Quality of Life Among Adolescents with Type I Diabetes Mellitus in Assiut

Size: px
Start display at page:

Download "Quality of Life Among Adolescents with Type I Diabetes Mellitus in Assiut"

Transcription

1 Med. J. Cairo Univ., Vol. 80, No. 1, June: , Quality of Life Among Adolescents with Type I Diabetes Mellitus in Assiut EMAN M.M. MONAZEA, M.D.; SAHAR H. TALHA, M.D.; ETEMAD A. EL-SHEREEF, M.D.; HOSNIA S. ABD EL-MEGEED, M.D. and LOBNA F. ELTONY, M.D.* The Departments of Public Health & Community Medicine and Internal Medicine*, Faculty of Medicine, Assiut University Abstract Background: Adolescents with diabetes mellitus type 1 often describe their situation as hard because any chronic condition has an impact on aspect of life in addition to the specific illness demands. Objective: To assess quality of life (QOL) and associated factors among adolescents with type I diabetes mellitus who attended the Health Insurance Clinic in Assiut city. Subjects and Methods: A cross sectional study was conducted on diabetic students who attended the health insurance Clinic in Assiut between June, 2009 and August A modified form of Diabetes Quality of life for Youth (DQOLY) questionnaire was used. It consists of 35 items on three subscales: Worry about diabetes (9 items), impact of diabetes (15 items) and satisfaction with treatment and life (11 items). Responses to questions were scored using three-point Likert scale. Lower score indicate a poor quality of life. Cronbachcoefficient of the instrument used was 0.87 indicating its internal consistency reliability. In addition demographic and disease related data were collected. Results: A total of 396 patients aged years (mean SD 14.7± 1.9) were included in the study. Males were 54.8%. About 60% of the studied adolescents were worried about their bodies look different because of diabetes and worried to get complications. 69.5% of cases feel physically ill and 46.7% miss school because of diabetes. 43.7% of cases feel embarrassed being in public. Adolescents with diabetes duration from 1-5 years had a higher score of QOL than whose with duration >5 years (88.6±8.2vs. 86.1±7.1, p=0.01). Patients with better metabolic control had a higher score of quality of life than whose with poor control (87.2 ±8.5vs ±8.7, p=0.039). Conclusion: The impact of diabetes was readily apparent affecting physical, school and social functioning of the adolescents. Good metabolic control and intensified insulin regimen are associated with a better quality of life. So interventions to improve metabolic control and type of insulin regimen are recommended to improve QOL for all diabetic patients. Correspondence to: Dr. Eman M.M. Monazea, The Departments of Public Health & Community Medicine, Faculty of Medicine, Assiut University Key Words: Adolescents Quality of life Type 1 diabetes. Introduction THE World Health Organization defines quality of life (QOL) as: Individual s perception of their position in life in the context of the culture and value systems in which they live and in relation to their goals, expectations, standards and concerns [1]. QOL measure has become a vital and often required part of health outcomes appraisal. For population with chronic disease, measurement of QOL provides a meaningful way to determine the impact of health care when cure is not possible [2]. Diabetes in children and adolescents poses serious physical, mental and emotional challenges. This is clearly due to fundamental conflicts existing between the tasks of managing diabetes and normative developmental facing the young adolescent who striving to be comfortable with rapidly maturing body, defining an identity, new role in the family, and gaining positive acceptance by peers [3,4]. Diabetes can adversely affect both psychosocial and neurocognitive functioning, thus potentially affecting the QOL of adolescent and the entire family [5]. Children and adolescents with diabetes experience a lower QOL than those without diabetes [6-8]. Generally, Levine et al. [9] reported that lower QOL scores are associated with older age, poorer glycemic control, more hypoglycemic episodes, having complication, lower level of education and self reported depression and female gender. 261

2 262 Quality of Life Among Adolescents with Type I Diabetes Mellitus in Assiut Diabetic adolescents are more afraid to do appropriate developmental activities and this can have a significant impact on their progression to independence and adulthood [10]. Consequently, it becomes important to understand how both diabetes and its management influence the adolescent s quality of life. Objective: To assess quality of life (QOL) and associated factors among adolescents with type I diabetes mellitus who attended the Health Insurance Clinic in Assiut city. Subjects and Methods A cross-sectional study was conducted in Sidi- Galal Health Insurance Clinic in Assiut city-egypt. The Diabetic clinic in health insurance is responsible for managing all diabetic students in Assiut governorate in terms of diagnosis, treatment, hospitalization, provision of drugs and health education. All diabetic school students aged years who attended the diabetes clinic between June, 2009 and August 2010 were included in the study. The students have been diagnosed as type 1 diabetics. Adolescents with coexisting chronic and psychiatric disease were excluded. A structured interviewing questionnaire was used to collect the following data from the diabetic adolescent and his/her parents: Personal data: Including age, sex and socioeconomic data which covered education and occupation of parents, crowding index and income. The socioeconomic level of the families was determined based on the scoring system of Fahmy and El-Sherbini (1983) [11] and classified to low, middle and high classes. Also, data about school achievement in the past year was recorded. Disease-related characteristics: Including duration of disease, number of insulin injections per day, number of hypo/hyper glycemic attacks in the past three months, number of hospital admissions in the last six months and present complications or not. Glycated hemoglobin (HBA 1 c%) was measured to determine if glycemic metabolic controlled ( 7.5) or not (>7.5) based on International Society for Pediatric and Adolescent Diabetes guidelines (ISPAD, 2009) [12]. Diabetes Quality of life for Youth (DQOLY) questionnaire is an instrument developed and validated by Ingersoll and Marrero [13] to assess the quality of life of diabetic adolescents. This questionnaire was translated to Arabic and subjected to a pilot study. The pretest revealed that adolescents have found difficulties to choose between the five- point Likert scale of the questions. So the original scale was modified into only three point-likert scale ranging from 1-3. The used questionnaire consists of 35 items, divided into three sections: Worry about diabetes (9 items), impact of diabetes (15 items) and satisfaction with treatment and life (11 items). The total quality of life score was obtained from summing of all items and then the percentage total score was calculated. Lower score indicate a poor quality of life. Cronbach s alpha was used to determine the internal consistency reliability of the total score and subscale scores of the instrument and it was 0.87 for total score, 0.74 for worry, 0.74 for impact and 0.84 for satisfaction subscales. Family contribution to diabetes management: Ten questions were constructed to assess family contribution in diabetes treatment like participating in insulin injection, checking blood glucose, controlling signs and symptoms of hypo or hyperglycemia, controlling diet and encourage physical activities. The answers were scored on a 3- point scale ranging from 1-3.The lower score indicate poor family contribution. The percentage of total score was calculated. The total sum was categorized as poor ( 60%), moderate (60-80%) and good (>80%). The scale demonstrated an adequate Cronbach s internal consistency of Statistical analysis: Statistical analysis was performed with SPSS for Windows (version 16). Frequencies, percentages, means and standard deviation were calculated. Chi-square test was used for comparison between males and females. Unpaired t test and Analysis of variance (ANOVA) were used to identify factors associated with quality of life. For all statistical tests, values of p<0.05 (two-tailed) were considered statistically significant. Results A total of 396 patients were included in the study. The patients mean age was 14.7 ± 1.9 years and 54.8% were males. Most of adolescents were from rural areas (82.3%) and were in middle social class (84.3%). About half of them were in the preparatory schools. Table (1) shows the distribution of diabetic cases according to their level of worry about diabetes. The results reveal that about 60% of the studied adolescents were always or sometimes worried about their bodies look different because

