Predictors of quality of life gains among people with type 1 diabetes participating in the Dose Adjustment for Normal Eating (DAFNE) structured education programme

Abstract

Aims: To examine predictors of quality of life gains among people with type 1 diabetes following DAFNE (Dose Adjustment for Normal Eating) self-management training programme.Methods: Clinical and questionnaire data were collected from 437 patients from 6 hospital centres before, and at 18 month post, DAFNE intervention. Glycated haemoglobin (HbA 1c ), weight and height, and blood pressure levels were recorded by clinicians during clinic appointments. Questionnaires included the Diabetes-Specific Quality of Life Scale (DSQOLS), the Problem Areas in Diabetes Scale (PAID) and the Hospital Anxiety and Depression Scale (HADS). Basic demographics were recorded at baseline. Linear mixed models were fitted to identify predictors of change in quality of life at 18 month follow up.Results: Those with high levels of diabetes-related distress experienced greatest improvement in DSQOLS quality of life scores (p=0.001). Those with poor glycaemic control (higher levels of HbA 1c ; p=0.03) and those with high levels of anxiety (p=0.001) experienced greatest reductions in diabetes-related distress.Conclusions: Those with higher baseline levels of anxiety, higher levels of diabetes-related distress and higher baseline levels of HbA 1c are most likely to experience quality of life gain from participation in self-management programmes like DAFNE.

Diabetes self‐management, depressive symptoms, metabolic control and satisfaction with quality of life over time in Chinese youth with type 1 diabetes

“…International data have shown that depressive symptoms are a significant predictor of satisfaction with QOL in youth with T1D (Byrne et al . ). There was no significant relationship between depressive symptoms and HbA1c in this study as well as our cross‐sectional analysis, which was consistent with a study conducted in mainland China (Wang et al .…”

ViDa1: The Development and Validation of a New Questionnaire for Measuring Health-Related Quality of Life in Patients with Type 1 Diabetes

“…HRQoL has been widely studied in people with type 1 diabetes, generally in relation to other aspects such as the presence of chronic complications (DCCT Research Group, 1996; Hahl et al, 2002; Jacobson et al, 2013), glycemic control (Hoey et al, 2001; Tan et al, 2005; Cooke et al, 2015; Stahl-Pehe et al, 2017), disease duration (Sparring et al, 2013) and the impact of structured education programs (Speight et al, 2010; Byrne et al, 2012). The question of how to assess the burden of treatment and its effect on HRQoL in patients with type 1 diabetes has received less attention to date.…”

Effects of diabetes self-management programs on time-to-hospitalization among patients with type 2 diabetes: A survival analysis model

“…Some studies have documented positive impacts of various DSMPs on outcomes such as: glycated hemoglobin and fasting blood glucose levels [5–7]; rates of hospitalization [8]; lifestyle outcomes [9] and quality of life [10]. Other studies found no significant improvements in clinical outcomes [11–13] or quality of life [7].…”