No abstract

Individuals with type 1 diabetes must engage in a number of daily self-management behaviours to keep blood glucose close to the normal range. 1 Young adulthood is a high-risk time for diabetes management, with many showing lifetime high elevations in blood glucose, low self-management and heightened diabetes distress. 2,3 Social relationships are central to helping individuals manage diabetes, 4 but young adults may experience difficulty managing diabetes as they move away from parents, establish romantic partnerships, and develop new social relationships and diabetes routines in

During the emerging adulthood of people with type 1 diabetes, long-term romantic partners may be involved in diabetes management in ways that supplant parental involvement. We examined the perspectives of involvement in diabetes management of the parents and romantic partners of 29 emerging adults with type 1 diabetes, using qualitative interviews and an online survey. When the individuals with diabetes were in long-term romantic relationships, their partners were heavily involved in managing diabetes and providing support; however, when the individuals with diabetes were in short-term relationships or not in a relationship, their parents were described as having the biggest positive impact on their diabetes management. Emerging adults described the involvement of their parents and romantic partners in both positive and negative ways. Romantic relationship status is an important but understudied variable in understanding social involvement and its effects on type 1 diabetes management during emerging adulthood.

Psychosocial and functional factors contribute to both functional restoration completion and 3-month return-to-function outcomes.

Background: The Patient Disability Questionnaire (PDQ) has been shown to have good predictive validity for outcomes after total hip arthroplasty (TKA). However, the PDQ subscales (psychosocial and functional disability) have not been assessed independently. This study assesses 1-year surgical outcomes based on the PDQ’s psychosocial and functional disability subscale scores. Methods: The sample included 130 participants undergoing TKA. Physical and psychosocial measures included the PDQ, Knee Society Score (KSS), Western Ontario McMaster Arthritic Index (WOMAC), and the Short Form-36 Health Inventory (SF-36). Univariate correlations were used to cross-validate all subscales. Multivariate gamma and linear regressions were used to associate PDQ functional and psychosocial disability subscale scores with WOMAC and SF-36, 1 yr after TKA. Results: Poorer PDQ psychosocial scores were associated with being younger, black or Hispanic, and using Medicaid. Poorer functional disability scores were associated with being younger, female, black or Hispanic, and using Medicaid or without insurance. Multivariate regressions revealed that baseline PDQ psychosocial and functional disability were both significantly associated with 1-year WOMAC total scores and 1-year SF-36 Mental Composite Scores. Conclusions: The PDQ is useful in predicting 1-year outcomes for patients undergoing TKA. Worse baseline PDQ subscale scores indicated worse quality of life, more pain and stiffness of the joints, as determined by comparative WOMAC and SF-36 scores. Clinical implications from this study suggest screening patients before surgery to identify factors that could hinder recovery time or cause pain or function remission in adults undergoing TKA.