3 Eman M.M. Monazea, et al. 263 of diabetes. 61.4% of cases were always or sometimes worried to get complications. Approximately 70.0% of the adolescents were not worried to get job, to complete education, to keep with friends or about their teacher behavior. There were no significant statistical differences between males and females concerning all items of worry except in getting a trip. Table (2) shows distribution of diabetic adolescents according to physical and social impact of diabetes. The table shows that the percentages of diabetic adolescents reported always or sometimes feel pain, feel physically ill or had a bad night s sleep were 64.4%, 69.5% and 52.8% respectively. Girls reported that they always felt physically ill more than boys (14.5%vs. 4.6% p=0.003). Concerning social impact, 43.7% of adolescents always or sometimes feel embarrassed being in public and 36.1% of them always or sometimes hide hypoglycemic symptoms. Also 33.6% always or sometimes eat something forbidden rather than explain their disease to the others and 22.5% of diabetic adolescents always or sometimes get teased about diabetes. Table (1): Distribution of diabetic adolescents according to their level of worry about diabetes by gender. Worry items Always Sometimes Never\rarely No. % No. % No. % How often do you worry about whether Your body looks different because of diabetes Male Female You will get complication Male Female Someone will not get out with you Male Female You will complete your education Male Female You will get the job you want Male Female You will get a trip Male Female Teachers will treat you differently Male Female Your diabetes will disrupt something in school Male Female You will keep up with your friends Male Female

4 264 Quality of Life Among Adolescents with Type I Diabetes Mellitus in Assiut Table (2): Distribution of diabetic adolescents according to physical and social impact of diabetes by gender. Item How often do you Always Sometimes Never\rarely No. % No. % No. % Feel pain associated with management Male Female Feel physically ill Male Female Have a bad night s sleep Male Female Feel embarrassed being in public Male Female Feel restricted by diet Male Female Have to explain diabetes Male Female Get teased about diabetes Male Female Eat something you shouldn t rather than explain you have diabetes Male Female Hide that you are having hypoglycemia Male Female Feel prevented from eating out with friend Male Female

5 Eman M.M. Monazea, et al. 265 As regard school impact, Table (3) shows that 46.7% of diabetic adolescents always or sometimes miss school because of diabetes and 38.9% of them reported that their disease always or sometimes interfere with exercising. The table also shows that most of diabetic adolescents always or sometimes feel that their parents were too protective (86.9%), worry too much (89.1 %) and act as they, not them have, diabetes (89.2%). Table (4) shows the distribution of diabetics according to satisfaction level with treatment and life. The table presents that most of diabetic adolescents were satisfied in all items. Girls were more dissatisfied with time spent for exercising than males (9.5%vs. 2.8% p=0.01). In other items, there were no significant differences between males and females. The percent (%) mean scores of worry, impact, satisfaction and total QOL are shown in Fig. (1). For worry it was 85.3% ± 11.3, for impact it was 76.1%±9.3, for satisfaction it was 90.8% ± 10.5 and for the total QOL it was 87.2% ±8.6. Female patients reported lower scores than males but the differences were not significant. Table (5) shows that quality of life score was not affected by age, residence or socioeconomic level. The mean score QOL was little higher for male (87.7±7.8) than for female (86.6 ±9.4) but the difference was insignificant. The table also shows that the QOL score was lower when the adolescent failed to pass the last year exam. The QOL score was significantly higher when family contribution was good (p=0.015). Table (6) shows that duration of diabetes had a significant relation to QOL (p<0.01) where mean score of QOL was higher for patients with diabetes duration 1-5 years than for those with diabetes for less than 1 years or more than 5 years. QOL significantly increased with increase number of insulin injections/day as the mean score of QOL was (86.1 ±8.3) for those injecting insulin once/day and (89.6±9.5) for those injecting insulin three times or more (p=0.001). QOL score decreased with increase number of hospital admission in the last six months. The mean score of QOL was (89.1 ±8.6) for those never admitted to hospital and (84.0± 15.4) for those admitted more than three times (p=0.02). Furthermore QOL increased among controlled diabetics. The mean score of QOL was (87.2 ±8.5) for good controlled diabetics and (80.3 ±8.7) for poor controlled (p=0.039). Table (3): Distribution of diabetic adolescents according to school and family impact of diabetes by gender. Item Always Sometimes Never\rarely No. % No. % No. % How often do you Experience interference with exercising Male Female Miss school Male Female Feel that your parents are too protective Male Female Feel that your parents worry too much Male Female Feel that your parents act as if they, not you, have diabetes Male Female

6 266 Quality of Life Among Adolescents with Type I Diabetes Mellitus in Assiut Table ( 4): Distribution of diabetic adolescents according to satisfaction level with management and life by gender. Item How satisfied are you with Dissatisfied Neutral* Satisfied No. % No. % No. % Time taken to manage diabetes Male Female Time getting check-ups Male Female Time needed to monitor your blood glucose Male Female Current treatment Male Female knowledge of your disease Male Female Time spent exercising Male Female Work and school Male Female School attendance Male Female School performance Male Female How classmates treat you Male Female Life in general Male Female *Neither satisfied nor dissatisfied.

7 Eman M.M. Monazea, et al Male Female Worry Impact Satisfaction QOL Fig. (1): The percent (%) mean scores of worry, impact, satisfaction and total QOL by sex. Table (6): Percent (%) mean score of total QOL and diseaserelated characteristics. Duration of disease (in years) No. % mean±sd of total QOL score <1 year ± years ±8.2 >5 years ±7.1 Number of insulin injection/day: Once/day ± Twice/day ±7.8 Three or more times/day ±9.5 Number of hypoglycemic attacks/last three months: Once ± Twice ±7.7 Three or more time ±8.9 Never ±9.7 Number of hyperglycemic attacks/last three months: Once ± Twice ±9.2 Three or more times ±8.5 Never ±7.9 Number of hospital admission attacks/last 6 months: Once ± Twice ±7.7 Three or more times ± 15.4 Never ±8.6 Glycemic control (HbA 1 c): Controlled ± Uncontrolled ±8.7 Table (5): Tota QOL score (% mean ±SD) by socio-demographic characteristics of diabetic adolescents. Variable No. % mean±sd of total QOL score Gender: Male ±7.8 Female ± Age (in years): years ± years ± Residence: Urban ±8.53 Rural ± Socio economic level: Low ±8.8 Moderate ± High ±5.4 School achievement: Passed ±8.6 Not passed ± Family contribution: Poor/moderate ±9.6 Good ± Discussion Adolescents with type I diabetes are challenged to adapt to a lifestyle that required self-management of dietary practices, exercise behaviors, and insulin adjustment in addition to developing autonomy and self identity [8]. The present study revealed that the impact of diabetes was readily apparent affecting physical, school and social functioning of the adolescents. The percent mean score of impact of diabetes was 76.1±9.3 which was nearly equal to the finding of Abolfotouh et al. [14] in Alexandria (75.3 ± 10.2) and Graue et al. [7]. in USA (75.3%). The major impact of diabetes was on physical activity as 69.5% feel physically ill and this was more often in girls. More than 40% of adolescents miss school because of diabetes. While social impact of diabetes was mainly due to the embarrassment felt by the adolescent. It has been suggested that diabetes may slow psychological development of adolescents, thus affecting his self image, self-esteem, and ability to play and enjoy live, share with others, set limits, renounce, identify and make commitment [15]. Concerning worry, the total percent mean score of worry was 85.3± 11.3 compared to 77.9± 13.3 in a study conducted in Alexandria Abolfotouh et al. [14]. Most of diabetic adolescents (61.4%) were worried more about occurrence of complications supporting the finding of Abolfotouh et al. [14].

