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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National Center for Biotechnology InformationU. Therefore, improvement in treatment satisfaction may foster the achievement of long-term glycemic stability, eventually reducing the risk of developing diabetic complications Figure 1.
Cronbach’s alpha coefficient for the Treatment Satisfaction scale i. Support Center Support Center.
Diabetes Treatment Satisfaction Questionnaire, status and change versions (DTSQs and DTSQc)
This leaves those respondents who were already very satisfied beforehand with little or no room to show improved satisfaction later in the trial [ 78 ]. Of note, we found that the satisfaction with their attending doctor showed the strongest association with the total DTSQ score among the clinical parameters.
Translation and clinical evaluation. The wording of the items themselves is the same for both the status and change versions, the small exception being part of the wording of item 7 recommending the treatment.
The efficacy of diabetes treatment should not be evaluated solely by HbA1c levels as they should also focus on patient-reported outcomes PROssuch as patient satisfaction, wellbeing and quality of life. Results for Perceived Hyper- and Hypoglycaemia also demonstrated important differences between the questionnaires in the detection of treatment effects. Patients were randomised to insulin glargine or NPH insulin.
Intensive diabetes treatment and cardiovascular disease in patients with type 1 diabetes. The efficacy of diabetes treatment should not be evaluated solely by HbA1c levels. Moreover the DTSQc was used in a recent waiting list control trial [ 23 ]: However, it was expected that the Not at Ceiling group would be better able to show an increase in Treatment Satisfaction than the At Ceiling group, if they were using the DTSQsDiff, and this was indeed the case.
DTSQs and DTSQc – Diabetes Treatment Satisfaction Questionnaire, status and change versions
Data analysis Prior to performing psychometric analyses, the combinability of the subgroups defined by country and type of diabetes was tested by a method described elsewhere [ 18 ], which confirmed the acceptability of combining the samples. The problem is not unique to the DTSQs. Open in a separate window. Patient-reported outcomes in trials of incretin-based therapies in patients with type 2 diabetes mellitus. A better understanding of the role of PROs in diabetes care and appropriate use of each questionnaire, including DTSQ, is needed for further improvement of current diabetes treatment.
A systematic review of adherence, treatment satisfaction and costs, in fixed-dose combination regimens in type 2 diabetes. Howorka et al [ 17 ] found in a crossover study that patients who went back in the second phase from lispro to standard soluble insulin showed a decline in satisfaction on the retrospective measure, indicating that the DTSQc does not always invoke positive responding.
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Satisfacion of effect sizes showed these differences in response to change to be significantly in favour of the DTSQc. It also remains unclear whether an improvement in the DTSQ score translates into an improvement in other clinical outcomes, including cardiovascular outcomes and overall mortality.
Hence, DTSQ is a powerful tool that can compare treatment satisfaction between different medications or treatment strategies. Researchers may wish to include the Status version at endpoint as well prior to completion of the Change versionin view of the apparent greater responsiveness of the DTSQsDiff measure in these studies for those with poorer perceived blood glucose control at baseline i. The results of DTSQ are not limited to a specific medication or treatment strategy, but rather the overall satisfaction with the treatment of diabetes.
In the very few three instances where the ranked results differ noticeably from the raw results, these are indicated on the table. Type 2 trial Treatment effects on Perceived Hypoglycaemia observed in the type 2 participants only became significant in the interaction with Questionnaire and Floor effect.
Long-term results of the Kumamoto Study on optimal diabetes control in type 2 diabetic patients. Multicentre study to assess quality of sattisfaction and glycaemic control of type 2 diabetic patients treated with insulin compared with oral hypoglycaemic agents. Major questionnaires for PROs used internationally in patients with diabetes.
However, as the effect sizes based on these ts differ significantly despite the positive correlations, the stated results are conservative. Table 10 “Perceived Hyperglycaemia” — Descriptive Statistics. Improved treatment satisfaction and weight-related quality of life with exenatide once weekly or twice daily. However, although the original articles were written in Japanese, we would like to describe the study briefly [ 2021 ].
It is important to note that, although the benefits of the change measure are most apparent in the Treatment Satisfaction scores from patients scoring At Ceiling at baseline, the DTSQc is also more responsive to change than the DTSQsDiff in patients who were Not at Ceiling to start with. The assessment of treatment satisfaction is not only performed for research purposes to compare treatments, but also should be used to assess the quality of diabetes care in clinical settings.