The Diabetes Treatment Satisfaction Questionnaire change version (DTSQc) A change version of the DTSQ (DTSQc) is compared here with the original status. as measured by the Diabetes Treatment Satisfaction Questionnaire (DTSQ status) Principal components analysis was conducted on the 8-item DTSQ (1). Bradley C. Diabetes Treatment Satisfaction Questionnaire (DTSQ). In: Bradley C, ed. Handbook of psychology and diabetes. Chur (Switzerland): Harwood.

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Less hypoglycaemia with insulin glargine in intensive insulin therapy for type 1 diabetes. The text is restricted to the interpretation of these results.

DTSQs and DTSQc – Diabetes Treatment Satisfaction Questionnaire, status and change versions

Scope and measurement of patient satisfaction. Insulin regimens for the non-insulin dependent: Analysis of responsiveness to change was carried out on the questionnairf dependent variables, change in Treatment Satisfaction, change in Perceived Hyperglycaemia, and change in Perceived Hypoglycaemia, using three-way analysis of variance ANOVA with Treatment 2 levelsQuestionnaire 2 levels and Ceiling effect 2 levels.

Africaconfirming the validity of the German version for Austria and now Germany for the first time, for patients with both type 1 and type 2 diabetes. Aseltine and colleagues suggested that status measures may not be an error-free method of measuring change, because patients’ standards, or the criteria they use to determine their ratings, may change following treatment as their frame of reference may change, so that questionnarie identical ratings are not, in fact, comparable.

Factors associated with treatment satisfaction in patients with type 2 diabetes. Support Center Support Center. To explore further the sensitivity to change of the questionnaires an analysis of effect sizes was conducted in addition to the treatmwnt of variance.

The first factor assesses treatment satisfaction and consists of six questions Q 1, 4, 5, 6, 7 and 8. Distributions of scores As anticipated, distribution of the raw baseline DTSQs rteatment was skewed for Treatment Satisfaction treatnent Perceived Hypoglycaemia [ 5 ]; while Perceived Hyperglycaemia scores were satisfactino distributed.

The important differences lie in the wording of the response options and instructions, which, in the DTSQc, direct the respondent to compare their experience of the current treatment with dts experience of treatment before the study began. These results suggest that the patients who experience a greater burden of hyperglycemia also tend to experience a greater burden of hypoglycemia, while the burden of hypoglycemia is more strongly correlated with reduced treatment satisfaction compared to the burden of hyperglycemia.


Royal College of Physicians; trfatment However, the principal features observed with the Treatment Satisfaction results, such as the main effect of Questionnaire and the interaction between Questionnaire and Floor effect, were observed once again, with the Change version showing greater improvements reductions in Perceived Hyperglycaemia than the Status version, particularly in those already reporting little hyperglycaemia at baseline.

In this review, we summarize the significance and the limitations of the use of DTSQ for the assessment of diabetes treatment and discuss the role of treatment satisfaction in diabetes care. Unlike the type 1 study, no main effect of Treatment was seen for patients with type 2 diabetes. Treament patterns of results, showing that the superiority of the change measure was significantly greater when patients scored at or near ceiling at baseline, were obtained for treatment satisfaction in the Type 2 study.

However, studies have shown the same efficacy of rapid-acting insulin analogs compared with regular insulin in terms of HbA1c levels. These six questions showed good internal consistency, with a Cronbach alpha score of 0. When the associations between the DTSQ score and other clinical parameters were examined, there was a weak negative correlation between the total questionnare of DTSQ and the intensity of treatment i.

If DTSQ score at baseline is already high enough, it will be difficult to detect further improvement in treatment satisfaction after intervention. Finally, DTSQ is a tool to assess treatment satisfaction that is specifically related to diabetes.

A randomized controlled trial. Diabetes care and research in Europe: Impact on diurnal metabolic state and quality of life. Table 2 Treayment and German unforced two-factor analyses. Published online Oct The criterion for the number of factors extracted in the unforced analysis was the number of principal components with eigenvalues greater than 1.

Diabetes Treatment Satisfaction Questionnaire, status and change versions (DTSQs and DTSQc)

The effects of treatment for the two questionnaires were compared regardless of questiomnaire the treatment was NPH dixbetes glargine. Africa yreatment the first time and the German is used here for the first time in Germany and Switzerland as well as Austria.


The questionnaires were filled out anonymously and the patients answered the questionnaires in the waiting room outside the examination room.

It was also expected that treatment satisfaction would be greater with insulin glargine given its longer action and constant release of insulin without a pronounced peak, achieved with only one daily injection compared with NPH insulin which even with two injections daily provides variable release of insulin.

The goal of diabetes treatment is the prevention of the onset and progression of micro- and macrovascular complications as well as the achievement of quality of life QOL and diabetfs equivalent to people without diabetes. Major questionnaires for Satisfadtion used internationally in patients with diabetes. To date, the assessment of PROs, including DTSQ, is essential for evaluating the efficacy of novel anti-diabetic agents and assessing the glucose-lowering effect related to HbA1c levels.

These results indicate that the assessment of treatment satisfaction with DTSQ may predict dropout from therapy. Tests of effect sizes showed these differences in response to change to be significantly in favour of the DTSQc. Please review our privacy policy. In the case of the two perceived blood glucose control items, the DTSQc is unequivocally more responsive to improvements in hypoglycaemia for those in the At Floor group.

Table 1 Demographic and clinical characteristics of the whole sample. Measurement of patients’ satisfaction with their care. Thus the division has made it possible to have a clearer picture of the benefits of using an explicit change measure at endpoint. The Irish J of Psychol. Change version for use alongside status version provides appropriate solution where ceiling effects occur. The one study of insulin lispro that used the DTSQ Change measure was able to show the substantial increases in patient satisfaction [ 17 ] apparent to clinicians in their routine practice, instead of the more modest, though significant, improvements apparent with the DTSQ Status [ 17 ].

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