8 268 Quality of Life Among Adolescents with Type I Diabetes Mellitus in Assiut The study revealed that the total percent mean of satisfaction was 90.8 ± 10.5 which is higher than reported by Abolfotouh et al. [14] in Alexandria (77.0± 12.5). The diabetes satisfaction items overlap with content in the other scales of worry and impact. This poses challenges about how to manage discrepancies between satisfaction and impact or worry. Satisfaction is a discrepancy measure, the discrepancy between expectation and experience, posing difficult interpretation [16]. The results revealed that the percent mean of total QOL score was 87.2 ±8.6 which was rather satisfactory but higher than reported by Abolfotouh et al. [14] in Alexandria, which was 76.4 ±9.8. The difference is due to less worry and more satisfaction among our study population that may be related to difference in culture between adolescents in Lower and Upper Egypt. Concerning factors associated with QOL, the study found that female diabetic adolescents had total score QOL less than males but with no significant difference. Some studies demonstrated that diabetes had more impact on girls [16-19] whereas others found no significant differences between the two genders [14,20]. This controversy may be due to differences in culture among communities. The results also revealed no significant association between total QOL score and age, residence and family s socioeconomic status supporting the findings of [20,21]. It was concluded that the family is an integral part in treatment of diabetic patients especially among adolescents [22]. The present study found that family involvement in diabetic care had a positive relation to total QOL, as mean % of total QOL score was 86.0 ±9.6 for patients with poor family contribution versus 88.1 ±7.7 for patients with good family contribution. This result was supported by the finding of Lewin et al. [8,23]. On the other hand, Grey et al. [24] fond that family contribution was accompanied by greater diabetes impact and lower satisfaction. This difference may be attributed to the manner in which parental involvement is appraised by the patient and the level of involvement [25]. The present work demonstrated that there was a significant relationship between total score of QOL and duration of diabetes, as it decreased early in the disease and when the duration was more than 5 years. These results were in agreement with that reported by Al-Akour et al. [26]. However, other studies confirmed that there was no significant association between duration of the disease and QOL [27,28]. Our results revealed that the frequency of hypoglycemic episodes was not significantly associated with the QOL. Abolfotouh et al. [14] found a similar result. However, Hoey et al. [27,29] reported in their researches that increased frequency and severity of hypoglycemia deceased total quality of life of diabetics. The difference may be due to severity of hypoglycemic episodes which not asked about it in our study. The relation between hospital admissions and QOL was expected as admission to hospital had a negative impact on social, school life and family life of diabetics [30,31]. The results revealed that QOL score decreased with increase number of hospital admission in the last six months. The mean score of QOL was (89.1 ±8.6) for those never admitted to hospital and (84.0 ± 15.4) for those admitted more than three times (p=0.02). Abolfotouh et al. [14] reported that poorer QOL was significantly associated with more hospital admission in the last 6 months. Intensive treatment does not worsen QOL and in some cases it is related to better QOL [32] (Wagner et al., 2005). Our results showed that QOL significantly increased with increase number of insulin injections/day as the mean score of QOL was (86.1 ±8.3) for those injecting insulin once/day and (89.6±9.5) for those injecting insulin three times or more. The relationship between QOL and metabolic control, measured by Hbc 1 is conflicting [33,35]. The study demonstrated that there was significant association between glycemic control and total score of QOL. The score was 87.7 ±8.5 for patients with controlled diabetes compared to 80.3 ±8.7 for uncontrolled patients (p=0.039). Vanelli et al. [28,32,34] were in agreement with our result, where they confirmed that there are relationship between glycemic controlled and total score QOL. Also, Al- Akour et al. [26] found that higher Hbc 1 values were associated with lower scores of QOL. Hoey et al. [27] reported a significant positive association exists between improved glycemic control, even over a short time period and improved QOL in patients with diabetes. Other researchers found no association between QOL and metabolic control [6,20,36]. Better glycemic control creates a sense of empowerment which facilitate coping and is reflected on better QOL [37]. Conclusion and recommendations: The impact of diabetes was readily apparent affecting physical, school and social functioning of the adolescents. Good metabolic control and

9 Eman M.M. Monazea, et al. 269 intensified insulin regimen are associated with a better quality of life. So interventions to improve metabolic control and type of insulin regimen are recommended to improve QOL for all diabetic patients. Limitation of the study: The research was mostly descriptive, supporting the possible influence of diabetes on quality of life dimensions in adolescents. Further studies are needed to investigate the possible differences in QOL between diabetic and healthy adolescents. References 1- WHO: Study protocol for the WHO project to develop quality of life assessment instrument (WHOQOL). Q of L. Research, 2: 153-9, BERZON R.A., DONNELLY M.A., SIMPSON R.L., SIMEON G.D. and TILSON H.H.: Quality of life bibliography and indexes: 1994 update. Q. of L. Research, (4): , LINDDSTROM B. and ERIKKSON B.: Quality of life among children in the Nordic countries. Quality of life research, 12 (1): , GREYDANUS D.E. and HOFMANN A.D.: A prespective on the brittle teenage diabetic. J. Fam. Pract., (16): , DELAMATER A.M., JACOBSON A.M., ANDERSON B., COX D., EISER L., IUSTMAN P., RUBIN R., et al.: Psychosocial therapies in diabetes: report of the psychosocial working group. Dia. Care., (24): , CAMERON F.J., CLARKE C., HESKETH K., WHITE E.L., BOYCE D.F., DALTON V.L., et al.: Regional and urban Victorian diabetic Youth: clinical and quality- oflife outcomes. J. Pediatr Child. Health, 38: 593-6, GRAUE M., WENTZEL- LARSEN T., HANESTAD B.R., BATSVIK B. and SOVIK O.: Measuring self-reported, health-related, quality of life in adolescents with type I diabetes using both generic and disease-specific instruments. Acta. Paediatr, Oct., 92 (10): , FAULKNER M.S. and CHANG L.I.: Family influence on self-care, quality of life, and metabolic control in school-age children and adolescents with type I diabetes. Ped. Nurs., (1): 59-68, LEVINE B.S., ANDERSON B.J., BUTLER D.A., AN- TISDEL J.E., BRACKETT J. and LAFFEL L.: Predictors of glycemic control and short-term adverse outcomes in youth with type I diabetes. J. Pediatr., (139): , CARROLL A.E. and MARRERO D.G.: The role of significant others in adolescent diabetes: a qualitative study. Diabtes Educ., Mar-Apr., 32 (2): , FAHMY S. and EL-SHERBINI A.F.: Determining simple parameters for social classifications for health research. Bull HIPH, 13: , ISPAD (International Society for Pediatric and Adolescent Diabetes guidelines) Cilinical practice consensus guidelines, (2009): CategoryID= INGERSOLL G.M. and MARRERO D.G.: A modified quality of life measure for youth: Psychometric properties. Dia. Educator, (17): 114-8, ABOLFOTOUH M.A., MOFIDA M. KAMAL, MOHAM- ED D. EL-BOURGY and SHERINE G. MOHAMED: Quality of life and glycemic control in adolescents with type 1 diabetes and the impact of an education intervention. In Alexandria Int. J. Gen. Med., (4): , ABOLFOTOUH M.A.: Effect of diabetes mellitus on quality of life: A review. Ann. Saudi. Med., (6): , SKINNER T.C., HOY H., MCGEE H.M. and SKOVLUND S.E.: A short form of the Diabetes Quality of Life for Youth questionnaire: exploratory and confirmatory analysis in a sample of 2,077 young people with type I diabetes mellitus. Diabetologia, 49: , HERRMANN C.: International experiences with the Hospital Anxiety and Depression Scale-a Review of validation data and clinical results-j. Psychosom Res., (42): 17-41, VINGILIS E.R., WADE T.J. and SEELEY J.S.: Predicators of adolescent self-rated health: Analysis of the National Population Health Survey. Can. J. Public. Health, (93): 193-7, NAUGHTON M.J., RUGGIERO A.M., LAWRENCE J.M., IMPERATORE G., KLINGENSMITH G.J., WAIT- ZFELDER B., et al.: Health-related quality of life of children and adolescents with type 1 or type 2 diabetes mellitus. Arch. Pediatr. Adolesc. Med. Jul., 162 (7): , LAFFEL L.M., CONNELL A., VANGSNESS L., GOEBEL-FABBRI A., MANSFIELD A. and ANDERSON B.J.: General quality of life in youth with type I diabetes: relationship to patient management and diabetes-specific family conflict. Dia. care., (26): , EMMANOUILIDOU E., GALLI-TSINOPOULOU A., KARAVATOS A. and NOUSIA-ARVANITAKIS S.: Quality of life of children and adolescents with diabetes of Northern Greek origin, Hippokratia, Jul-Sep., 12 (3): , LAFFEL L.M., VANGSNESS L. and CONNELL A.: Family focused teamwork prevented deterioration in diabetes control in children and adolescents. Evidence- Based Nurs., 7-10, LEWIN A.B., HEIDGERKEN A.D., GEFFKEN G.R., WILLIAMS L.B., STORCH E.A., GELFAND K.M., et al.: The relation between family factors and metabolic control: The role of diabetes adherence. J. ped. Psychol., (2): , GREY M., BOLAND E.A., YU C., SULLIVAN B.S. and TAMBORLANE W.V.: Personal and family factors associated with quality of life in adolescents with diabetes. Dia Care, (21): , WIEBE D.J., BERG C.A., KORBEL C., PALMER D.L., BEVERIDGE R.M. and RENN U.R.: Enhancing our understanding of adherence, metabolic control, and quality of life across adolescence. J. Pediatr Psychol., 30 (2): , AL-AKOUR N., KHADER Y.S. and SHATNAWI N.J.: Quality of life and associated factors among Jordanian

