The development of an individualized questionnaire measure of perceived impact of diabetes on quality of life: the ADDQoL

The development of an individualized questionnaire measure of perceived impact of diabetes on quality of life: the ADDQoL
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DOI:
10.1023/a:1026485130100
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发表时间:
1999-01-01
影响因子:
3.5
通讯作者:
Plowright, R
Plowright, R
中科院分区:
医学2区
文献类型:
--
作者:
Bradley, C;Todd, C;Plowright, R

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本研究的目的是设计和开发一份问卷,以衡量个人对糖尿病对其生活质量(QoL)影响的看法。糖尿病依赖生活质量审计(ADDQoL)的设计受到SEIQoL访谈法中以患者为中心原则的影响。受访者只评价个人适用的生活领域,表明糖尿病的重要性和影响。52名糖尿病门诊患者和102名参加糖尿病教育开放日的患者提供了心理测量分析的数据。13个特定于领域的ADDQoL项目中的每一个都与大量应答者相关且重要。因子分析和Cronbach's内部一致性系数(0.85)支持将项目组合成量表。胰岛素治疗的患者报告糖尿病对生活质量的影响大于片剂/饮食治疗的患者。正如预期的那样,有微血管并发症的人比没有并发症的人表现出更大的糖尿病相关生活质量损害。与其他生活质量测量不同,ADDQoL是一种个性化的问卷调查,衡量糖尿病及其治疗对生活质量的影响。对成人糖尿病患者建立了初步的信度和效度证据。研究结果表明,与一般生活质量指标相比,ADDQoL对变化更敏感,对差异更敏感。《平等生活》第8卷第79-91 (C) 1999。
The objectives of the study were to design and develop a questionnaire to measure individuals' perceptions of the impact of diabetes on their quality of life (QoL). The design of the ADDQoL (Audit of Diabetes Dependent QoL) was influenced by patient-centred principles underlying the SEIQoL interview method. Respondents rate only personally-applicable life domains, indicating importance and impact of diabetes. Fifty-two out-patients with diabetes and 102 attending diabetes education open days provided data for psychometric analyses. Each of the 13 domain-specific ADDQoL items was relevant and important for substantial numbers of respondents. Factor analysis and Cronbach's alpha coefficient of internal consistency (0.85) supported combination of items into a scale. Insulin-treated patients reported greater impact of diabetes on QoL than tablet / diet-treated patients. People with microvascular complications showed, as expected, greater diabetes-related impairment of QoL than people without complications. Unlike other QoL measures, the ADDQoL is an individualized questionnaire measure of the impact of diabetes and its treatment on QoL. Preliminary evidence of reliability and validity is established for adults with diabetes. Findings suggest that the ADDQoL will be more sensitive to change and responsive to differences than generic QoL measures. Qual. Life Res. 8:79-91 (C) 1999 Kluwer Academic Publishers.