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Gepubliceerd in: Journal of Behavioral Medicine 5/2015

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

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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
Literatuur
Aalto, A. M., Uutela, A., & Aro, A. R. (1997). Health related quality of life among insulin-dependent diabetics: Disease-related and psychosocial correlates. Patient Education and Counseling, 30, 215–225. CrossRefPubMed
Assal, J. P., Jacquemet, S., & Morel, Y. (1997). The added value of therapy in diabetes: The education of patients for self-management of their disease. Metabolism, 46, 61–64. CrossRefPubMed
Bollen, K. A., & Curran, P. J. (2006). Latent curve models: A structural equation perspective. Hoboken, NH: Wiley.
Bonsignore, M., Barkow, K., Jessen, F., & Heun, R. (2001). Validity of the five-item WHO Well-Being Index (WHO-5) in an elderly population. European Archives of Psychiatry & Clinical Neurosciences, 251, 27–31. CrossRef
Bott, U., Jorgens, V., Grusser, M., Bender, R., Muhlhauser, I., & Berger, M. (1994). Predictors of glycemic control in type 1 diabetic patients after participation in an intensified treatment and teaching programme. Diabetic Medicine, 11, 362–371. CrossRefPubMed
Bott, U., Muhlhauser, I., Overmann, H., & Berger, M. (1998). Validation of a diabetes-specific quality-of-life scale for patients with type 1 diabetes. Diabetes Care, 21, 757–769. CrossRefPubMed
Byrne, M., Newell, J., Coffey, N., O’Hara, M. C., Cooke, D., & Dinneen, S. F. (2012). Predictors of quality of life gains among people with type 1 diabetes participating in the dose adjustment for normal eating (DAFNE) structured education programme. Diabetes Research and Clinical Practice, 98, 243–248. CrossRefPubMed
Cochran, J., & Conn, V. S. (2008). Meta-analysis of quality of life outcomes following diabetes self-management training. Diabetes Educator, 34, 815–823. PubMedCentralCrossRefPubMed
Colagiuri, R., & Eigenmann, C. A. (2009). A national consensus on outcomes and indicators for diabetes patient education. Diabetic Medicine, 26, 442–446. CrossRefPubMed
Cooke, D., Bond, R., Lawton, J., Rankin, D., Heller, S., Clark, M., et al. (2013a). Structured type 1 diabetes education delivered within routine care: Impact on glycemic control and diabetes-specific quality of life. Diabetes Care, 36, 270–272. PubMedCentralCrossRefPubMed
Cooke, D., O’Hara, M. C., Beinart, N., Heller, S., La Marca, R., Byrne, M., et al. (2013b). Linguistic and psychometric validation of the diabetes-specific quality of life scale (DSQOLS) in UK English for adults with type 1 diabetes. Diabetes Care, 36, 1117–1125. PubMedCentralCrossRefPubMed
Cox, D. J., Irvine, A., Gonder-Frederick, L., Nowacek, G., & Butterfield, J. (1987). Fear of hypoglycemia—Quantification, validation, and utilization. Diabetes Care, 10, 617–621. CrossRefPubMed
DAFNE Study Group. (2002). Training in flexible, intensive insulin management to enable dietary freedom in people with type 1 diabetes: Dose adjustment for normal eating (DAFNE) randomised controlled trial. BMJ, 325, 746–749. PubMedCentralCrossRef
De Ridder, D., & Kuijer, R. G. (2006). Managing immediate needs in the pursuit of health goals: The role of coping in self-regulation. In D. De Ridder & J. De Wit (Eds.), Self-regulation in health behaviour (pp. 147–168). Chichester, UK: Wiley. CrossRef
De Wit, M., Pouwer, F., Gemke, R., Delemarre-Van De Waal, H., & Snoek, F. J. (2007). Validation of the WHO-5 well-being index in adolescents with type 1 diabetes. Diabetes Care, 30, 2003–2006. CrossRefPubMed
DeVries, J. H., Snoek, F. J., & Heine, R. J. (2004). Persistent poor glycemic control in adult type 1 diabetes. A closer look at the problem. Diabetic Medicine, 21, 1263–1268. CrossRefPubMed
Epidemiology of Diabetes Interventions and Complications Research Group. (2002). Effect of intensive therapy on the microvascular complications of type 1 diabetes mellitus. JAMA, 287, 2563–2569. CrossRef
Fitzgerald, J. T., Funnell, M. M., Hess, G. E., Barr, P. A., Anderson, R. M., Hiss, R. G., & Davis, W. K. (1998). The reliability and validity of a brief diabetes knowledge test. Diabetes Care, 21, 706–710. CrossRefPubMed
Funnell, M., Brown, T. L., Childs, B. P., Haas, L. B., Hosey, G. M., Jensen, B., et al. (2012). National standards for diabetes self-management education. Diabetes Care, 35, S101–S108. PubMedCentralCrossRefPubMed
Galea, S., & Tracy, M. (2007). Participation rates in epidemiologic studies. Annals of Epidemiology, 17, 643–653. CrossRefPubMed
Glaister, K. (2010). A biopsychosocial model of diabetes self- management: Mediators and moderators. Thesis, Murdoch University.