10 270 Quality of Life Among Adolescents with Type I Diabetes Mellitus in Assiut adolescents with type I diabetes mellitus. J. Diabetes Complications, Jan-Feb., 24 (1): 43-7, HOEY H., ANSTOOT H.J., CHIARELLI F., DAMME- MAN D., DANNE T., DORCHY H., et al.: Good metabolic control is associated with better QOL in 2, 101 adolescents with type I diabetes. Dia. Care., 240: , VANELLI M., CHIARELLI F., CHIARI G. and TUMINI S.: Relationship between metabolic control and quality of life in adolescents with type 1 diabetes: Report from two Italian centers for the management of diabetes in childhood. Acta. Biomed, 74 Suppl, 1: 13-7, HART H.E.: Quality of life of patients with type I diabetes. Qual life Res., (12): , ROSE M., FLIEGE H., HILDEBRANDT M., SCHIROP T. and KLOPP B.F.: The network of psychological variables. Dia. Care., (25): 35-42, BRYDEN K.S., PEVELER R.C., STEIN A., NEIL A., MAYOU R.A. and DUNGER D.: Clinical and psychological course of diabetes from adolescence to young adulthood. Dia. Care., (24): , WAGNER V.M., MULLER GODEFFROY E., VON SEN- GBUSCH S., STEFAN HAGER S. and THYEN U.: Age, metabolic control and type of insulin regime infuences health-related quality of life in children and adolescents with type 1 diabetes mellitus. Eur. J. pediatr., (8): 491-6, EISER C., FLYNN M., GREEN E., et al.: Quality of life in young adults with type I diabetes in relation to demographic and disease variables. Diabet Med., 9: , Pub. Med. 34- FAULKNER M.S.: Quality of life for adolescents with type I diabetes: parental and youth perspectives. Pediatr Nurse., 29 (5): , DELAMATER A.M.: Quality of life in youth with diabetes Diabetes Spectrum., (13): 42-46, INGERSOLL G.M., GOLDEN M.P., VANDAGRIFF J.L., MARRERO D.G. and FINEBERG N.S.: Parents of children with diabetes. What are they worried about? Dia. Educator., (18): , LAU-CHUEN Y.EN, QURESHI A.K. and SCOTT S.G.: Association between glyceamic control and quality of life in diabetes mellitus. Journal of post Graduate Medicine, (3): , 2004.

Diabetes Related Distress in Transitional Age Evaluated By Problem Areas In Diabetes In Type 1 Diabetic Patients from Marrakech

Diabetes Related Distress in Transitional Age Evaluated By Problem Areas In Diabetes In Type 1 Diabetic Patients from Marrakech International Journal of New Technology and Research (IJNTR) ISSN:2454-4116, Volume-2, Issue-5, May 2016 Pages 150-153 Diabetes Related Distress in Transitional Age Evaluated By Problem Areas In Diabetes

More information

BACKGROUND. ADA and the European Association recently issued a consensus algorithm for management of type 2 diabetes

BACKGROUND. ADA and the European Association recently issued a consensus algorithm for management of type 2 diabetes BACKGROUND More than 25% of people with diabetes take insulin ADA and the European Association recently issued a consensus algorithm for management of type 2 diabetes Insulin identified as the most effective

More information

Knowledge of diabetes mellitus amongst nursing students Effect of an intervention

Knowledge of diabetes mellitus amongst nursing students Effect of an intervention Knowledge of diabetes mellitus amongst nursing students Effect of an intervention Sukhpal Kaur, Indarjit Walia Abstract : Nurses are the key providers of diabetes care. However the information provided

More information

Brief Report: Glycemic Control, Quality of Life, and School Experiences Among Students with Diabetes

Brief Report: Glycemic Control, Quality of Life, and School Experiences Among Students with Diabetes Brief Report: Glycemic Control, Quality of Life, and School Experiences Among Students with Diabetes Julie Wagner, 1 PHD, Alicia Heapy, 2 PHD, Amy James, 1 PHD, and Gina Abbott, 1 PHD 1 Department of Behavioral

More information

General Quality of Life in Youth With Type 1 Diabetes

General Quality of Life in Youth With Type 1 Diabetes Epidemiology/Health Services/Pyschosocial Research O R I G I N A L A R T I C L E General Quality of Life in Youth With Type 1 Diabetes Relationship to patient management and diabetes-specific family conflict

More information

Glycemic Control of Type 2 Diabetes Mellitus

Glycemic Control of Type 2 Diabetes Mellitus Bahrain Medical Bulletin, Vol. 28, No. 3, September 2006 Glycemic Control of Type 2 Diabetes Mellitus Majeda Fikree* Baderuldeen Hanafi** Zahra Ali Hussain** Emad M Masuadi*** Objective: To determine the

More information

Quality of Life of Children

Quality of Life of Children Quality of Life of Children with Mental Illness Martha J. Molly Faulkner, PhD, CNP, LISW University of New Mexico Health Sciences Center Children s Psychiatric Center Outpatient Services Objectives History

More information

Effects of Massage Therapy and Muscle Relaxation on Glycosylated Hemoglobin in Diabetic Children.

Effects of Massage Therapy and Muscle Relaxation on Glycosylated Hemoglobin in Diabetic Children. In the name of God Department of Internal Medicine Shiraz E-Medical Journal Vol. 9, No. 1, January 2008 http://semj.sums.ac.ir/vol9/jan2008/dm.htm Effects of Massage Therapy and Muscle Relaxation on Glycosylated

More information

CHAPTER V DISCUSSION. normal life provided they keep their diabetes under control. Life style modifications

CHAPTER V DISCUSSION. normal life provided they keep their diabetes under control. Life style modifications CHAPTER V DISCUSSION Background Diabetes mellitus is a chronic condition but people with diabetes can lead a normal life provided they keep their diabetes under control. Life style modifications (LSM)

More information

Jill Malcolm, Karen Moir

Jill Malcolm, Karen Moir Evaluation of Fife- DICE: Type 2 diabetes insulin conversion Article points 1. Fife-DICE is an insulin conversion group education programme. 2. People with greater than 7.5% on maximum oral therapy are

More information

Using the Concept of Being Safe as a Positive Motivator In Diabetes Education

Using the Concept of Being Safe as a Positive Motivator In Diabetes Education Inova Health System Using the Concept of Being Safe as a Positive Motivator In Diabetes Education Ann Carnes MN RN CDE Sally Guise RD CDE AADE Annual Meeting August 6, 2009 Why Safety? 67% of Americans

More information

Common Drug Review Patient Group Input Submissions

Common Drug Review Patient Group Input Submissions Common Drug Review Patient Group Input Submissions Canagliflozin (Invokana) for Diabetes Mellitus, Type 2 Patient group input submissions were received from the following patient groups. Those with permission

More information

Pain, Coping and Sleep in Children and Adolescents With Sickle Cell Disease J. Kelly Graves, PhD, RN Eufemia Jacob, PhD, RN

Pain, Coping and Sleep in Children and Adolescents With Sickle Cell Disease J. Kelly Graves, PhD, RN Eufemia Jacob, PhD, RN Pain, Coping and Sleep in Children and Adolescents With Sickle Cell Disease J. Kelly Graves, PhD, RN Eufemia Jacob, PhD, RN Sigma Theta Tau International 24 th International Nursing Research Congress July

More information

British Columbia Pharmacy Association (BCPhA) Clinical Service Proposal Self-Monitoring of Blood Glucose in Type 2 Diabetes

British Columbia Pharmacy Association (BCPhA) Clinical Service Proposal Self-Monitoring of Blood Glucose in Type 2 Diabetes British Columbia Pharmacy Association (BCPhA) Clinical Service Proposal Self-Monitoring of Blood Glucose in Type 2 Diabetes Introduction Self-monitoring of blood glucose (SMBG) is in widespread use among

