Browse by author
Lookup NU author(s): Dr Paula Whitty,
Dr Nick Steen,
Professor Martin Eccles,
Emerita Professor Elaine McCollORCiD
Full text for this publication is not currently held within this repository. Alternative links are provided below where available.
Self-completion instruments assessing subjective health are increasingly being used to measure patient outcome. However, there is very little evidence as yet of existing instruments responsiveness to change. This paper describes a study to evaluate the responsiveness to change of a self-completion instrument for the measurement of clinical outcome in patients with diabetes. A prospective follow-up study of 48 patients with non-insulin-dependent diabetes commencing insulin therapy was carried out, with assessments at baseline (i.e. pre-intervention), 6 weeks and 3 months post-intervention. The outcome measures used were the changes in scores on the self-completion instrument for symptom level, physical function, energy, depression, psychological distress and barriers to activity, HbA1c, non-fasting serum cholesterol and the body mass index (BMI). There were significant improvements in HbA1c and non-fasting serum cholesterol and worsening of the BMI, as expected. The self-completion instrument detected significant improvements in patient reported symptoms within 6 weeks of the intervention (p < 0.01) and in energy levels (p < 0.05). There is evidence from this study of the self-completion instrument's ability to respond to change and it has potential for use in evaluative studies.
Author(s): Whitty P, Steen N, Eccles M, McColl E, Hewison J, Meadows K, Clapp Z, Hutchinson A
Publication type: Article
Publication status: Published
Journal: Quality of Life Research
ISSN (print): 0962-9343
ISSN (electronic): 1573-2649
Publisher: Springer Netherlands
PubMed id: 9290307
Altmetrics provided by Altmetric