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Impact of monitoring health-related quality of life in clinical practice in children with type 1 diabetes mellitus.
- Source :
- Quality of Life Research; Dec2017, Vol. 26 Issue 12, p3267-3277, 11p
- Publication Year :
- 2017
-
Abstract
- <bold>Purpose: </bold>To test whether the systematic monitoring of health-related quality of life (HRQOL) in clinical practice in Spanish pediatric patients with T1DM helps improve their daily life in a multicenter longitudinal study.<bold>Methods: </bold>One hundred thirty-six patients participated, recruited from five centers in Barcelona, Spain (72 girls, mean age 13.4 years). Complete data were collected for 119 patients (85%). Pediatricians were randomly assigned to the HRQOL intervention (n = 70), or control group (n = 49). The intervention group discussed the results of HRQOL face to face with the physician, quarterly over a year. The control group received care as usual. HRQOL was assessed using KIDSCREEN-27 collected online. Standardized mean differences (effect size, ES) and generalized estimating equation (GEE) were computed to compare group differences between baseline and follow-up, taking into account sociodemographic and clinical variables.<bold>Results: </bold>Statistically significant higher scores were seen in the intervention group at follow-up for the dimensions of Psychological well-being (ES = 0.56), School environment (ES = 0.56), and the KIDSCREEN-10 index (ES = 0.63). No differences were found in the control group. GEE analysis showed an improvement in HRQOL at follow-up with statistically significant association of the intervention on Psychological well-being (B = 4.32; p 0.03 for the interaction of group by follow-up) and School environment (B = 4.64; p 0.02 for the same interaction term).<bold>Conclusions: </bold>Routine assessment and face-to-face patient-physician discussion of HRQOL results improved HRQOL scores after a year of follow-up, especially in Psychological well-being and school environment. The results support the routinary use of HRQOL assessment in clinical practice. [ABSTRACT FROM AUTHOR]
- Subjects :
- QUALITY of life
TYPE 1 diabetes
DIABETES in children
CHILDREN
SOCIODEMOGRAPHIC factors
PSYCHOLOGICAL well-being
PHYSICIAN-patient relations
COMPARATIVE studies
LONGITUDINAL method
RESEARCH methodology
MEDICAL cooperation
QUESTIONNAIRES
RESEARCH
RESEARCH funding
SICKNESS Impact Profile
EVALUATION research
PSYCHOLOGY
Subjects
Details
- Language :
- English
- ISSN :
- 09629343
- Volume :
- 26
- Issue :
- 12
- Database :
- Complementary Index
- Journal :
- Quality of Life Research
- Publication Type :
- Academic Journal
- Accession number :
- 126170731
- Full Text :
- https://doi.org/10.1007/s11136-017-1682-6