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    Assessing the impact of diabetes on the quality of life of older adults living in a care home: validation of the ADDQoL Senior

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    Authors
    Speight, J.
    Sinclair, Alan J.
    Browne, J. L.
    Woodcock, A.
    Bradley, C.
    Affiliation
    Australian Centre for Behavioural Research in Diabetes
    Deakin University
    AHP Research
    Bedfordshire and Hertfordshire Postgraduate Medical School
    Royal Holloway, University of London
    Issue Date
    2013-01
    Subjects
    diabetes
    older adults
    elderly
    
    Metadata
    Show full item record
    Abstract
    Aims  Around a quarter of UK care-home residents have diabetes. Diabetes is known to impact quality of life but existing diabetes-specific quality of life measures are unsuitable for elderly care-home residents. We aimed to develop and evaluate a new measure for use with older adults, to be particularly suitable for use with care-home residents: the Audit of Diabetes-Dependent Quality of Life (ADDQoL) Senior*. Methods  Content and format changes were made to the 19-domain ADDQoL, informed by related measures for people with visual impairments (12 domain-specific items were retained, four items were revised/added and three items were removed). This revision was modified further following cognitive debriefing interviews with three older adults living in a care home. Psychometric evaluation of the newly developed 17-domain ADDQoL Senior was conducted using data from 90 care-home residents with diabetes who took part in a broader intervention study. Results  The life domains most impacted by diabetes were ‘independence’ and ‘freedom to eat as I wish’. The ADDQoL Senior demonstrated good factor structure and internal consistency (Cronbach’s alpha = 0.924). Domain scores were, as expected, significantly intercorrelated. Conclusions  The ADDQoL Senior measures the perceived impact of diabetes on quality of life in older adults, and has been found to be suitable for those living in care homes if administered by interview. The scale has demonstrated acceptability and excellent psychometric properties. It is anticipated that the number of items may be reduced in the future if our current findings can be replicated.
    Citation
    Speight, J.., Sinclair, A. J., Browne, J. L., Woodcock, A., Bradley, C. (2013) 'Assessing the impact of diabetes on the quality of life of older adults living in a care home: validation of the ADDQoL Senior' Diabetic Medicine 30 (1):74
    Publisher
    Wiley
    Journal
    Diabetic Medicine
    URI
    http://hdl.handle.net/10547/593438
    DOI
    10.1111/j.1464-5491.2012.03748.x
    Additional Links
    http://doi.wiley.com/10.1111/j.1464-5491.2012.03748.x
    Type
    Article
    Language
    en
    ISSN
    0742-3071
    ae974a485f413a2113503eed53cd6c53
    10.1111/j.1464-5491.2012.03748.x
    Scopus Count
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    IHR Institute for Health Research

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