Document Detail


Extent of satisfaction with tablets and food-timing in sulphonylurea-treated diabetes.
MedLine Citation:
PMID:  17517445     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This study measured patient views about following tablet-taking and food-timing recommendations in Type 2 diabetes. Two new questionnaires were validated. Outpatients with Type 2 diabetes treated with sulphonylurea agents (n=131) completed the seven-item Diabetes Tablet Treatment Questionnaire (DTTQ) and nine-item Diabetes Food Timing Questionnaire (DFTQ). Mean glycosylated haemoglobin (HbA1c) was 7.8% (S.D. 1.8%). At least 74% had optimal DTTQ item scores for tablet-taking as recommended, difficulty taking tablets, side effects, perceived hypoglycaemia and willingness to continue current tablets, but 71% scored sub-optimally regarding recent hyperglycaemia. Under half scored optimally on DFTQ items concerning eating at recommended times, difficulty with food-timing, denying oneself food and guilt about eating. Principal components and reliability analyses identified a two-item tablet problem scale within the DTTQ (alpha 0.72) and a seven-item food-timing problem scale in the DFTQ (alpha 0.77). Satisfaction and adherence were not closely related to glycaemic control. Only scores for perceived hyperglycaemia (r=0.38), perceived hypoglycaemia (r=-0.24) and satisfaction to continue current tablets (r=-0.20) correlated significantly with HbA1c. Clinicians found that the DTTQ helped to raise tablet-taking issues otherwise missed in consultations. Both questionnaires can be used to guide the need for focussed discussion, educational intervention and/or treatment change and to evaluate their impact.
Authors:
A Woodcock; S Bain; M Charlton; C Bradley
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2007-05-22
Journal Detail:
Title:  Diabetes research and clinical practice     Volume:  78     ISSN:  1872-8227     ISO Abbreviation:  Diabetes Res. Clin. Pract.     Publication Date:  2007 Dec 
Date Detail:
Created Date:  2007-11-09     Completed Date:  2008-01-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8508335     Medline TA:  Diabetes Res Clin Pract     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  324-33     Citation Subset:  IM    
Affiliation:
Department of Psychology, Royal Holloway, University of London, Egham, Surrey TW20 0EX, England, UK. a.woodcock@rhul.ac.uk
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Diabetes Mellitus, Type 2 / drug therapy*,  psychology*
Diabetic Diet
Employment
Female
Humans
Hyperglycemia / epidemiology
Hypoglycemia / epidemiology
Hypoglycemic Agents / adverse effects,  therapeutic use*
Male
Marital Status
Middle Aged
Patient Acceptance of Health Care
Patient Satisfaction*
Questionnaires
Reproducibility of Results
Sulfonylurea Compounds / adverse effects,  therapeutic use*
Tablets* / adverse effects
Chemical
Reg. No./Substance:
0/Hypoglycemic Agents; 0/Sulfonylurea Compounds; 0/Tablets

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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