Establishing the thematic framework for a diabetes-specific health-related quality of life item bank for use in an english-speaking asian population

To establish a thematic framework for a Diabetes Mellitus (DM)-specific health-related quality of life (HRQoL) item bank by identifying important HRQoL themes and content gaps in existing DM-specific HRQoL measures and determining whether Patient-Reported Outcomes Measurement Information System (PRO...

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Veröffentlicht in:PloS one 2014-12, Vol.9 (12), p.e115654-e115654
Hauptverfasser: Koh, Odelia, Lee, Jeannette, Tan, Maudrene L S, Tai, E-Shyong, Foo, Ce Jin, Chong, Kok Joon, Goh, Su-Yen, Bee, Yong Mong, Thumboo, Julian, Cheung, Yin-Bun, Singh, Avjeet, Wee, Hwee-Lin
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container_issue 12
container_start_page e115654
container_title PloS one
container_volume 9
creator Koh, Odelia
Lee, Jeannette
Tan, Maudrene L S
Tai, E-Shyong
Foo, Ce Jin
Chong, Kok Joon
Goh, Su-Yen
Bee, Yong Mong
Thumboo, Julian
Cheung, Yin-Bun
Singh, Avjeet
Wee, Hwee-Lin
description To establish a thematic framework for a Diabetes Mellitus (DM)-specific health-related quality of life (HRQoL) item bank by identifying important HRQoL themes and content gaps in existing DM-specific HRQoL measures and determining whether Patient-Reported Outcomes Measurement Information System (PROMIS) item banks are useful as a starting point. English-speaking Type 2 DM patients were recruited from an outpatient specialist clinic in Singapore. Thematic analysis was performed through open coding and axial coding. Items from four existing DM-specific measures and PROMIS Version 1.0 and 2.0 item banks were compared with identified themes and sub-themes. 42 patients participated (25 men and 17 women; 28 Chinese, 4 Malay, 8 Indians, 2 other ethnicities). Median age was 53.70 years (IQR45.82-56.97) and the median disease duration was 11.13 (SD9.77) years. 10 subthemes (neutral emotions, coping emotions, empowered to help others, support from family, spend more time with family, relationships, financial burden on family, improved relationship, social support and religion/spirituality) were not covered by existing DM-specific measures. PROMIS covered 5 of 6 themes, 15 of 30 subthemes and 19 of 35 codes identified. Emotional distress (frustration, fear and anxiety) was most frequently mentioned (200 times). We had developed a thematic framework for assessing DM-specific HRQoL in a multi-ethnic Asian population, identified new items that needed to be written and confirmed that PROMIS was a useful starting point. We hope that better understanding and measurement of HRQoL of Asian DM patients will translate to better quality of care for them.
doi_str_mv 10.1371/journal.pone.0115654
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English-speaking Type 2 DM patients were recruited from an outpatient specialist clinic in Singapore. Thematic analysis was performed through open coding and axial coding. Items from four existing DM-specific measures and PROMIS Version 1.0 and 2.0 item banks were compared with identified themes and sub-themes. 42 patients participated (25 men and 17 women; 28 Chinese, 4 Malay, 8 Indians, 2 other ethnicities). Median age was 53.70 years (IQR45.82-56.97) and the median disease duration was 11.13 (SD9.77) years. 10 subthemes (neutral emotions, coping emotions, empowered to help others, support from family, spend more time with family, relationships, financial burden on family, improved relationship, social support and religion/spirituality) were not covered by existing DM-specific measures. PROMIS covered 5 of 6 themes, 15 of 30 subthemes and 19 of 35 codes identified. Emotional distress (frustration, fear and anxiety) was most frequently mentioned (200 times). We had developed a thematic framework for assessing DM-specific HRQoL in a multi-ethnic Asian population, identified new items that needed to be written and confirmed that PROMIS was a useful starting point. 