Glasgow, R. E. (1999). Outcomes of and for diabetes education research. Diabetes Educator, 25, 74–88. CrossRefPubMed
Glasgow, R. E., Hampson, S. E., Strycker, L. A., & Ruggiero, L. (1997). Personal-model beliefs and social–environmental barriers related to diabetes self-management. Diabetes Care, 20, 556–561. CrossRefPubMed
Glasgow, R. E., Toobert, D. J., & Gillette, C. D. (2000). Psychosocial barriers to diabetes self-management and Quality of Life. Diabetes Spectrum, 14, 33–41. CrossRef
Goldstein, D., Little, R., Wiedmeyer, H., England, J., Rohlfing, C., & Madsen, R. (1991). Glycated haemoglobin (GHB) at diagnosis is related to the 5th year GHB value in children with type 1 diabetes mellitus. Diabetes, 40, A1923.
Gonder-Frederick, L., Cox, W., Clarke, W., & Julian, D. (2000). Blood glucose awareness training. In F. J. Snoek & C. Skinner (Eds.), Psychology in diabetes care. London: Wiley.
Goodall, T. A., & Halford, W. K. (1991). Self-management of diabetes mellitus: A critical review. Health Psychology, 10, 1–8. CrossRefPubMed
Gunn, D., & Mansell, P. (2012). Glycaemic control and weight 7 years after dose adjustment for normal eating (DAFNE) structured education in type 1 diabetes. Diabetic Medicine, 29, 807–812. CrossRefPubMed
Gwaltney, C. J., Shields, A. L., & Shiffman, S. (2008). Equivalence of electronic and paper-and-pencil administration of patient-reported outcome measures: A meta-analytic review. Value Health, 11, 322–333. CrossRefPubMed
Hampson, S. E., Glasgow, R. E., & Foster, L. S. (1995). Personal models of diabetes among older adults—Relationship to self-management and other variables. Diabetes Educator, 21, 300–307. CrossRefPubMed
Hampson, S. E., Glasgow, R. E., & Toobert, D. J. (1990). Personal models of diabetes and their relations to self-care activities. Health Psychology, 9, 632–646. CrossRefPubMed
Holman, H., & Lorig, K. (2004). Patient self-management: A key to effectiveness and efficiency in care of chronic disease. Public Health Reports, 119, 239–243. PubMedCentralCrossRefPubMed
Irvine, A. A., Cox, D., & Gonder-Frederick, L. (1992). Fear of hypoglycemia: relationship to physical and psychological symptoms in patients with insulin-dependent diabetes mellitus. Health Psychology, 11, p135. CrossRef
Lawton, J., & Rankin, R. (2010). How do structured education programmes work? An ethnographic investigation of the dose adjustment for normal eating (DAFNE) programme for type 1 diabetes patients in the UK. Social Science in Medicine, 71, 486–493. CrossRef
Lawton, J., Rankin, D., Cooke, D., Elliott, J., Heller, S., & for the UK NIHR DAFNE Study Group. (2012). Patients’ experiences of adjusting insulin doses when implementing flexible intensive insulin treatment: a longitudinal, qualitative investigation. Diabetes Research in Clinical Practice, 98, 236–242. CrossRef
Lorig, K. R., & Holman, H. (2003). Self-management education: History, definition, outcomes, and mechanisms. Annals of Behavioral Medicine, 26, 1–7. CrossRefPubMed
McIntyre, H. D., Knight, B. A., Harvey, D. M., Noud, M. N., Hagger, V. L., & Gilshenan, K. S. (2010). Dose adjustment for normal eating (DAFNE)—An audit of outcomes in Australia. Medical Journal of Australia, 192, 637–640. PubMed
McSharry, J., Moss-Morris, R., & Kendrick, T. (2011). Illness perceptions and glycemic control in diabetes: A systematic review with meta-analysis. Diabetic Medicine, 28, 1300–1310. CrossRef
Muhlhauser, I., Bott, U., Overmann, H., Wagener, W., Bender, R., Jorgens, V., & Berger, M. (1995). Liberalized diet in patients with type 1 diabetes. Journal of Internal Medicine, 237, 591–597. CrossRefPubMed