More information

Medical Regimen Adherence in the Management of Diabetes: What Psychologists Need to Know

Medical Regimen Adherence in the Management of Diabetes: What Psychologists Need to Know Medical Regimen Adherence in the Management of Diabetes: What Psychologists Need to Know Suzanne Bennett Johnson Distinguished Research Professor Florida State University College of Medicine 2012 President,

More information

Quality of Life and Illness Perception in Adult EB Clinic Patients

Quality of Life and Illness Perception in Adult EB Clinic Patients Quality of Life and Illness Perception in Adult EB Clinic Patients Diane Beattie, Psychologist in Clinical Training Jacinta Kennedy, Principal Clinical Psychologist Katherine Sweeney, Clinical Nurse Specialist

More information

SAHM - AM14 Research Poster Presentations: Chronic Illness

SAHM - AM14 Research Poster Presentations: Chronic Illness Chronic Illness: 74-78 74. Concordance Between Youth and Parents Scores and Responses on the Am I ON TRAC for Adult Care Questionnaire Melissa Moynihan, MSN 1 ; Elizabeth M. Saewyc, PhD, RN, FSAHM 1 ;

More information

Adherence to insulin therapy at a tertiary care diabetes center in South India

Adherence to insulin therapy at a tertiary care diabetes center in South India Original Article: Adherence to insulin therapy at a tertiary care diabetes center in South India M.S. Raut, J. Balasubramanian, R.M. Anjana, R Unnikrishnan, *V. Mohan Abstract To assess patient adherence

More information

Health and Behavior Assessment/Intervention

Health and Behavior Assessment/Intervention Health and Behavior Assessment/Intervention Health and behavior assessment procedures are used to identify the psychological, behavioral, emotional, cognitive, and social factors important to the prevention,

More information

International Journal of Economics, Commerce and Management United Kingdom Vol. II, Issue 2, 2014

International Journal of Economics, Commerce and Management United Kingdom Vol. II, Issue 2, 2014 International Journal of Economics, Commerce and Management United Kingdom Vol. II, Issue 2, 2014 http://ijecm.co.uk/ ISSN 2348 0386 HEALTHCARE MANAGEMENT AND PSYCHOLOGICAL WELL-BEING IN PATIENTS WITH

More information

Treatment Satisfaction among patients attending a private dental school in Vadodara, India

Treatment Satisfaction among patients attending a private dental school in Vadodara, India J. Int Oral Health 2010 Case Report All right reserved Treatment Satisfaction among patients attending a private dental school in Vadodara, India Thanveer K* Ajith Krishnan** Sudheer Hongal*** *M.D.S,

More information

Concept Series Paper on Disease Management

Concept Series Paper on Disease Management Concept Series Paper on Disease Management Disease management is the concept of reducing health care costs and improving quality of life for individuals with chronic conditions by preventing or minimizing

More information

NCT00272090. sanofi-aventis HOE901_3507. insulin glargine

NCT00272090. sanofi-aventis HOE901_3507. insulin glargine These results are supplied for informational purposes only. Prescribing decisions should be made based on the approved package insert in the country of prescription Sponsor/company: Generic drug name:

More information

Predictors of Self-care Behavior in Adults With Type 2 Diabetes: An RRNeST Study

Predictors of Self-care Behavior in Adults With Type 2 Diabetes: An RRNeST Study 354 May 2001 Family Medicine Predictors of Self-care Behavior in Adults With Type 2 Diabetes: An RRNeST Study Teresa L. Albright, MD; Michael Parchman, MD; Sandra K. Burge, PhD; and the RRNeST Investigators

More information

Assessment of Knowledge of Diabetes Mellitus among Bahraini School Teachers

Assessment of Knowledge of Diabetes Mellitus among Bahraini School Teachers Bahrain Medical Bulletin, Vol. 25, No. 4, December 2003 Assessment of Knowledge of Diabetes Mellitus among Bahraini School Teachers Faisal A Latif Alnasir FPC, FRCGP, MICGP, PhD* Background: School teachers

More information

PharmaSUG2011 Paper HS03

PharmaSUG2011 Paper HS03 PharmaSUG2011 Paper HS03 Using SAS Predictive Modeling to Investigate the Asthma s Patient Future Hospitalization Risk Yehia H. Khalil, University of Louisville, Louisville, KY, US ABSTRACT The focus of

More information

Module I October 18-22, 2015 JW Marriott Marquis Hotel, Dubai, UAE

Module I October 18-22, 2015 JW Marriott Marquis Hotel, Dubai, UAE CME Accreditation is under process Module 1: Diabetes Facts and Diabetes in the Clinic Module 2: Nursing theory and educational (pedagogical) tools to advise and educate people with diabetes and their

More information

Mental Health Referral Practices and Diabetic Management at Community Medical Alliance Clinic (Bell Site) Northeast Community Clinic (NECC)

Mental Health Referral Practices and Diabetic Management at Community Medical Alliance Clinic (Bell Site) Northeast Community Clinic (NECC) Mental Health Referral Practices and Diabetic Management at Community Medical Alliance Clinic (Bell Site) Northeast Community Clinic (NECC) MaryAnn Garcia, SUNY Downstate Medical College NMF PCLP Scholar

More information

Perception of Nurse Interns about Clinical Assignment Preparation Requirements

Perception of Nurse Interns about Clinical Assignment Preparation Requirements Perception of Nurse Interns about Clinical Assignment Preparation Requirements Abdel Kader AM 1, Mohamed EA 2 and Abood SA 3 Departments of 1 Nursing Education; 2 Medical Surgical Nursing and 3 Nursing

More information

Eating Disorders. Symptoms and Warning Signs. Anorexia nervosa:

Eating Disorders. Symptoms and Warning Signs. Anorexia nervosa: Eating Disorders Eating disorders are serious conditions that can have life threatening effects on youth. A person with an eating disorder tends to have extreme emotions toward food and behaviors surrounding

More information

The Relationship Between Empowerment Care and Quality of Life Among Members of Assisted Living Facilities

The Relationship Between Empowerment Care and Quality of Life Among Members of Assisted Living Facilities The Relationship Between Empowerment Care and Quality of Life Among Members of Assisted Living Facilities Kirsten Kranz Faculty Sponsor: Dung Ngo, Department of Psychology ABSTRACT The purpose of this

More information

Spinal cord injury and quality of life: a systematic review of outcome measures

Spinal cord injury and quality of life: a systematic review of outcome measures Systematic review Spinal cord injury and quality of life: a systematic review of outcome measures 37 37 44 Spinal cord injury and quality of life: a systematic review of outcome measures Authors Jefferson

More information

Depression often coexists with other chronic conditions

Depression often coexists with other chronic conditions Depression A treatable disease PROPORTION OF PATIENTS WHO ARE DEPRESSED, BY CHRONIC CONDITION Diabetes 33% Parkinson s Disease % Recent Stroke % Hospitalized with Cancer 42% Recent Heart Attack 45% SOURCE:

More information

A questionnaire and psychological tests for depression and self-esteem were administered as baseline screening (pre-test) after

A questionnaire and psychological tests for depression and self-esteem were administered as baseline screening (pre-test) after 136 198 2004 2003 14 12 %13.2 17 %7.1 %9.6 3 32 9 Depression in childhood and adolescence is among the commonest and more disabling disorders. It has been reported that childhood depression ranges from

More information

Assessing Quality of Life for New Diabetes Treatments and Technologies: A Simple Patient-Centered Score

Assessing Quality of Life for New Diabetes Treatments and Technologies: A Simple Patient-Centered Score Journal of Diabetes Science and Technology Volume 1, Issue 3, May 2007 Diabetes Technology Society ORIGINAL ARTICLES Assessing Quality of Life for New Diabetes Treatments and Technologies: John C., B.M.,

More information

Food costing in BC 2013. October 2014

Food costing in BC 2013. October 2014 October 2014 Food costing in BC 2013 Sufficient, safe and nutritious food is critical to the health and well-being of the British Columbian population, which is why Provincial Health Services Authority

