Impact of monitoring health-related quality of life in clinical practice in children with type 1 diabetes mellitus
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- dc.contributor.author Murillo, Martaca
- dc.contributor.author Bel, Joanca
- dc.contributor.author Pérez, Jacoboca
- dc.contributor.author Corripio, Raquelca
- dc.contributor.author Carreras, Gemmaca
- dc.contributor.author Herrero, Xavierca
- dc.contributor.author Mengibar, Josep-Mariaca
- dc.contributor.author Rodriguez-Arjona, Dolorsca
- dc.contributor.author Ravens-Sieberer, Ulrikeca
- dc.contributor.author Raat, Heinca
- dc.contributor.author Rajmil Rajmil, Luis Albertoca
- dc.date.accessioned 2018-07-19T07:34:47Z
- dc.date.issued 2017
- dc.description.abstract PURPOSE: To test whether the systematic monitoring of health-related quality of life (HRQOL) in clinical practice in Spanish pediatric patients with T1DM helps improve their daily life in a multicenter longitudinal study. METHODS: One hundred thirty-six patients participated, recruited from five centers in Barcelona, Spain (72 girls, mean age 13.4 years). Complete data were collected for 119 patients (85%). Pediatricians were randomly assigned to the HRQOL intervention (n = 70), or control group (n = 49). The intervention group discussed the results of HRQOL face to face with the physician, quarterly over a year. The control group received care as usual. HRQOL was assessed using KIDSCREEN-27 collected online. Standardized mean differences (effect size, ES) and generalized estimating equation (GEE) were computed to compare group differences between baseline and follow-up, taking into account sociodemographic and clinical variables. RESULTS: Statistically significant higher scores were seen in the intervention group at follow-up for the dimensions of Psychological well-being (ES = 0.56), School environment (ES = 0.56), and the KIDSCREEN-10 index (ES = 0.63). No differences were found in the control group. GEE analysis showed an improvement in HRQOL at follow-up with statistically significant association of the intervention on Psychological well-being (B = 4.32; p 0.03 for the interaction of group by follow-up) and School environment (B = 4.64; p 0.02 for the same interaction term). CONCLUSIONS: Routine assessment and face-to-face patient-physician discussion of HRQOL results improved HRQOL scores after a year of follow-up, especially in Psychological well-being and school environment. The results support the routinary use of HRQOL assessment in clinical practice.
- dc.format.mimetype application/pdf
- dc.identifier.citation Murillo M, Bel J, Pérez J, Corripio R, Carreras G, Herrero X. et al. Impact of monitoring health-related quality of life in clinical practice in children with type 1 diabetes mellitus. Qual Life Res. 2017 Dec;26(12):3267-3277. DOI: 10.1007/s11136-017-1682-6
- dc.identifier.doi http://dx.doi.org/10.1007/s11136-017-1682-6
- dc.identifier.issn 0962-9343
- dc.identifier.uri http://hdl.handle.net/10230/35199
- dc.language.iso eng
- dc.publisher Springerca
- dc.relation.ispartof Quality of Life Research. 2017 Dec;26(12):3267-77
- dc.rights © Springer The final publication is available at Springer via http://dx.doi.org/10.1007/s11136-017-1682-6
- dc.rights.accessRights info:eu-repo/semantics/openAccess
- dc.subject.keyword Adolescents
- dc.subject.keyword Children
- dc.subject.keyword Health-related quality of life
- dc.subject.keyword Pediatric
- dc.subject.keyword Type 1 diabetes
- dc.subject.other Qualitat de vida
- dc.subject.other Diabetis infantil
- dc.title Impact of monitoring health-related quality of life in clinical practice in children with type 1 diabetes mellitusca
- dc.type info:eu-repo/semantics/article
- dc.type.version info:eu-repo/semantics/acceptedVersion