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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

Speight, J., Sinclair, A. J., Browne, J. L., Woodcock, A. and 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, vol. 30, no. 1, pp. 74-80, doi: 10.1111/j.1464-5491.2012.03748.x.

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Title Assessing the impact of diabetes on the quality of life of older adults living in a care home : validation of the ADDQoL senior
Author(s) Speight, J.ORCID iD for Speight, J.
Sinclair, A. J.
Browne, J. L.
Woodcock, A.
Bradley, C.
Journal name Diabetic Medicine
Volume number 30
Issue number 1
Start page 74
End page 80
Total pages 7
Publisher Wiley-Blackwell Publishing
Place of publication Chichester, England
Publication date 2013
ISSN 0742-3071
Summary 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.
Language eng
DOI 10.1111/j.1464-5491.2012.03748.x
Field of Research 170106 Health, Clinical and Counselling Psychology
170110 Psychological Methodology, Design and Analysis
111702 Aged Health Care
Socio Economic Objective 920104 Diabetes
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2013, Wiley-Blackwell Publishing
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Document type: Journal Article
Collection: School of Psychology
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Created: Tue, 23 Apr 2013, 14:20:44 EST by Jane Moschetti

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