More information

TRANSITIONING FROM PEDIATRIC TO ADULT DIABETES CARE

TRANSITIONING FROM PEDIATRIC TO ADULT DIABETES CARE Research TRANSITIONING FROM PEDIATRIC TO ADULT DIABETES CARE ABSTRACT Nicole Johnson, DrPH, MPH, MA University of South Florida Stephanie T. Melton, PhD, MPH, MA University of South Florida Ashley N. Wingert,

More information

Patients' Satisfaction with Primary Health Care Services at Capital Health Region, Kuwait

Patients' Satisfaction with Primary Health Care Services at Capital Health Region, Kuwait Middle East Journal of Family Medicine, 25; Vol. 3 (3) Patients' Satisfaction with Primary Health Care Services at Capital Health Region, Kuwait Authors: Ibrahim S Al-Eisa (), Manal S Al-Mutar (2), Maged

More information

Using a Flow Sheet to Improve Performance in Treatment of Elderly Patients With Type 2 Diabetes

Using a Flow Sheet to Improve Performance in Treatment of Elderly Patients With Type 2 Diabetes Special Series: AAFP Award-winning Research Papers Vol. 31, No. 5 331 Using a Flow Sheet to Improve Performance in Treatment of Elderly Patients With Type 2 Diabetes Gary Ruoff, MD; Lynn S. Gray, MD, MPH

More information

Disease Therapy Management (DTM) Enhances Rheumatoid Arthritis Treatment

Disease Therapy Management (DTM) Enhances Rheumatoid Arthritis Treatment A WHITE PAPER BY Disease Therapy Management (DTM) Enhances Rheumatoid Arthritis Treatment Increased adherence rates deliver improved outcomes for patients FALL 2010 The Benefits of DTM for Rheumatoid Arthritis

More information

Assessment of depression in adults in primary care

Assessment of depression in adults in primary care Assessment of depression in adults in primary care Adapted from: Identification of Common Mental Disorders and Management of Depression in Primary care. New Zealand Guidelines Group 1 The questions and

More information

Teacher's Knowledge, Attitudes and Management Practices about Diabetes Care in Riyadh s Schools

Teacher's Knowledge, Attitudes and Management Practices about Diabetes Care in Riyadh s Schools Teacher's Knowledge, Attitudes and Management Practices about Diabetes Care in Riyadh s Schools Ensaf S. Abdel Gawwad Health Administration and Behavioral Sciences Dept., High Institute of Public Health,

More information

Running Head: INTERNET USE IN A COLLEGE SAMPLE. TITLE: Internet Use and Associated Risks in a College Sample

Running Head: INTERNET USE IN A COLLEGE SAMPLE. TITLE: Internet Use and Associated Risks in a College Sample Running Head: INTERNET USE IN A COLLEGE SAMPLE TITLE: Internet Use and Associated Risks in a College Sample AUTHORS: Katherine Derbyshire, B.S. Jon Grant, J.D., M.D., M.P.H. Katherine Lust, Ph.D., M.P.H.

More information

Diabetes Management Collaborative

Diabetes Management Collaborative Diabetes Management Collaborative Benjamin Miller, PsyD University of Massachusetts Medical School Department of Family Medicine and Community Health Diabetes and Consultation! The goals of this presentation:!

More information

IMPACT OF DIABETES ON QUALITY OF LIFE OF ELDERLY

IMPACT OF DIABETES ON QUALITY OF LIFE OF ELDERLY 1 Panacea Journal of Health Science IMPACT OF DIABETES ON QUALITY OF LIFE OF ELDERLY Shama Begum, Research Scholar, Roopa K.S. Associate Professor, Department of Human Development and Research Centre,

More information

Diabetes and depression: Impact of depression on self-care among patients with type 2 diabetes

Diabetes and depression: Impact of depression on self-care among patients with type 2 diabetes Research Article Diabetes and depression: Impact of depression on self-care among patients with type 2 diabetes Ayesha Siddiqua Nawaz 1, Abhay B Mane 2, M R Ramakrishna 3 1 Department of Community Medicine,

More information

Cognitive function and academic achievement in children with type 1 diabetes

Cognitive function and academic achievement in children with type 1 diabetes Cognitive function and academic achievement in children with type 1 diabetes Hani Abozaid Community Medicine Department, Faculty of Medicine, Taif University, Saudi Arabia Correspondence: Dr. Hani Abozaid

More information

Social Support, Depression and Treatment Adherence Among Type 2 Diabetes Patients

Social Support, Depression and Treatment Adherence Among Type 2 Diabetes Patients Social Support, Depression and Treatment Adherence Among Type 2 Diabetes Patients Elyse Kupperman MA 1, Jeffrey S. Gonzalez PhD 1,2, Christina Psaros PhD 3, Jonathan Feldman PhD 1, Steven Safren PhD 3

More information

Evaluation of a Self- Management Course Using the Health Education Impact Questionnaire

Evaluation of a Self- Management Course Using the Health Education Impact Questionnaire Evaluation of a Self- Management Course Using the Health Education Impact Questionnaire Tiffany Gill Jing Wu Anne Taylor Report by Population Research and Outcome Studies, University of Adelaide for Arthritis

More information

The Effect of the Change in the Definition of Type 2 Diabetes on Patient Demographics

The Effect of the Change in the Definition of Type 2 Diabetes on Patient Demographics Int J Endocrinol Metab 2009;2: 51-55 The Effect of the Change in the Definition of Type 2 Diabetes on Patient Demographics ORIGINAL ARTICLE Tildesley HD a,b, Wise JS b, Mazanderani AB a, Aydin CA b, Fraser

More information

Rede ning medical students' disease to reduce morbidity

Rede ning medical students' disease to reduce morbidity Research papers Rede ning medical students' disease to reduce morbidity Rona Moss-Morris & Keith J Petrie Objectives To gain a clearer conceptual understanding of medical students' disease and its impact

More information

Summary of health effects

Summary of health effects Review of Findings on Chronic Disease Self- Management Program (CDSMP) Outcomes: Physical, Emotional & Health-Related Quality of Life, Healthcare Utilization and Costs Summary of health effects The major

More information

FACTORS ASSOCIATED WITH HEALTHCARE COSTS AMONG ELDERLY PATIENTS WITH DIABETIC NEUROPATHY

FACTORS ASSOCIATED WITH HEALTHCARE COSTS AMONG ELDERLY PATIENTS WITH DIABETIC NEUROPATHY FACTORS ASSOCIATED WITH HEALTHCARE COSTS AMONG ELDERLY PATIENTS WITH DIABETIC NEUROPATHY Luke Boulanger, MA, MBA 1, Yang Zhao, PhD 2, Yanjun Bao, PhD 1, Cassie Cai, MS, MSPH 1, Wenyu Ye, PhD 2, Mason W

More information

Presently, there are no means of preventing bipolar disorder. However, there are ways of preventing future episodes: 1

Presently, there are no means of preventing bipolar disorder. However, there are ways of preventing future episodes: 1 What is bipolar disorder? There are two main types of bipolar illness: bipolar I and bipolar II. In bipolar I, the symptoms include at least one lifetime episode of mania a period of unusually elevated

More information

Validation of the Treatment Related Impact Measure for Diabetes Treatment and Device: TRIM-Diabetes and TRIM-Device

Validation of the Treatment Related Impact Measure for Diabetes Treatment and Device: TRIM-Diabetes and TRIM-Device Validation of the Treatment Related Impact Measure for Diabetes Treatment and Device: TRIM-Diabetes and TRIM-Device Authors Meryl Brod President, The Brod Group Mette Hammer Associate Director, Health

More information

Improving drug prescription in elderly diabetic patients. FRANCESC FORMIGA Hospital Universitari de Bellvitge

Improving drug prescription in elderly diabetic patients. FRANCESC FORMIGA Hospital Universitari de Bellvitge Improving drug prescription in elderly diabetic patients FRANCESC FORMIGA Hospital Universitari de Bellvitge High prevalence, but also increases the incidence. The older the patients, the higher the percentages

More information

echat: Screening & intervening for mental health & lifestyle issues

echat: Screening & intervening for mental health & lifestyle issues echat: Screening & intervening for mental health & lifestyle issues Felicity Goodyear-Smith Professor & Academic Head Dept of General Practice & Primary Health Care Faculty of Medicine & Health Science

