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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
journal contribution
posted on 2015-06-14, 00:00 authored by D Cooke, R Bond, J Lawton, D Rankin, S Heller, M Clark, Jane SpeightJane SpeightFew 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.
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Journal
Journal of Behavioral MedicinePublisher
SpringerPublisher DOI
ISSN
0160-7715eISSN
1573-3521Language
engPublication classification
C Journal article; C1 Refereed article in a scholarly journalCopyright notice
2015, Springer VerlagUsage metrics
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