Modeling predictors of changes in glycemic control and diabetes-specific quality of life amongst adults with type 1 diabetes 1 year after structured education in flexible, intensive insulin therapy
| Autor: | Rod Bond, Simon Heller, Debbie Cooke, Marie Clark, Julia Lawton, David W. H. Rankin, Jane Speight |
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| Rok vydání: | 2015 |
| Předmět: |
Adult
Blood Glucose Male Gerontology Adolescent Hypoglycemia Young Adult Quality of life Surveys and Questionnaires Diabetes mellitus medicine Humans Hypoglycemic Agents Insulin General Psychology Aged Glycemic Glycated Hemoglobin Type 1 diabetes Self-management business.industry Middle Aged Explained variation medicine.disease Self Care Psychiatry and Mental health Diabetes Mellitus Type 1 Quality of Life Female business Psychosocial Clinical psychology |
| Zdroj: | Journal of Behavioral Medicine. 38:817-829 |
| ISSN: | 1573-3521 0160-7715 |
| Popis: | Few studies have identified determinants of glycemic control (HbA1c) and diabetes-specific quality of life (DSQoL) in adults with type 1 diabetes. To identify factors predicting outcomes following structured diabetes education. 262 participants completed biomedical and questionnaire assessments before, and throughout 1 year of follow-up. The proportion of variance explained ranged from 28 to 62 % (DSQoLS) and 14-20 % (HbA1c). When change in psychosocial variables were examined, reduced hypoglycemia fear, lower 'perceived diabetes seriousness', greater self-efficacy and well-being predicted QoL improvements from baseline to 3-months. Increased frequency of blood glucose testing predicted improvements in HbA1c from baseline to 6-months. Greater benefits may be achieved if programs focus explicitly on psychosocial factors. Self-care behaviours did not predict HbA1c suggesting existing assessment tools need refinement. Evaluation of treatment mechanisms in self-management programs is recommended. |
| Databáze: | OpenAIRE |
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