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Gepubliceerd in:

14-06-2015

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

Auteurs: Debbie Cooke, Rod Bond, Julia Lawton, David Rankin, Simon Heller, Marie Clark, Jane Speight

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 5/2015

Abstract

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 selfmanagement programs is recommended.

vorige artikel The roles of ethnicity, sex, and parental pain modeling in rating of experienced and imagined pain events

volgende artikel Social support buffering of the relation between low income and elevated blood pressure in at-risk African-American adults

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Titel: 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
Auteurs: Debbie Cooke
Rod Bond
Julia Lawton
David Rankin
Simon Heller
Marie Clark
Jane Speight
Publicatiedatum: 14-06-2015
Uitgeverij: Springer US
Gepubliceerd in: Journal of Behavioral Medicine / Uitgave 5/2015
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI: https://doi.org/10.1007/s10865-015-9649-y

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