Measures of Psychological Well‐being and Treatment Satisfaction Developed from the Responses of People with Tablet‐treated Diabetes

Abstract

Psychological outcome measures of Well-being and Treatment Satisfaction have been designed and developed for people with tablet-treated Type 2 diabetes. The Well-being scale includes three six-item sub-scales to measure Depression, Anxiety, and Positive Well-being. A prime consideration when selecting items for the psychological well-being measures was to minimize the confounding of diabetic symptomatology with the somatic symptoms of depression and anxiety. Cronbach's alpha indicated that each of the Well-being sub-scales and the Treatment Satisfaction scale was internally reliable (alphas ranged from 0.70 to 0.88) and evidence for construct validity was provided by predicted associations with other variables collected at the time of the study. For example, lower Well-being scores were associated with being overweight (Depression: p less than 0.05; Anxiety: p less than 0.001) while greater Satisfaction with Treatment was associated with lower HbA1 levels (p less than 0.001) and lower percent ideal body weight (p less than 0.01). These scales should prove particularly useful where measures of quality of life are required to complement metabolic variables when evaluating new treatments, education programmes, and other interventions, or in the routine auditing of established methods of treatment.

Lessons Learnt from Influences of the Marmara Earthquake on Glycemic Control and Quality of Life in People with Type 1 Diabetes

“…The relation between QOL and metabolic control is controversial [13,[41][42][43][44]. Some studies reported an association between QOL and metabolic control [41,42], whereas others found no association [13,43,44]. This study confirmed previous studies reporting that no association was found between glycemic control and QOL in type 1 diabetes.…”

“…The DQOL is a disease-specific measure designed specifically for use in DCCT but with applicability to a wider range of people with type 1 diabetes [32]. The relation between QOL and metabolic control is controversial [13,[41][42][43][44]. Some studies reported an association between QOL and metabolic control [41,42], whereas others found no association [13,43,44].…”

Transplantation of macroencapsulated human islets within the bioartificial pancreas βAir to patients with type 1 diabetes mellitus

“…All patients filled out a Diabetes Treatment Satisfaction Questionnaire (DTSQ) (Table S1)9 and RAND‐36,10 a health‐related quality of life (HRQoL) questionnaire, prior to transplantation, and this was repeated 3 months posttransplantation, prior to explantation, and 6 months after explantation.…”

Health enhancing coping as a mediator in relationships of positive emotionality and cognitive curiosity with quality of life among type 2 diabetes patients

“…Another factor connected with a low subjective assessment of quality of life is a lower level of physical activity related to everyday activities performed by the sick person (Glasgow et al, 1997). The research by Bradley et al shows the importance of dietary restrictions (Bradley & Speight, 2002), overweight and a high level of HbA1c (Bradley & Lewis, 1990) as the variables implicating a reduced psychological well-being. In their study, Koligat et al (2012) established that social participation, strong family bonds and good living conditions have a positive influence on the level of perceived quality of life.…”