Audit diabetes‐dependent quality of life questionnaire: usefulness in diabetes self‐management education in the Slovak population
- 8 April 2009
- journal article
- research article
- Published by Wiley in Journal of Clinical Nursing
- Vol. 18 (9), 1276-1286
- https://doi.org/10.1111/j.1365-2702.2008.02602.x
Abstract
This paper reports a study to test validity and internal consistency of the audit diabetes-dependent quality of life questionnaire in the Slovak population and to evaluate its usefulness in the context of education of people with diabetes. The individualised instruments designed to measure individuals' perceptions of the impact of diabetes on their quality of life may be helpful to identify individuals' preferences, motivational deficits in diabetes management and to tailor individual treatment strategies. Survey. After linguistic validation, the structure of the questionnaire was tested using factor analysis on 104 patients who were recruited from the National Institute of Endocrinology and Diabetology in Lubochna. Internal consistency was evaluated by computing Cronbach's alpha. Clinical variables related to the quality of life were analysed using one-way ANOVA, multifactor ANOVA, Pearson's and Spearman's rank correlation coefficients. A one-dimensional scale structure was supported and internal consistency was high (alpha = 0.93). Variance in impact of diabetes on quality of life was explained by age, presence of late complications and type of insulin regimen. The audit diabetes-dependent quality of life is culturally appropriate, valid and reliable in the sample of Slovak patients attending the educational programme. Our results agreed with previous European and Asian studies supporting its usefulness in the context of diabetes self-management education. Individualised diabetes-specific quality of life measures allow better understanding of patients' treatment preferences and, consequently, more effective prioritizing and targeting of appropriate educational interventions. This instrument may be useful in routine clinical practice and as an outcome measure for international clinical research trials evaluating effectiveness of educational programmes.Keywords
This publication has 19 references indexed in Scilit:
- Usefulness of the Audit of Diabetes-Dependent Quality-of-Life (ADDQoL) Questionnaire in Patients with Diabetes in a Multi-Ethnic Asian CountryPharmacoEconomics, 2006
- Quality of life in diabetesInternational Journal of Diabetes in Developing Countries, 2006
- Training in flexible, intensive insulin management to enable dietary freedom in people with type 1 diabetes: dose adjustment for normal eating (DAFNE) randomised controlled trialBMJ, 2002
- Patient perceptions of diabetes and diabetes therapy: assessing quality of lifeDiabetes/Metabolism Research and Reviews, 2002
- Diabetic Patients' Alcohol Use and Quality of Life: Relationships with Prescribed Treatment Compliance among Older MalesAlcohol: Clinical and Experimental Research, 1996
- Evaluation of an intensified insulin treatment and teaching programme as routine management of Type 1 (insulin-dependent) diabetesDiabetologia, 1987
- The Effect of Education and Self‐monitoring of Blood Glucose on Glycosylated Hemoglobin in Type I DiabetesActa Medica Scandinavica, 1985
- Bicentric evaluation of a teaching and treatment programme for Type 1 (insulin-dependent) diabetic patients: improvement of metabolic control and other measures of diabetes care for up to 22 monthsDiabetologia, 1983