Assessing the impact of diabetes on the quality of life of older adults living in a care home: validation of the ADDQoL Senior

Diabet. Med. 30, 74–80 (2013) Aims  Around a quarter of UK care‐home residents have diabetes. Diabetes is known to impact quality of life but existing diabetes‐specific quality of life measures are unsuitable for elderly care‐home residents. We aimed to develop and evaluate a new measure for use wit...

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Veröffentlicht in:Diabetic medicine 2013-01, Vol.30 (1), p.74-80
Hauptverfasser: Speight, J., Sinclair, A. J., Browne, J. L., Woodcock, A., Bradley, C.
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container_issue 1
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container_title Diabetic medicine
container_volume 30
creator Speight, J.
Sinclair, A. J.
Browne, J. L.
Woodcock, A.
Bradley, C.
description Diabet. Med. 30, 74–80 (2013) Aims  Around a quarter of UK care‐home residents have diabetes. Diabetes is known to impact quality of life but existing diabetes‐specific quality of life measures are unsuitable for elderly care‐home residents. We aimed to develop and evaluate a new measure for use with older adults, to be particularly suitable for use with care‐home residents: the Audit of Diabetes‐Dependent Quality of Life (ADDQoL) Senior*. Methods  Content and format changes were made to the 19‐domain ADDQoL, informed by related measures for people with visual impairments (12 domain‐specific items were retained, four items were revised/added and three items were removed). This revision was modified further following cognitive debriefing interviews with three older adults living in a care home. Psychometric evaluation of the newly developed 17‐domain ADDQoL Senior was conducted using data from 90 care‐home residents with diabetes who took part in a broader intervention study. Results  The life domains most impacted by diabetes were ‘independence’ and ‘freedom to eat as I wish’. The ADDQoL Senior demonstrated good factor structure and internal consistency (Cronbach’s alpha = 0.924). Domain scores were, as expected, significantly intercorrelated. Conclusions  The ADDQoL Senior measures the perceived impact of diabetes on quality of life in older adults, and has been found to be suitable for those living in care homes if administered by interview. The scale has demonstrated acceptability and excellent psychometric properties. It is anticipated that the number of items may be reduced in the future if our current findings can be replicated.
doi_str_mv 10.1111/j.1464-5491.2012.03748.x
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Psychometric evaluation of the newly developed 17‐domain ADDQoL Senior was conducted using data from 90 care‐home residents with diabetes who took part in a broader intervention study. Results  The life domains most impacted by diabetes were ‘independence’ and ‘freedom to eat as I wish’. The ADDQoL Senior demonstrated good factor structure and internal consistency (Cronbach’s alpha = 0.924). Domain scores were, as expected, significantly intercorrelated. Conclusions  The ADDQoL Senior measures the perceived impact of diabetes on quality of life in older adults, and has been found to be suitable for those living in care homes if administered by interview. The scale has demonstrated acceptability and excellent psychometric properties. 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Psychology ; Homes for the Aged ; Humans ; Male ; Medical Audit ; Medical sciences ; Nursing Homes ; Older people ; Patient Satisfaction ; Psychometrics ; Quality of Life ; Sickness Impact Profile ; Surveys and Questionnaires - standards ; Vertebrates: anatomy and physiology, studies on body, several organs or systems ; Vertebrates: endocrinology</subject><ispartof>Diabetic medicine, 2013-01, Vol.30 (1), p.74-80</ispartof><rights>2012 The Authors. Diabetic Medicine © 2012 Diabetes UK</rights><rights>2014 INIST-CNRS</rights><rights>2012 The Authors. 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J.</creatorcontrib><creatorcontrib>Browne, J. L.</creatorcontrib><creatorcontrib>Woodcock, A.</creatorcontrib><creatorcontrib>Bradley, C.