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Quality of Life in People with Type 2 Diabetes in Relation to Deprivation, Gender, and Age in a New Community-Based Model of Care
Joint Authors
Inverarity, Kathryn
Lindsay, Grace
McDowell, Joan R. S.
Source
Issue
Vol. 2011, Issue 2011 (31 Dec. 2011), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2011-06-21
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Objectives.
To evaluate changes in health related quality of life (HRQL) for individuals with Type 2 diabetes following the introduction of a new community-based model of care.
Methods.
A survey method was used in which HRQL, Problems Areas In Diabetes (PAID) and demographics were assessed before and 18 months after introducing the new service.
Results.
Overall HRQL and PAID scores were lower than published levels in individuals with diabetes but remained stable during the transition to the new model of care except for the bodily pain domain and deteriorating PAID scores for older patients.
Four domains of SF36 health showed deterioration in the highest socio-economic groups.
Deterioration was also observed in males, most notably mental health, in patients aged 54 years or less, 75 years or more and patients from socio-economic groups 1 and 2.
HRQL was lowest at baseline and follow-up in socio-economic groups 6 & 7.
Low levels of distress in patients across all deprivation categories was observed but remained stable over the transition.
Conclusions.
HRQL and distress associated with diabetes remained stable following the introduction of the new community-based model of care except for deterioration in the bodily pain domain and deteriorating PAID scores for older patients.
Relevance for Practice.
(i) Health related quality of life assessment is practical and acceptable to patients.
(ii) In clinical governance terms it is good practice to monitor the impact of change in service delivery on the health of the patients in your care.
(iii) Screening with health related quality of life tools such as generic and disease specific tools could help identify health problems otherwise undetected within current clinical care.
Systematic identification of the most vulnerable groups with Type 2 diabetes should allow care to be better targeted.
American Psychological Association (APA)
Lindsay, Grace& Inverarity, Kathryn& McDowell, Joan R. S.. 2011. Quality of Life in People with Type 2 Diabetes in Relation to Deprivation, Gender, and Age in a New Community-Based Model of Care. Nursing Research and Practice،Vol. 2011, no. 2011, pp.1-8.
https://search.emarefa.net/detail/BIM-485150
Modern Language Association (MLA)
Lindsay, Grace…[et al.]. Quality of Life in People with Type 2 Diabetes in Relation to Deprivation, Gender, and Age in a New Community-Based Model of Care. Nursing Research and Practice No. 2011 (2011), pp.1-8.
https://search.emarefa.net/detail/BIM-485150
American Medical Association (AMA)
Lindsay, Grace& Inverarity, Kathryn& McDowell, Joan R. S.. Quality of Life in People with Type 2 Diabetes in Relation to Deprivation, Gender, and Age in a New Community-Based Model of Care. Nursing Research and Practice. 2011. Vol. 2011, no. 2011, pp.1-8.
https://search.emarefa.net/detail/BIM-485150
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-485150