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

Byrne, M, Newell, J, Newell, J, Coffey, N, O' Hara, MC, Dinneen, SF and Cooke, D (2012) Predictors of quality of life gains among people with type 1 diabetes participating in the Dose Adjustment for Normal Eating (DAFNE) structured education programme Diabetes Research and Clinical Practice. ISSN 0168-8227

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Abstract

Aims: To examine predictors of quality of life gains among people with type 1 diabetes following the Dose Adjustment for Normal Eating (DAFNE) self-management training programme. Methods: Clinical and questionnaire data were collected from 437 patients from 6 hospital centres before, and 18 months post-DAFNE intervention. Glycated haemoglobin (HbA ), weight, 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 an 18 month follow-up assessment. Results: Patients with high levels of diabetes-related distress experienced greatest improvement in DSQOLS quality of life scores (p = 0.001). Patients with poor glycaemic control (higher levels of HbA ; p = 0.03) and those with high levels of anxiety (p = 0.001) experienced the greatest reductions in diabetes-related distress. Conclusions: Patients with higher baseline levels of anxiety, higher levels of diabetes-related distress and higher baseline levels of HbA are most likely to experience quality of life gain from participation in self-management programmes such as DAFNE. © 2012 Elsevier Ireland Ltd. All rights reserved.

Item Type: Article
Additional Information: NOTICE: this is the author’s version of a work that was accepted for publication in Diabetes Research and Clinical Practice. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Diabetes Research and Clinical Practice, 98(2), November 2012, DOI 10.1016/j.diabres.2012.09.017.
Divisions: Faculty of Health and Medical Sciences > Health and Social Care
Depositing User: Symplectic Elements
Date Deposited: 03 Dec 2012 13:16
Last Modified: 23 Sep 2013 19:51
URI: http://epubs.surrey.ac.uk/id/eprint/737176

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