Diabetes management mediating effects between diabetes symptoms and health-related quality of life in adolescents and young adults with type 1 diabetes
| Autor: | Varni, James W, Delamater, Alan M, Hood, Korey K, Driscoll, Kimberly A, Wong, Jenise C, Adi, Saleh, Yi-Frazier, Joyce P, Grishman, Ellen K, Faith, Melissa A, Corathers, Sarah D, Kichler, Jessica C, Miller, Jennifer L, Raymond, Jennifer K, Doskey, Elena M, Aguirre, Vincent, Heffer, Robert W, Wilson, Don P, Pediatric Quality of Life Inventory 3.2 Diabetes Module Testing Study Consortium |
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| Rok vydání: | 2018 |
| Předmět: |
Male
self-management Adolescent pediatrics type 1 diabetes Paediatrics and Reproductive Medicine Young Adult PedsQL Endocrinology & Metabolism 7.1 Individual care needs Clinical Research Surveys and Questionnaires Behavioral and Social Science Diabetes Mellitus Humans Pediatric Quality of Life Inventory 3.2 Diabetes Module Testing Study Consortium Metabolic and endocrine Pediatric Prevention Diabetes Disease Management Statistical Health Services Treatment Adherence and Compliance health-related quality of life Health Communication patient-reported outcomes Quality of Life symptoms Female Management of diseases and conditions Factor Analysis Type 1 |
| Zdroj: | Pediatric diabetes, vol 19, iss 7 |
| Popis: | ObjectivesThe primary objective was to investigate the mediating effects of diabetes management in the relationship between diabetes symptoms and generic health-related quality of life (HRQOL) in adolescents and young adults (AYAs) with type 1 diabetes. The secondary objective explored patient health communication and perceived treatment adherence barriers as mediators in a serial multiple mediator model.MethodsThe PedsQL 3.2 Diabetes Module 15-item diabetes symptoms summary score, 18-item diabetes management summary score, and PedsQL 4.0 generic core scales were completed in a 10-site national field test study by 418 AYA aged 13 to 25 years with type 1 diabetes. Diabetes symptoms and diabetes management were tested for bivariate and multivariate linear associations with overall generic HRQOL. Mediational analyses were conducted to test the hypothesized mediating effects of diabetes management as an intervening variable between diabetes symptoms and generic HRQOL.ResultsThe predictive effects of diabetes symptoms on HRQOL were mediated in part by diabetes management. In predictive analytics models utilizing multiple regression analyses, demographic and clinical covariates, diabetes symptoms, and diabetes management significantly accounted for 53% of the variance in generic HRQOL (P |
| Databáze: | OpenAIRE |
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