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The aims of this study were to develop a new instrument for measuring self-management with a hierarchical structure [the Diabetes Self-Management Scale(DSMS)] in patients with type 2 diabetes, and evaluate its psychometric properties. The DSMS instrument was developed in three phases (1) conceptualization and item generation; (2) content validity and pilot testing; and (3) field testing of its psychometric properties. A convenience sample of 473 participants was recruited in three university hospitals and one regional health center, Sout
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