Diabetes Care
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text (PDF)
Right arrow Purchase Article
Right arrow View Shopping Cart
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow Request Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Bott, U.
Right arrow Articles by Berger, M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Bott, U.
Right arrow Articles by Berger, M.
Social Bookmarking
Add to CiteULike   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati  
What's this?

Diabetes Care, Vol 21, Issue 5 757-769, Copyright © 1998 by American Diabetes Association

ARTICLES

Validation of a diabetes-specific quality-of-life scale for patients with type 1 diabetes

U Bott, I Muhlhauser, H Overmann and M Berger
Department of Metabolic Diseases and Nutrition, World Health Organization Collaborating Center for Diabetes, Heinrich-Heine-University, Dusseldorf, Germany. bott@uni-duesseldorf.de

OBJECTIVE: To validate a diabetes-specific quality-of-life scale and to assess its psychometric properties in a large sample of patients with type 1 diabetes. RESEARCH DESIGN AND METHODS: To assess the quality of diabetes care in a population-based study, a representative sample of 684 patients with type 1 diabetes was examined. A total of 657 patients (42% female; mean age 36 years; mean diabetes duration 18 years) completed the diabetes-specific quality-of-life scale (DSQOLS), which comprised 64 items on individual treatment goals (10 items), satisfaction with treatment success (10 items), and diabetes-related distress (44 items). Statistical examinations covered factor analysis, internal consistency of subscales, and construct and discriminant validity. RESULTS: Factor analysis of the 44 items on diabetes-specific burdens revealed six reliable components (Cronbach's alpha): social relations (0.88), physical complaints (0.84), worries about future (0.84), leisure time flexibility (0.85), diet restrictions (0.71), and daily hassles (0.70). All six subscales were significantly correlated with a validated well-being scale (r = -0.35 to -0.53, P < 0.001) and treatment satisfaction (r = 0.28 to 0.43, P < 0.001). Physical complaints (r = 0.24) and worries about future (r = 0.17) showed the highest correlations with HbA1c (P < 0.001). A flexible insulin therapy, a liberalized diet, the absence of late complications, and a higher social status were significantly associated with more favorable scores in different domains. CONCLUSIONS: The DSQOLS is a reliable and valid measure of diabetes-specific quality of life. The scale is able to distinguish between patients with different treatment and dietary regimens and to detect social inequities. Use of the DSQOLS for assessment of individual treatment goals as defined by the patients may be helpful to identify motivational deficits and to tailor individual treatment strategies.
Add to CiteULike CiteULike   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati    What's this?


This article has been cited by other articles:


Home page
 Chronic IllnessHome page
S. Tierney, K. Webb, A. Jones, M. Dodd, D. Mckenna, R. Rowe, J. Whitehouse, and C. Deaton
Living with cystic fibrosis-related diabetes or type 1 diabetes mellitus: a comparative study exploring health-related quality of life and patients' reported experiences of hypoglycaemia
Chronic Illness, December 1, 2008; 4(4): 278 - 288.
[Abstract] [PDF]

Home page
 The Diabetes EducatorHome page
E. B. Fisher, C. T. Thorpe, B. M. DeVellis, and R. F. DeVellis
Healthy Coping, Negative Emotions, and Diabetes Management: A Systematic Review and Appraisal
The Diabetes Educator, November 1, 2007; 33(6): 1080 - 1103.
[Abstract] [Full Text] [PDF]

Home page
 Diabetes CareHome page
D. G. Marrero, J. Crean, B. Zhang, T. Kellmeyer, M. Gloster, K. Herrmann, R. Rubin, N. Fineberg, and O. Kolterman
Effect of Adjunctive Pramlintide Treatment on Treatment Satisfaction in Patients With Type 1 Diabetes
Diabetes Care, February 1, 2007; 30(2): 210 - 216.
[Abstract] [Full Text] [PDF]

Home page
 Diabetes CareHome page
E. Sato, Y. Suzukamo, M. Miyashita, and K. Kazuma
Development of a Diabetes Diet-Related Quality-of-Life Scale
Diabetes Care, June 1, 2004; 27(6): 1271 - 1275.
[Abstract] [Full Text] [PDF]

Home page
 Diabetes Spectr.Home page
T. E. Burroughs, R. Desikan, B. M. Waterman, D. Gilin, and J. McGill
Development and Validation of the Diabetes Quality of Life Brief Clinical Inventory
Diabetes Spectr, January 1, 2004; 17(1): 41 - 49.
[Abstract] [Full Text] [PDF]

Home page
 Scand J Public HealthHome page
P. M. Jonsson, L. Nystrom, G. Sterky, and S. Wall
Sociodemographic predictors of self-rated health in patients with diabetes of short duration
Scand J Public Health, October 1, 2001; 29(4): 263 - 270.
[Abstract] [PDF]

Home page
 Diabetes CareHome page
A. M. Delamater, A. M. Jacobson, B. Anderson, D. Cox, L. Fisher, P. Lustman, R. Rubin, and T. Wysocki
Psychosocial Therapies in Diabetes: Report of the Psychosocial Therapies Working Group
Diabetes Care, July 1, 2001; 24(7): 1286 - 1292.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Diabetes Diabetes Care Clinical Diabetes Diabetes Spectrum
Copyright © 1998 by the American Diabetes Association.