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We hope that better understanding and measurement of HRQoL of Asian DM patients will translate to better quality of care for them.</description><subject>Adaptation</subject><subject>Adult</subject><subject>Aged</subject><subject>Anxiety</subject><subject>Asian Continental Ancestry Group - statistics &amp; numerical data</subject><subject>Banking industry</subject><subject>Banks</subject><subject>Clinical medicine</subject><subject>Coding</subject><subject>Diabetes</subject><subject>Diabetes mellitus</subject><subject>Diabetes Mellitus, Type 2 - epidemiology</subject><subject>Diabetes Mellitus, Type 2 - prevention &amp; control</subject><subject>Diabetic retinopathy</subject><subject>Emotions</subject><subject>Endocrinology</subject><subject>Female</subject><subject>Focus groups</subject><subject>Frustration</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Immunology</subject><subject>Information systems</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine and Health Sciences</subject><subject>Middle Aged</subject><subject>Patient Outcome Assessment</subject><subject>Patients</subject><subject>Pharmacy</subject><subject>Public health</subject><subject>Qualitative research</subject><subject>Quality of Life</subject><subject>Questionnaires</subject><subject>Rehabilitation</subject><subject>Religion</subject><subject>Research and Analysis Methods</subject><subject>Review boards</subject><subject>Rheumatology</subject><subject>Self Report</subject><subject>Singapore - epidemiology</subject><subject>Social interactions</subject><subject>Studies</subject><subject>Surveys and Questionnaires</subject><subject>Young Adult</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>DOA</sourceid><recordid>eNptks9u1DAQxiMEomXhDRBY4sIlS_wvm1yQUNVCpUpcerfGznjXWydObQfU9-CBSbrbqkUcLFvjb34zY39F8Z5Wa8o39Ms-THEAvx7DgOuKUllL8aI4pS1nZc0q_vLJ-aR4k9K-qiRv6vp1ccKk5FSw9rT4c54yaO_Szg1bkne4rB6yM8RG6PF3iDfEhkiAdA40ZkxlGtE4Oyt2CD7vyogeMnbkdgLv8h0JlnhnkbiMPdEwHABTmiMDgYHgsF0KLhy4WcpCcnN4DOM0g1wY3havLPiE7477qri-OL8--1Fe_fx-efbtqjSS1blktNOm2aCldSvlBnirO6s1lagRKmZsKwCltI3pbLexRnTSttrKhos5Efmq-HjAjj4kdXzPpGjNW9GySrBZcXlQdAH2aoyuh3inAjh1HwhxqyDOb-VRoWigEV3DoaEzvtJcaCNNqwFa2YKdWV-P1SbdY2dwyBH8M-jzm8Ht1Db8UoJtBK2WZj4fATHcTpiy6l0y6D0MGKalb1Fx1rD5l1fFp3-k_59OHFQmhpQi2sdmaKUWjz1kqcVj6uixOe3D00Eekx5Mxf8Cp2PVGw</recordid><startdate>20141222</startdate><enddate>20141222</enddate><creator>Koh, Odelia</creator><creator>Lee, Jeannette</creator><creator>Tan, Maudrene L S</creator><creator>Tai, E-Shyong</creator><creator>Foo, Ce Jin</creator><creator>Chong, Kok Joon</creator><creator>Goh, Su-Yen</creator><creator>Bee, Yong Mong</creator><creator>Thumboo, Julian</creator><creator>Cheung, Yin-Bun</creator><creator>Singh, Avjeet</creator><creator>Wee, Hwee-Lin</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20141222</creationdate><title>Establishing the thematic framework for a diabetes-specific health-related quality of life item bank for use in an english-speaking asian population</title><author>Koh, Odelia ; Lee, Jeannette ; Tan, Maudrene L S ; Tai, E-Shyong ; Foo, Ce Jin ; Chong, Kok Joon ; Goh, Su-Yen ; Bee, Yong Mong ; Thumboo, Julian ; Cheung, Yin-Bun ; Singh, Avjeet ; Wee, Hwee-Lin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c526t-21dbc87ef169557a39bdfbb15ebea02cf94ae55f8cdfd7fc4d5f9bf5834dbce3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adaptation</topic><topic>Adult</topic><topic>Aged</topic><topic>Anxiety</topic><topic>Asian Continental Ancestry Group - statistics &amp; numerical data</topic><topic>Banking industry</topic><topic>Banks</topic><topic>Clinical medicine</topic><topic>Coding</topic><topic>Diabetes</topic><topic>Diabetes mellitus</topic><topic>Diabetes Mellitus, Type 2 - epidemiology</topic><topic>Diabetes Mellitus, Type 2 - prevention &amp; control</topic><topic>Diabetic