University of Surrey

Test tubes in the lab Research in the ATI Dance Research

Modeling predictors of changes in glycemic control and diabetes-specific quality of life amongst adults with type 1 diabetes 1 year after structured education in flexible, intensive insulin therapy.

Cooke, D, Bond, R, Lawton, J, Rankin, D, Heller, S, Clark, M and Speight, J (2015) Modeling predictors of changes in glycemic control and diabetes-specific quality of life amongst adults with type 1 diabetes 1 year after structured education in flexible, intensive insulin therapy. J Behav Med.

Full text not available from this repository.

Abstract

Few studies have identified determinants of glycemic control (HbA1c) and diabetes-specific quality of life (DSQoL) in adults with type 1 diabetes. To identify factors predicting outcomes following structured diabetes education. 262 participants completed biomedical and questionnaire assessments before, and throughout 1 year of follow-up. The proportion of variance explained ranged from 28 to 62 % (DSQoLS) and 14-20 % (HbA1c). When change in psychosocial variables were examined, reduced hypoglycemia fear, lower 'perceived diabetes seriousness', greater self-efficacy and well-being predicted QoL improvements from baseline to 3-months. Increased frequency of blood glucose testing predicted improvements in HbA1c from baseline to 6-months. Greater benefits may be achieved if programs focus explicitly on psychosocial factors. Self-care behaviours did not predict HbA1c suggesting existing assessment tools need refinement. Evaluation of treatment mechanisms in selfmanagement programs is recommended.

Item Type: Article
Authors :
NameEmailORCID
Cooke, Dd.cooke@surrey.ac.ukUNSPECIFIED
Bond, RUNSPECIFIEDUNSPECIFIED
Lawton, JUNSPECIFIEDUNSPECIFIED
Rankin, DUNSPECIFIEDUNSPECIFIED
Heller, SUNSPECIFIEDUNSPECIFIED
Clark, MUNSPECIFIEDUNSPECIFIED
Speight, JUNSPECIFIEDUNSPECIFIED
Date : 14 June 2015
Identification Number : 10.1007/s10865-015-9649-y
Related URLs :
Depositing User : Symplectic Elements
Date Deposited : 17 May 2017 10:32
Last Modified : 17 May 2017 14:50
URI: http://epubs.surrey.ac.uk/id/eprint/828165

Actions (login required)

View Item View Item

Downloads

Downloads per month over past year


Information about this web site

© The University of Surrey, Guildford, Surrey, GU2 7XH, United Kingdom.
+44 (0)1483 300800