Unhealthy days and quality of life in Irish patients with diabetes

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dc.contributor.authorClifford, Emma L.
dc.contributor.authorCollins, Margaret M.
dc.contributor.authorBuckley, Claire M.
dc.contributor.authorFitzgerald, Anthony P.
dc.contributor.authorPerry, Ivan J.
dc.contributor.funderHealth Research Board
dc.date.accessioned2016-02-17T11:44:41Z
dc.date.available2016-02-17T11:44:41Z
dc.date.issued2013
dc.description.abstractObjectives: To study the determinants of health-related quality of life (HRQoL) in Irish patients with diabetes using the Centres for Disease Controls' (CDC's) 'Unhealthy Days' summary measure and to assesses the agreement between this generic HRQoL measure and the disease-specific Audit of Diabetes Dependant Quality of Life (ADDQoL) measure. Research Design and Methods: Data were analysed from the Diabetes Quality of Life Study, a cross-sectional study of 1,456 people with diabetes in Ireland (71% response rate). Unhealthy days were assessed using the CDC's 'Unhealthy days' summary measure. Quality of life (QoL) was also assessed using the ADDQoL measure. Analyses were conducted primarily using logistic regression. The agreement between the two QoL instruments was measured using the kappa co-efficient. Results: Participants reported a median of 2 unhealthy days per month. In multivariate analyses, female gender (P = 0.001), insulin use (P = 0.030), diabetes complications (P =<0.001) were significantly associated with more unhealthy days. Older patients had fewer unhealthy days per month (P = 0.003). Agreement between the two measures of QoL (unhealthy days measure and ADDQoL) was poor, Kappa = 0.234 Conclusions: The findings highlight the determinants of HRQoL in patients with diabetes using a generic HRQoL summary measure. The 'Unhealthy Days' and the ADDQoL have poor agreement, therefore the 'Unhealthy Days' summary measure may be assessing a different construct. Nonetheless, this study demonstrates that the generic 'Unhealthy Days' summary measure can be used to detect determinants of HRQoL in patients with diabetes.en
dc.description.sponsorshipHealth Research Board (Grant No. RP/16-/2002)en
dc.description.statusPeer revieweden
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.articleide81102
dc.identifier.citationClifford EL, Collins MM, Buckley CM, Fitzgerald AP, Perry IJ (2013) Unhealthy Days and Quality of Life in Irish Patients with Diabetes. PLoS ONE 8(12): e81102. doi:10.1371/journal.pone.0081102
dc.identifier.doi10.1371/journal.pone.0081102
dc.identifier.issn1932-6203
dc.identifier.issued12en
dc.identifier.journaltitlePLOS ONEen
dc.identifier.urihttps://hdl.handle.net/10468/2349
dc.identifier.volume8en
dc.language.isoenen
dc.publisherPublic Library of Scienceen
dc.rights© 2015 Clifford et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are crediteden
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en
dc.subjectHealth statusen
dc.subjectU.S. adultsen
dc.subjectInstrumentsen
dc.subjectSurveillanceen
dc.subjectMellitusen
dc.subjectHabitsen
dc.subjectADDQoLen
dc.titleUnhealthy days and quality of life in Irish patients with diabetesen
dc.typeArticle (peer-reviewed)en
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