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A retrospective analysis of the relationship between quality of life and metabolic control in adolescents with Type 1 diabetes [Abstract]

Huws-Thomas, Michelle Victoria, Hood, Kerenza, Gregory, John Welbourn, Rollnick, Stephen and Channon, Susan Jane 2010. A retrospective analysis of the relationship between quality of life and metabolic control in adolescents with Type 1 diabetes [Abstract]. International Journal of Mental Health Nursing 19 (s1) , A21. 10.1111/j.1447-0349.2010.00698.x

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Abstract

OBJECTIVES To examine the relationship between baseline quality of life and HbA1c in adolescents with type 1 diabetes, cross-sectionally and longitudinally (12 and 24 months follow up), along with the longitudinal relationships between changes in quality of life and changes in HbA1c over a 2 year study period. DESIGN Analyses were conducted on pre-existing (retrospective) data collected within a multi centre randomised controlled trial (RCT) delivering Motivational Interviewing (MI) in adolescents with Type 1 diabetes (Channon et al. 2007). Hypotheses were specifi ed a priori and generated by theoretical literature prior to knowledge of outcomes within the RCT. METHOD Data were examined on 66 adolescents (ages between 14–17 years) with Type 1 diabetes. The outcome measures were glycosylated haemoglobin (HbA1c) and the Diabetes Quality of life for Youths scale (DQOLY). RESULTS There was a signifi cant association between better quality of life at baseline and reductions in HbA1c longer term. Satisfaction and Impact subscales predicted reductions in HbA1c at 24 months, although the amount of variance explained was very small (0.9%). Although there were improvements in satisfaction with quality of life over the intervention period (baseline to 12 months), these did not translate into improvements in HbA1c longer term (12–24 months). CONCLUSION The findings provide support for the utility in measuring quality of life with the potential to improve long term glycaemic control.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
Subjects: R Medicine > R Medicine (General)
Additional Information: ACMHN 36th Annual Conference - 'Row with a team, or paddle alone', 30 August - 2 September 2010, Grand Chancellor Hotel, Tasmania
Publisher: Wiley and Blackwell
ISSN: 1447-0349
Last Modified: 06 Mar 2018 21:02
URI: http://orca.cf.ac.uk/id/eprint/18857

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