. My life would be much better if I didn’t
have diabetes. 0 1 2 3 4
12. It’s OK for me to feel upset about
having diabetes. 0 1 2 3 4
13. I eat things that I shouldn’t so I don’t
feel different from my family or friends. 0 1 2 3 4
Revised date (4 October 2006)
139
Never True Rarely True Sometimes
True Often True Always
True
14. Diabetes messes up my life. 0 1 2 3 4
15. I can live a good life with diabetes. 0 1 2 3 4
16. I talk about my diabetes even if it
makes me feel bad. 0 1 2 3 4
17. Thoughts about diabetes can really
hurt me. 0 1 2 3 4
18. I do things to forget about my
diabetes. 0 1 2 3 4
19. Diabetes keeps me from working on
my goals. 0 1 2 3 4
20. I check my glucose and take insulin
even when I’ve had a rough day. 0 1 2 3 4
21. I don’t try out new things because I’m
afraid of having a reaction or getting
sick.
0 1 2 3 4
22. It’s not OK to think about what
diabetes can do to me. 0 1 2 3 4
23. It’s OK to feel scared about my health. 0 1 2 3 4
24. I block out scary thoughts about
having diabetes. 0 1 2 3 4
25. I don’t take my medicine because it
reminds me I have diabetes. 0 1 2 3 4
26. I wish I could wave a magic wand to
make my diabetes go away. 0 1 2 3 4
27. I do whatever I can to forget that I
have diabetes. 0 1 2 3 4
28. I stay away from people and places
that remind me of my diabetes. 0 1 2 3 4
Revised date (4 October 2006)
140
Never True Rarely True Sometimes
True Often True Always
True
29. It’s OK for me to feel mad or upset
about having diabetes. 0 1 2 3 4
30. I share my feelings about having
diabetes with other people. 0 1 2 3 4
31. I do things that I like to do, even when
I feel upset about having diabetes. 0 1 2 3 4
32. I stopped doing fun things because I
have diabetes. 0 1 2 3 4
33. My diabetes gets in the way of living a
good and meaningful life. 0 1 2 3 4
34. I can’t be a good friend because of my
diabetes. 0 1 2 3 4
35. I do worse in school when I think
about my diabetes. 0 1 2 3 4
36. Diabetes stops me from doing what I
want to do. 0 1 2 3 4
37. Diabetes stops me from having fun
with my friends. 0 1 2 3 4
38. Diabetes stops me from doing well in
school. 0 1 2 3 4
39. I try hard to forget the fact that I have
diabetes. 0 1 2 3 4
40. If I think sad thoughts about my
diabetes, it will make it worse. 0 1 2 3 4
41. My thoughts about diabetes mess up
my blood sugar levels. 0 1 2 3 4
42. Being afraid about having diabetes will
make it get worse. 0 1 2 3 4
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