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
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..
| Medienart: |
Artikel |
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| Erscheinungsjahr: |
2015 |
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| Erschienen: |
2015 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:38 |
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| Enthalten in: |
Journal of behavioral medicine - 38(2015), 5 vom: 14. Juni, Seite 817-829 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Cooke, Debbie [VerfasserIn] |
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| Links: |
Volltext [lizenzpflichtig] |
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| Themen: |
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| Anmerkungen: |
© Springer Science+Business Media New York 2015 |
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| doi: |
10.1007/s10865-015-9649-y |
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| funding: |
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| Förderinstitution / Projekttitel: |
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OLC2066896705 |
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| 520 | |a 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. | ||
| 650 | 4 | |a Diabetes | |
| 650 | 4 | |a Self-management | |
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| 650 | 4 | |a Glycemic control | |
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| 700 | 1 | |a Clark, Marie |4 aut | |
| 700 | 1 | |a Speight, Jane |4 aut | |
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