Effect of perceived control on quality of life in indigent adults with type 2 diabetes. Diabetes Educ 2012;38(2):256-62
Date
02/10/2012Pubmed ID
22316644Pubmed Central ID
PMC3740171DOI
10.1177/0145721711436135Scopus ID
2-s2.0-84858973940 (requires institutional sign-in at Scopus site) 21 CitationsAbstract
PURPOSE: To examine the relationship between perceived control of diabetes and physical and mental health components of quality of life in indigent adults with diabetes.
METHODS: The primary variables, perceived control of diabetes and quality of life, were evaluated among188 patients from a low-income clinic located at an academic medical center. Over a 12-month period, consenting subjects completed the surveys to assess perceived control of diabetes and health-related quality of life. Sociodemographic factors (age, gender, race/ethnicity, income, education, employment, marital status, and insurance status) were collected as well as clinical factors like comorbid conditions and use of insulin therapy. Multiple linear regression models were used to assess the independent association of perceived control on quality of life.
RESULTS: The sample largely comprised middle-aged women with diabetes, a majority being black; nearly two-thirds had at least a high school education and almost three-quarters were unemployed. Mean quality of life scores were generally below national population means. Correlation results indicated a positive relationship between perceived control and both physical and mental quality of life. Regression results supported the positive association between perceived control and quality of life, even when controlling for sociodemographics and comorbidity in the final model.
CONCLUSION: Increasing perceived control, perhaps by a combination of education and skills building (ie, self-efficacy), will result in higher perceived quality of life (QOL) among disadvantaged populations with diabetes.
Author List
Hernandez-Tejada MA, Lynch CP, Strom JL, Egede LEAuthor
Leonard E. Egede MD Center Director, Chief, Professor in the Medicine department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AgedDiabetes Mellitus, Type 2
Female
Humans
Internal-External Control
Male
Medication Adherence
Middle Aged
Perception
Poverty
Quality of Life
South Carolina
Surveys and Questionnaires