More information

Analysis of Quality of Life among Middle Aged and Elderly Women Participating in Health Dance Exercise

Analysis of Quality of Life among Middle Aged and Elderly Women Participating in Health Dance Exercise , pp. 163-168 http://dx.doi.org/10.14257/ijbsbt.2014.6.3.19 Analysis of Quality of Life among Middle Aged and Elderly Women Participating in Health Dance Exercise Mi Ryeong Song 1 and Li Ra Song 2 1 Associate

More information

Insulin initiation in type 2 diabetes: Experience and insights

Insulin initiation in type 2 diabetes: Experience and insights Insulin initiation in type 2 diabetes: Experience and insights Joan Everett A diagnosis of type 2 diabetes can be devastating for the individual and their family. Furthermore, many people with diabetes

More information

For more than 100 years, extremely hyperactive

For more than 100 years, extremely hyperactive 8 WHAT WE KNOW ADHD Predominantly Inattentive Type For more than 100 years, extremely hyperactive children have been recognized as having behavioral problems. In the 1970s, doctors recognized that those

More information

Title The Mental Health of Adolescents Living with Potentially Fatal Arrhythmia: A Systematic Review of the Literature

Title The Mental Health of Adolescents Living with Potentially Fatal Arrhythmia: A Systematic Review of the Literature PROSPERO Registration of Systematic Review Title The Mental Health of Adolescents Living with Potentially Fatal Arrhythmia: A Systematic Review of the Literature Registration - - - to be registered in

More information

Attending Director, Division of Psychosomatic Medicine, Miyagi Chuou Hospital

Attending Director, Division of Psychosomatic Medicine, Miyagi Chuou Hospital Stress-related Diseases Diabetes Mellitus JMAJ 45(5): 197 21, 22 Yuichi YAMAUCHI Attending Director, Division of Psychosomatic Medicine, Miyagi Chuou Hospital Abstract: Diabetes mellitus is not a simple

More information

A Community Pediatric Diabetes Program: Innovation, Technology & Best Practice

A Community Pediatric Diabetes Program: Innovation, Technology & Best Practice A Community Pediatric Diabetes Program: Innovation, Technology & Best Practice Markham Stouffville Hospital Opened in 1990 in the heart of Markham Demographics include 14% growth (provincial average only

More information

DECLINING PATIENT SITUATIONS: A Study with New RN Residents

DECLINING PATIENT SITUATIONS: A Study with New RN Residents DECLINING PATIENT SITUATIONS: A Study with New RN Residents RESEARCHERS Patricia Ravert PhD, RN, CNE, ANEF, FAAN Brigham Young University Provo, UT patricia_ravert@byu.edu Janell Anderson RN, MSN, NEA-BC

More information

Bipolar Disorder and Substance Abuse Joseph Goldberg, MD

Bipolar Disorder and Substance Abuse Joseph Goldberg, MD Diabetes and Depression in Older Adults: A Telehealth Intervention Julie E. Malphurs, PhD Asst. Professor of Psychiatry and Behavioral Science Miller School of Medicine, University of Miami Research Coordinator,

More information

Original Research Paper

Original Research Paper 1 of 6 Original Research Paper Age at diagnosis and family history in Type II diabetes: implications for office screening Ching-Ye Hong MBBS, MCGP, FAFP, FRACGP Kee-Seng Chia MBBS, MSc (OM), MD Ching-Ye

More information

Dr. Anna M. Acee, EdD, ANP-BC, PMHNP-BC Long Island University, Heilbrunn School of Nursing

Dr. Anna M. Acee, EdD, ANP-BC, PMHNP-BC Long Island University, Heilbrunn School of Nursing Dr. Anna M. Acee, EdD, ANP-BC, PMHNP-BC Long Island University, Heilbrunn School of Nursing Overview Depression is significantly higher among elderly adults receiving home healthcare, particularly among

More information

SCHOOL DISTRICT #22 VERNON DIABETES POLICY

SCHOOL DISTRICT #22 VERNON DIABETES POLICY SCHOOL DISTRICT #22 VERNON DIABETES POLICY A student with diabetes does not automatically qualify for additional support. The student may qualify as a temporary D category (chronic health) after diagnosis

More information

Objectives. Significant Costs Of Chronic Pain. Pain Catastrophizing. Pain Catastrophizing. Pain Catastrophizing

Objectives. Significant Costs Of Chronic Pain. Pain Catastrophizing. Pain Catastrophizing. Pain Catastrophizing Effectiveness of a Comprehensive Pain Rehabilitation Program in the Reduction of Pain Catastrophizing Michele Evans, MS, APRN-C, CNS, March 27, 2007 Mayo Foundation for Medical Education and Research (MFMER).

More information

Oncology Nursing Society Annual Progress Report: 2008 Formula Grant

Oncology Nursing Society Annual Progress Report: 2008 Formula Grant Oncology Nursing Society Annual Progress Report: 2008 Formula Grant Reporting Period July 1, 2011 June 30, 2012 Formula Grant Overview The Oncology Nursing Society received $12,473 in formula funds for

More information

Wellness for People with MS: What do we know about Diet, Exercise and Mood And what do we still need to learn? March 2015

Wellness for People with MS: What do we know about Diet, Exercise and Mood And what do we still need to learn? March 2015 Wellness for People with MS: What do we know about Diet, Exercise and Mood And what do we still need to learn? March 2015 Introduction Wellness and the strategies needed to achieve it is a high priority

More information

Eating Disorder Policy

Eating Disorder Policy Eating Disorder Policy Safeguarding and Child Protection Information Date of publication: April 2015 Date of review: April 2016 Principal: Gillian May Senior Designated Safeguarding Person: (SDSP) Anne

More information

Administration of Emergency Medicine

Administration of Emergency Medicine doi:10.1016/j.jemermed.2005.07.008 The Journal of Emergency Medicine, Vol. 30, No. 4, pp. 455 460, 2006 Copyright 2006 Elsevier Inc. Printed in the USA. All rights reserved 0736-4679/06 $ see front matter

More information

Outcome of Drug Counseling of Outpatients in Chronic Obstructive Pulmonary Disease Clinic at Thawangpha Hospital

Outcome of Drug Counseling of Outpatients in Chronic Obstructive Pulmonary Disease Clinic at Thawangpha Hospital Mahidol University Journal of Pharmaceutical Sciences 008; 35(14): 81. Original Article Outcome of Drug Counseling of Outpatients in Chronic Obstructive Pulmonary Disease Clinic at Thawangpha Hospital

More information

PCHC FACTS ABOUT HEALTH CONDITIONS AND MOOD DIFFICULTIES

PCHC FACTS ABOUT HEALTH CONDITIONS AND MOOD DIFFICULTIES PCHC FACTS ABOUT HEALTH CONDITIONS AND MOOD DIFFICULTIES Why should mood difficulties in individuals with a health condition be addressed? Many people with health conditions also experience mood difficulties

More information

Louisiana Report 2013

Louisiana Report 2013 Louisiana Report 2013 Prepared by Louisiana State University s Public Policy Research Lab For the Department of Health and Hospitals State of Louisiana December 2015 Introduction The Behavioral Risk Factor

More information

Robert Okwemba, BSPHS, Pharm.D. 2015 Philadelphia College of Pharmacy

Robert Okwemba, BSPHS, Pharm.D. 2015 Philadelphia College of Pharmacy Robert Okwemba, BSPHS, Pharm.D. 2015 Philadelphia College of Pharmacy Judith Long, MD,RWJCS Perelman School of Medicine Philadelphia Veteran Affairs Medical Center Background Objective Overview Methods

More information

The use of text messaging to improve asthma control: a pilot study using the mobile phone short messaging service (SMS)

The use of text messaging to improve asthma control: a pilot study using the mobile phone short messaging service (SMS) RESEARCH Original article... Q The use of text messaging to improve asthma control: a pilot study using the mobile phone short messaging service (SMS) Lathy Prabhakaran*, Wai Yan Chee*, Kia Chong Chua,

More information

Ecological Momentary Assessment of Daily Functioning Among Older Adults Living with HIV

Ecological Momentary Assessment of Daily Functioning Among Older Adults Living with HIV Ecological Momentary Assessment of Daily Functioning Among Older Adults Living with HIV Raeanne C. Moore, Ph.D. Department of Psychiatry University of California, San Diego October 5, 2015 6 th HIV & Aging

More information

Is hypoglycemia an issue in type 2 diabetes?