retinopathy</topic><topic>Emotions</topic><topic>Endocrinology</topic><topic>Female</topic><topic>Focus groups</topic><topic>Frustration</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Immunology</topic><topic>Information systems</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine and Health Sciences</topic><topic>Middle Aged</topic><topic>Patient Outcome Assessment</topic><topic>Patients</topic><topic>Pharmacy</topic><topic>Public health</topic><topic>Qualitative research</topic><topic>Quality of Life</topic><topic>Questionnaires</topic><topic>Rehabilitation</topic><topic>Religion</topic><topic>Research and Analysis Methods</topic><topic>Review boards</topic><topic>Rheumatology</topic><topic>Self Report</topic><topic>Singapore - epidemiology</topic><topic>Social interactions</topic><topic>Studies</topic><topic>Surveys and Questionnaires</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Koh, Odelia</creatorcontrib><creatorcontrib>Lee, Jeannette</creatorcontrib><creatorcontrib>Tan, Maudrene L S</creatorcontrib><creatorcontrib>Tai, E-Shyong</creatorcontrib><creatorcontrib>Foo, Ce Jin</creatorcontrib><creatorcontrib>Chong, Kok Joon</creatorcontrib><creatorcontrib>Goh, Su-Yen</creatorcontrib><creatorcontrib>Bee, Yong Mong</creatorcontrib><creatorcontrib>Thumboo, Julian</creatorcontrib><creatorcontrib>Cheung, Yin-Bun</creatorcontrib><creatorcontrib>Singh, Avjeet</creatorcontrib><creatorcontrib>Wee, Hwee-Lin</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing &amp; 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English-speaking Type 2 DM patients were recruited from an outpatient specialist clinic in Singapore. Thematic analysis was performed through open coding and axial coding. Items from four existing DM-specific measures and PROMIS Version 1.0 and 2.0 item banks were compared with identified themes and sub-themes. 42 patients participated (25 men and 17 women; 28 Chinese, 4 Malay, 8 Indians, 2 other ethnicities). Median age was 53.70 years (IQR45.82-56.97) and the median disease duration was 11.13 (SD9.77) years. 10 subthemes (neutral emotions, coping emotions, empowered to help others, support from family, spend more time with family, relationships, financial burden on family, improved relationship, social support and religion/spirituality) were not covered by existing DM-specific measures. PROMIS covered 5 of 6 themes, 15 of 30 subthemes and 19 of 35 codes identified. Emotional distress (frustration, fear and anxiety) was most frequently mentioned (200 times). We had developed a thematic framework for assessing DM-specific HRQoL in a multi-ethnic Asian population, identified new items that needed to be written and confirmed that PROMIS was a useful starting point. We hope that better understanding and measurement of HRQoL of Asian DM patients will translate to better quality of care for them.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>25531429</pmid><doi>10.1371/journal.pone.0115654</doi><oa>free_for_read</oa></addata></record>
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subjects Adaptation
Adult
Aged
Anxiety
Asian Continental Ancestry Group - statistics & numerical data
Banking industry
Banks
Clinical medicine
Coding
Diabetes
Diabetes mellitus
Diabetes Mellitus, Type 2 - epidemiology
Diabetes Mellitus, Type 2 - prevention & control
Diabetic retinopathy
Emotions
Endocrinology
Female
Focus groups
Frustration
Hospitals
Humans
Immunology
Information systems
Male
Medicine
Medicine and Health Sciences
Middle Aged
Patient Outcome Assessment
Patients
Pharmacy
Public health
Qualitative research
Quality of Life
Questionnaires
Rehabilitation
Religion
Research and Analysis Methods
Review boards
Rheumatology
Self Report
Singapore - epidemiology
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Young Adult
title Establishing the thematic framework for a diabetes-specific health-related quality of life item bank for use in an english-speaking asian population
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