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A new self-completion outcome measure for diabetes: Is it responsive to change?

Lookup NU author(s): Dr Paula Whitty, Dr Nick Steen, Professor Martin Eccles, Emerita Professor Elaine McCollORCiD


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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.

Publication metadata

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

Year: 1997

Volume: 6

Issue: 5

Pages: 407-413

ISSN (print): 0962-9343

ISSN (electronic): 1573-2649

Publisher: Springer Netherlands


DOI: 10.1023/A:1018443628933

PubMed id: 9290307


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