Is hypoglycemia an issue in type 2 diabetes? King s Diabetes Research Group Is hypoglycemia an issue in type 2 diabetes? Stephanie A Amiel RD Lawrence Professor of Diabetic Medicine King s College London Conflicts of interest None! (Currently working

More information

The National Survey of Children s Health 2011-2012 The Child

The National Survey of Children s Health 2011-2012 The Child The National Survey of Children s 11-12 The Child The National Survey of Children s measures children s health status, their health care, and their activities in and outside of school. Taken together,

More information

Correlates Among Self-concept, Anxiety, Depression, Anger, and Disruptive Behavior in Vulnerable Middle School Youth

Correlates Among Self-concept, Anxiety, Depression, Anger, and Disruptive Behavior in Vulnerable Middle School Youth Correlates Among Self-concept, Anxiety, Depression, Anger, and Disruptive Behavior in Vulnerable Middle School Youth Jacqueline Hoying, PhD, RN, NEA-BC The Ohio State University Faculty Disclosure Faculty

More information

Breaking Down the Barriers - Masterclass training package and modules

Breaking Down the Barriers - Masterclass training package and modules Breaking Down the Barriers - Masterclass training package and modules Assessment of a patient with urgent mental health needs in an emergency department Module 1 Module 2 Mental health awareness training

More information

Self-Management and Self-Management Support on Chronic Low Back Pain Patients in Primary Care

Self-Management and Self-Management Support on Chronic Low Back Pain Patients in Primary Care Self-Management and Self-Management Support on Chronic Low Back Pain Patients in Primary Care Jennifer Kawi, PhD, MSN, APN, FNP-BC University of Nevada, Las Vegas, School of Nursing Supported through UNLV

More information

Objectives. Family Stress. Pediatric Diabetes Complications. Diabetes Self-Management Education (DSME)

Objectives. Family Stress. Pediatric Diabetes Complications. Diabetes Self-Management Education (DSME) Objectives Recognize the problem related to lack of access to pediatric diabetes subspecialist in Rural Maryland. Appreciate the impact of pediatric telehealth delivery of care to improve access to pediatric

More information

Canines and Childhood Cancer

Canines and Childhood Cancer Canines and Childhood Cancer Examining the Effects of Therapy Dogs with Childhood Cancer Patients and their Families Updated Executive Summary I n 2010, American Humane Association and Zoetis (formerly

More information

UNDERSTANDING AND LEARNING ABOUT STUDENT HEALTH

UNDERSTANDING AND LEARNING ABOUT STUDENT HEALTH Teacher Workshop Curriculum UNDERSTANDING AND LEARNING ABOUT STUDENT HEALTH Written by Meg Sullivan, MD with help from Marina Catallozzi, MD, Pam Haller MDiv, MPH, and Erica Gibson, MD UNDERSTANDING AND

More information

Patients Satisfaction with Partial Denture Therapy

Patients Satisfaction with Partial Denture Therapy Patients Satisfaction with Partial Denture Therapy Dubravka KnezoviÊ-ZlatariÊ 1 Asja»elebiÊ 1 Melita ValentiÊ-PeruzoviÊ 1 Vjekoslav Jerolimov 1 Robert eliê 1 Irina FilipoviÊ-Zore 2 Iva Alajbeg 1 1 Department

More information

Progress Report Phase I Study of North Carolina Evidence-based Transition to Practice Initiative Project Foundation for Nursing Excellence

Progress Report Phase I Study of North Carolina Evidence-based Transition to Practice Initiative Project Foundation for Nursing Excellence Progress Report Phase I Study of North Carolina Evidence-based Transition to Practice Initiative Project Foundation for Nursing Excellence Prepared by the NCSBN Research Department INTRODUCTION In 2006,

More information

The Economic Impact and Cost-Effectiveness of Glucose Monitoring

The Economic Impact and Cost-Effectiveness of Glucose Monitoring The Economic Impact and Cost-Effectiveness of Glucose Monitoring William H. Herman, MD, MPH Stefan S. Fajans/GlaxoSmithKline Professor of Diabetes Professor of Internal Medicine and Epidemiology University

More information

CAMS-UA 203 Advanced Seminar Eating Disorders Course Description

CAMS-UA 203 Advanced Seminar Eating Disorders Course Description CAMS-UA 203 Advanced Seminar Eating Disorders Sara S. Weekly, MD, Clinical Instructor of Child and Adolescent Psychiatry, NYU Child Study Center, Department of Child and Adolescent Psychiatry Course Aims:

More information

Author Series Sneak Peek - January/February 2015 Issue. Hosted by Michael P. O Donnell, PhD, MBA, MPH Editor in Chief

Author Series Sneak Peek - January/February 2015 Issue. Hosted by Michael P. O Donnell, PhD, MBA, MPH Editor in Chief Author Series Sneak Peek - January/February 2015 Issue Hosted by Michael P. O Donnell, PhD, MBA, MPH Editor in Chief January 7, 2015 1 Author Series Sneak Peek - January/February 2015 Issue Hosted by Michael

More information

Motivational Factors of Albanian Graduate Students Pursuing a Master Degree in Education

Motivational Factors of Albanian Graduate Students Pursuing a Master Degree in Education Ana Uka Beder University Motivational Factors of Albanian Graduate Students Pursuing a Master Degree in Education Abstract This study explained the reasons why Albanian students decide to pursue graduate

More information

Aetna Life Insurance Company Hartford, Connecticut 06156

Aetna Life Insurance Company Hartford, Connecticut 06156 Aetna Life Insurance Company Hartford, Connecticut 06156 Extraterritorial Certificate Rider (GR-9N-CR1) Policyholder: The TLC Companies Group Policy No.: GP-811431 Rider: West Virginia ET Medical Issue

More information

Preventing Pediatric Diabetes: Are Racial Disparities A Factor? A Children s Health Fund Issue Brief February 2004

Preventing Pediatric Diabetes: Are Racial Disparities A Factor? A Children s Health Fund Issue Brief February 2004 Preventing Pediatric Diabetes: Are Racial Disparities A Factor? A Children s Health Fund Issue Brief February 2004 The Children s Health Fund The Children s Health Fund (CHF), working with hospitals and

More information

Among all adults with diabetes, 92.0% have

Among all adults with diabetes, 92.0% have Chapter 29 Health and Diabetes Maureen I. Harris, PhD, MPH SUMMARY Among all adults with diabetes, 92.% have some form of health insurance, including 86.5% of those age 18-64 years and 98.8% of those age

More information

Intercultural sensitivity of students from departments of nursing and healthcare administration. Abstract

Intercultural sensitivity of students from departments of nursing and healthcare administration. Abstract Intercultural sensitivity of students from departments of nursing and healthcare administration Abstract Since globalization requires people from diverse cultural backgrounds to communicate effectively,

More information

REACH Risk Evaluation to Achieve Cardiovascular Health

REACH Risk Evaluation to Achieve Cardiovascular Health Dyslipidemia and type 1 diabetes mellitus History: A 15-year-old girl is seen in the endocrinology clinic for a routine follow-up visit for type 1 diabetes. She was diagnosed with diabetes at 12 years

More information

Understanding. Depression. The Road to Feeling Better Helping Yourself. Your Treatment Options A Note for Family Members

Understanding. Depression. The Road to Feeling Better Helping Yourself. Your Treatment Options A Note for Family Members TM Understanding Depression The Road to Feeling Better Helping Yourself Your Treatment Options A Note for Family Members Understanding Depression Depression is a biological illness. It affects more than

More information

Interpersonal Communication Pattern as Perceived by Nursing Students in Their Clinical Training

Interpersonal Communication Pattern as Perceived by Nursing Students in Their Clinical Training Interpersonal Communication Pattern as Perceived by Nursing Students in Their Clinical Training Loutfi Z, Abd El Fattah S, El Ashry N, Abdel Al M Department of Psychiatric Mental Health Nursing, Faculty

More information