caa a22 4500 477085024 CHVBK 20180405111501.0 cr unu---uuuuu 170330e19960801xx s 000 0 eng 10.1007/BF00449918 doi (NATIONALLICENCE)springer-10.1007/BF00449918 The validity and reliability of the Diabetes Health Profile (DHP) in NIDDM patients referred for insulin therapy [Elektronische Daten] [P. Goddijn, H. Bilo, K. Meadows, K. Groenier, E. Feskens, B. Meyboom-de Jong] Recently, a new diabetes-specific questionnaire, the Diabetes Health Profile (DHP), has been developed to identify psychosocial dysfunctioning of insulin-requiring (NIDDM) and insulin-dependent diabetes mellitus (IDDM) patients. The DHP comprises three dimensions: psychological distress (PSY: 14 items), barriers to activity (BAR: 12 items) and disinhibited eating (EAT: five items). This study investigates the psychometric properties of the DHP in Dutch noninsulin-dependent diabetes mellitus (NIDDM) patients referred for insulin therapy. In addition, the relation-ship between patient characteristics and the DHP outcome was examined. The factor structure found was similar but not identical to former studies, but construct validity was supported by high correlations of our factor structure and the original factor outcome and Cronbach's α. The three factors explained 32% of the variance, supporting earlier findings. It was shown that Cronbach's α was satisfactory (0.72, 0.72 and 0.79). Convergent validity showed strong and significant correlations between the PSY/BAR dimensions and predicted corresponding scales of the RAND-36. However, the PSY/BAR dimensions also showed, although less strong, significant correlations with the non-corresponding RAND-36 scales. The EAT dimension showed only correlations with two of the RAND-36 dimensions, thus measuring a different trait. Regression analysis showed that older patients had less problems with items of the EAT dimension and that no difference was found between men and women, supporting earlier findings. The hyperglycaemic complaint ‘fatigue' gave a significantly lower score (more problems) on the PSY and BAR dimensions. Younger age, the presence of hypertension and retinopathy resulted in a significantly lower score on the EAT dimension. DHP outcome was not significantly influenced by duration of diabetes, HbA1c (indicator of glycemic control), serum total cholesterol, body mass index, chronic diabetes complications and comorbidity. Overall, the psychometric properties were good considering the small and diverse sample, suggesting that the DHP is promising for use in NIDDM patients, although more study is necessary in a larger sample. Rapid Science Publishers, 1996 DHP nationallicence diabetes nationallicence health-related quality of life nationallicence NIDDM nationallicence RAND-36 nationallicence reliabllity nationallicence SF-36 nationallicence validity nationallicence Goddijn P. Department of Internal Medicine, Hospital ‘The Weezenlanden', Zwolle, The Netherlands aut Bilo H. Department of Internal Medicine, Hospital ‘The Weezenlanden', Zwolle, The Netherlands aut Meadows K. Department of Public Health Medicine, University of Hull, Hull, United Kingdom aut Groenier K. Department of General Practice, University of Groningen, Groningen, The Netherlands aut Feskens E. Department of Chronic Diseases and Environmental Epidemiology, National Institute of Public Health and the Environment, Bilthoven, The Netherlands aut Meyboom-de Jong B. Department of General Practice, University of Groningen, Groningen, The Netherlands aut Quality of Life Research Kluwer Academic Publishers 5/4(1996-08-01), 433-442 0962-9343 5:4<433 1996 5 11136 https://doi.org/10.1007/BF00449918 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF00449918 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Goddijn P. Department of Internal Medicine, Hospital ‘The Weezenlanden', Zwolle, The Netherlands aut NATIONALLICENCE 700 1- Bilo H. Department of Internal Medicine, Hospital ‘The Weezenlanden', Zwolle, The Netherlands aut NATIONALLICENCE 700 1- Meadows K. Department of Public Health Medicine, University of Hull, Hull, United Kingdom aut NATIONALLICENCE 700 1- Groenier K. Department of General Practice, University of Groningen, Groningen, The Netherlands aut NATIONALLICENCE 700 1- Feskens E. Department of Chronic Diseases and Environmental Epidemiology, National Institute of Public Health and the Environment, Bilthoven, The Netherlands aut NATIONALLICENCE 700 1- Meyboom-de Jong B. Department of General Practice, University of Groningen, Groningen, The Netherlands aut NATIONALLICENCE 773 0- Quality of Life Research Kluwer Academic Publishers 5/4(1996-08-01), 433-442 0962-9343 5:4<433 1996 5 11136 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer