Boon How Chew|Rimke C. Vos|Frans Pouwer|Guy E.H.M. Rutten
The associations between diabetes distress and self-efficacy, medication adherence, self-care activities and disease control depend on the way diabetes distress is measured: Comparing the DDS-17, DDS-2 and the PAID-5
University Medical Center Utrecht|Universiti Putra Malaysia|University Medical Center Utrecht|University of Southern Denmark|University Medical Center Utrecht
examine whether diabetes distress dd measured three different instruments associated differently selfefficacy selfcare activity medication adherence disease control people type 2 diabetes mellitusa crosssectional study three health clinics dd assessed 17item diabetes distress scale 2item dds2 dds2 5item problem areas diabetes scale paid5 dependent variables included selfefficacy selfcare activities medication adherence hba1c systolic diastolic blood pressure sbp dbp multiple linear logistic regression used analysesin total 338 participants 56 women mean age 61 years diabetes duration 98 years included dds2 independent determinant sbp 189 95 ci 014 364 dbp 119 95 ci 016 221 blood pressure target 209 95 ci 112 383 paid5 independent determinant medication adherence adjusted 005 95 ci 008 001 selfcare activities 050 95 ci 026 099associations dd important aspects diabetes care substantially influenced confounders depend way dd measured findings call judicious use different dd measures clinical practice research study registered clinicaltrialsgov nct02730754