</creatorcontrib><title>Assessing the impact of diabetes on the quality of life of older adults living in a care home: validation of the ADDQoL Senior</title><title>Diabetic medicine</title><addtitle>Diabet Med</addtitle><description>Diabet. Med. 30, 74–80 (2013) Aims  Around a quarter of UK care‐home residents have diabetes. Diabetes is known to impact quality of life but existing diabetes‐specific quality of life measures are unsuitable for elderly care‐home residents. We aimed to develop and evaluate a new measure for use with older adults, to be particularly suitable for use with care‐home residents: the Audit of Diabetes‐Dependent Quality of Life (ADDQoL) Senior*. Methods  Content and format changes were made to the 19‐domain ADDQoL, informed by related measures for people with visual impairments (12 domain‐specific items were retained, four items were revised/added and three items were removed). This revision was modified further following cognitive debriefing interviews with three older adults living in a care home. Psychometric evaluation of the newly developed 17‐domain ADDQoL Senior was conducted using data from 90 care‐home residents with diabetes who took part in a broader intervention study. Results  The life domains most impacted by diabetes were ‘independence’ and ‘freedom to eat as I wish’. The ADDQoL Senior demonstrated good factor structure and internal consistency (Cronbach’s alpha = 0.924). Domain scores were, as expected, significantly intercorrelated. Conclusions  The ADDQoL Senior measures the perceived impact of diabetes on quality of life in older adults, and has been found to be suitable for those living in care homes if administered by interview. The scale has demonstrated acceptability and excellent psychometric properties. It is anticipated that the number of items may be reduced in the future if our current findings can be replicated.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Diabetes</subject><subject>Diabetes Mellitus, Type 2 - psychology</subject><subject>Diabetes. Impaired glucose tolerance</subject><subject>Endocrine pancreas. Apud cells (diseases)</subject><subject>Endocrinopathies</subject><subject>Etiopathogenesis. Screening. Investigations. Target tissue resistance</subject><subject>Feeding. Feeding behavior</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. 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J.</au><au>Browne, J. L.</au><au>Woodcock, A.</au><au>Bradley, C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Assessing the impact of diabetes on the quality of life of older adults living in a care home: validation of the ADDQoL Senior</atitle><jtitle>Diabetic medicine</jtitle><addtitle>Diabet Med</addtitle><date>2013-01</date><risdate>2013</risdate><volume>30</volume><issue>1</issue><spage>74</spage><epage>80</epage><pages>74-80</pages><issn>0742-3071</issn><eissn>1464-5491</eissn><coden>DIMEEV</coden><abstract>Diabet. Med. 30, 74–80 (2013) Aims  Around a quarter of UK care‐home residents have diabetes. Diabetes is known to impact quality of life but existing diabetes‐specific quality of life measures are unsuitable for elderly care‐home residents. We aimed to develop and evaluate a new measure for use with older adults, to be particularly suitable for use with care‐home residents: the Audit of Diabetes‐Dependent Quality of Life (ADDQoL) Senior*. Methods  Content and format changes were made to the 19‐domain ADDQoL, informed by related measures for people with visual impairments (12 domain‐specific items were retained, four items were revised/added and three items were removed). This revision was modified further following cognitive debriefing interviews with three older adults living in a care home. Psychometric evaluation of the newly developed 17‐domain ADDQoL Senior was conducted using data from 90 care‐home residents with diabetes who took part in a broader intervention study. Results  The life domains most impacted by diabetes were ‘independence’ and ‘freedom to eat as I wish’. The ADDQoL Senior demonstrated good factor structure and internal consistency (Cronbach’s alpha = 0.924). Domain scores were, as expected, significantly intercorrelated. Conclusions  The ADDQoL Senior measures the perceived impact of diabetes on quality of life in older adults, and has been found to be suitable for those living in care homes if administered by interview. The scale has demonstrated acceptability and excellent psychometric properties. It is anticipated that the number of items may be reduced in the future if our current findings can be replicated.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>22804615</pmid><doi>10.1111/j.1464-5491.2012.03748.x</doi><tpages>7</tpages></addata></record>
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subjects Aged
Aged, 80 and over
Biological and medical sciences
Diabetes
Diabetes Mellitus, Type 2 - psychology
Diabetes. Impaired glucose tolerance
Endocrine pancreas. Apud cells (diseases)
Endocrinopathies
Etiopathogenesis. Screening. Investigations. Target tissue resistance
Feeding. Feeding behavior
Female
Fundamental and applied biological sciences. Psychology
Homes for the Aged
Humans
Male
Medical Audit
Medical sciences
Nursing Homes
Older people
Patient Satisfaction
Psychometrics
Quality of Life
Sickness Impact Profile
Surveys and Questionnaires - standards
Vertebrates: anatomy and physiology, studies on body, several organs or systems
Vertebrates: endocrinology
title Assessing the impact of diabetes on the quality of life of older adults living in a care home: validation of the ADDQoL Senior
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