Muhlhauser, I., Jorgens, V., Berger, M., Graninger, W., Gurtier, W., Horke, L., et al. (1983). Bicentric evaluation of a teaching and treatment program for type-1 (insulin-dependent) diabetic-patients—Improvement of metabolic control and other measures of diabetes care for up to 22 months. Diabetologia, 25, 470–476. CrossRefPubMed
Muthen, B. O., & Curran, P. J. (1997). General longitudinal modeling of individual differences in experimental designs: A latent variable framework for analysis and power estimation. Psychological Methods, 2, 371–402. CrossRef
National Institute for Health & Clinical Excellence (NICE) Guidance [CG15]. (2004). Type 1 diabetes: Diagnosis and management of type 1 diabetes in children, young people and adults. Department of Health.
Norris, S. L., Nichols, P. J., Caspersen, C. J., Glasgow, R. E., Engelgau, M. M., Jack, L., et al. (2002). Increasing diabetes self-management education in community settings—A systematic review. American Journal of Preventive Medicine, 22, 39–66. CrossRefPubMed
Oliver, L., & Thompson, G. (2009). The DAFNE Collaborative. Experiences of developing and delivering an evidence-based quality assured programme for people with type 1 diabetes. Practical Diabetes International, 26, 371–377. CrossRef
Pattison, H. M., Moledina, S., & Barrett, T. (2006). The relationship between parental perceptions of diabetes and glycaemic control. Archives of Disease in Childhood, 91, 487–490. PubMedCentralCrossRefPubMed
Peyrot, M., & Rubin, R. R. (1994). Modeling the effect of diabetes education on glycemic control. Diabetes Educator, 20, 143–148. CrossRefPubMed
Plank, J., Kohler, G., Rakovac, I., Semlitsch, B. M., Horvath, K., Bock, G., et al. (2004). Long-term evaluation of a structured outpatient education programme for intensified insulin therapy in patients with Type 1 diabetes: A 12-year follow-up. Diabetologia, 47, 1370–1375. CrossRefPubMed
Rankin, D., Cooke, D., Clark, M., Heller, S., Elliott, J., Lawton, J., & for the UK NIHR DAFNE Study Group. (2011). How and why do patients with type 1 diabetes sustain their use of flexible intensive insulin therapy? A qualitative longitudinal investigation of patients’ self-management practices following attendance at a dose adjustment for normal eating (DAFNE) course. Diabetic Medicine, 28, 532–538. CrossRefPubMed
Rankin, D., Cooke, D., Elliott, J., Heller, S., Lawton, J., & for the UK NIHR DAFNE Study Group. (2012). Supporting self-management after attending a structured education programme: A qualitative longitudinal investigation of type 1 diabetes patients’ experiences and views. BMC Public Health, 12, 652. doi: 10.​1186/​1471-2458-12-652 PubMedCentralCrossRefPubMed
Rankin, D., Barnard, K., Elliott, J., Cooke, D., Heller, S., Gianfrancesco, C., et al. (2014). Type 1 diabetes patients’ experiences of, and need for, social support after attending a structured education programme: A qualitative longitudinal investigation. Journal of Clinical Nursing, 23, 2919–2927. CrossRefPubMed
Rose, M., Burkert, U., Scholler, G., Schirop, T., Danzer, G., & Klapp, B. F. (1998). Determinants of the quality of life of patients with diabetes under intensified insulin therapy. Diabetes Care, 21, 1876–1885. CrossRefPubMed
Rose, M., Fliege, H., Hildebrandt, M., Schirop, T., & Klapp, B. F. (2002). The network of psychological variables in patients with diabetes and their importance for quality of life and metabolic control. Diabetes Care, 25, 35–42. CrossRefPubMed
Rubin, R. R. (2000). Diabetes and quality of life. Diabetes Spectrum, 13, 21–27.
Rubin, R. R., & Peyrot, M. (1999). Quality of life and diabetes. Diabetes Metabolism Research & Reviews, 15, 205–218. CrossRef
Sarason, I. G., Sarason, B. R., Shearin, E. N., & Pierce, G. R. (1987). A brief measure of social support—Practical and theoretical implications. Journal of Social & Personal Relationships, 4, 497–510. CrossRef
Schram, M. T., Baan, C. A., & Pouwer, F. (2009). Depression and quality of life in patients with diabetes: A systematic review from the European depression in diabetes (EDID) research consortium. Current Diabetes Reviews, 5, 112–119. PubMedCentralCrossRefPubMed
Snieder, H., Sawtell, P. A., Ross, L., Walker, J., Spector, T. D., & Leslie, R. D. (2001). HbA(1c) levels are genetically determined even in type 1 diabetes: Evidence from healthy and diabetic twins. Diabetes, 50, 2858–2863. CrossRefPubMed
Snoek, F. J., van der Ven, N. C. W., Twisk, J. W. R., Hogenelst, M. H., Tromp-Wever, A. M., van der Ploeg, H. M., & Heine, R. J. (2008). Cognitive behavioral therapy (CBT) compared with blood glucose awareness training (BGAT) in poorly controlled Type 1 diabetic patients: Long-term effects on HbA(1c) moderated by depression. A randomized controlled trial. Diabetic Medicine, 25, 1337–1342. PubMed
Speight, J., Amiel, S. A., Bradley, C., Heller, S., Oliver, L., Roberts, S., et al. (2010). Long-term biomedical and psychosocial outcomes following DAFNE structured education to promote intensive insulin therapy in adults with sub-optimally controlled type 1 diabetes. Diabetes Research & Clinical Practice, 89, 22–29. CrossRef
Speight, J., Reaney, M. D., & Barnard, K. D. (2009). Not all roads lead to Rome—A review of quality of life measurement in adults with diabetes. Diabetic Medicine, 26, 315–327. CrossRefPubMed
Strecher, V. J., Seijts, G. H., Kok, G. J., Latham, G. P., Glasgow, R., DeVellis, B., et al. (1995). Goal setting as a strategy for health behavior change. Health Education Quarterly, 22, 190–200. CrossRefPubMed
Taylor, M. D., Frier, B. M., Gold, A. E., & Deary, I. J. (2003). Psychosocial factors and diabetes-related outcomes following diagnosis of type 1 diabetes in adults: The Edinburgh prospective diabetes study. Diabetic Medicine, 20, 135–146. CrossRefPubMed
The Diabetes Control and Complications Trial Research Group. (1993). The effect of intensive treatment of diabetes on the development and progression of long-term complications in insulin-dependent diabetes mellitus. New England Journal of Medicine, 329, 977–986. CrossRef
The EURODIAB IDDM Complications Study. (1994). Microvascular and acute complications in IDDM patients. Diabetologia, 37, 278–285. CrossRef
Van der Ven, N. C. W., Weinger, K., Yi, J., Pouwer, F., Ader, H., van der Ploeg, H. M., & Snoek, F. J. (2003). The confidence in diabetes self-care scale—Psychometric properties of a new measure of diabetes-specific self-efficacy in Dutch and US patients with type 1 diabetes. Diabetes Care, 26, 713–718. PubMedCentralCrossRef
Weinger, K., Welch, G. W., Butler, H. A., & La Greca, A. M. (2005). Measuring diabetes self-care—A psychometric analysis of the self-care inventory-revised with adults. Diabetes Care, 28, 1346–1352. PubMedCentralCrossRefPubMed
Weinman, J., Wright, S., & Johnston, M. (1995). Social support: Measures in health psychology, a user’s Portfolio. Windsor: NFER-NELSON Publishing Company.
Wild, D., von Maltzahn, R., Brohan, E., Christensen, T., Clauson, P., & Gonder-Frederick, L. (2007). A critical review of the literature on fear of hypoglycemia in diabetes. Patient Education and Counseling, 68, 10–15. CrossRefPubMed
Metagegevens
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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