Background
Methods
Study design, inclusion criteria and settings
Sampling and inclusion criteria
Study variables and data collection
Assessment of medication adherence
Assessment of diabetes-related knowledge
Assessment of HRQoL
Assessment of treatment satisfaction
Reliability and validity of study questionnaires
Statistical analysis
Results
Characteristics | Frequency (n) | Percentage (%) |
---|---|---|
Age group (51.25 ± 9.59)
| ||
30–40 | 43 | 14.3 |
41–50 | 120 | 40.0 |
51–60 | 90 | 30.0 |
> 60 | 47 | 15.7 |
Gender
| ||
Male | 180 | 60.0 |
Female | 120 | 40.0 |
Education
| ||
Primary | 92 | 30.7 |
Middle | 41 | 13.7 |
Metric | 69 | 23.0 |
Intermediate | 34 | 11.3 |
Graduate | 21 | 7.0 |
Postgraduate | 43 | 14.3 |
Occupation
| ||
Unemployed | 127 | 42.3 |
Government Employee | 84 | 28.0 |
Private Employee | 35 | 11.7 |
Businessman | 54 | 18.0 |
Income
a
(Pakistan Rupee)
| ||
No Income | 96 | 32.0 |
< 5000 | 64 | 21.3 |
5000–10,000 | 46 | 15.3 |
10,001–15,000 | 13 | 4.3 |
> 15,000 | 81 | 27.0 |
Locality
| ||
Urban | 112 | 37.3 |
Rural | 188 | 62.7 |
Duration of disease (years)
| ||
Less than 1 year | 54 | 18.0 |
1–3 years | 97 | 32.3 |
3–5 years | 58 | 19.3 |
More than 5 years | 91 | 30.3 |
Family history of diabetes
| ||
Yes | 166 | 55.3 |
No | 134 | 44.7 |
Number of prescribed drugs
| ||
1–3 | 279 | 93.0 |
More than 3 | 21 | 7.0 |
Overall, are you are satisfied with present treatment?
| ||
Satisfied | 182 | 60.7 |
Neutral | 33 | 11.0 |
Dissatisfied | 85 | 28.3 |
EQ-5D Domains | Frequency (n) | Percentage (%) |
---|---|---|
Mobility
| ||
I have no problems in walking about | 217 | 72.3 |
I have some problems in walking about | 61 | 20.3 |
I am confined to bed | 22 | 7.3 |
Self care
| ||
I have no problems with self-care | 213 | 71.0 |
I have some problems washing or dressing myself | 72 | 24.0 |
I am unable to wash or dress myself | 15 | 5.0 |
Usual work
| ||
I have no problems with self-care | 148 | 49.3 |
I have some problems with performing my usual activities | 118 | 39.3 |
I am unable to perform my usual activities | 34 | 11.3 |
Pain and Discomfort
| ||
I have no pain or discomfort | 101 | 33.7 |
I have moderate pain or discomfort | 164 | 54.7 |
I have extreme pain or discomfort | 35 | 11.7 |
Anxiety and depression
| ||
I am not anxious or depressed | 37 | 12.3 |
I am moderately anxious or depressed | 164 | 54.7 |
I am extremely anxious or depressed | 99 | 33.0 |
Health state | Frequency | % | Health state | Frequency | % |
---|---|---|---|---|---|
11,111 | 12 | 4.0 | 22,111 | 1 | 0.3 |
11,112 | 43 | 14.3 | 22,112 | 2 | 0.7 |
11,113 | 9 | 3.0 | 22,113 | 1 | 0.3 |
11,121 | 2 | 0.7 | 22,122 | 2 | 0.7 |
11,122 | 34 | 11.3 | 22,211 | 1 | 0.3 |
11,123 | 14 | 4.7 | 21,133 | 2 | 0.7 |
11,131 | 1 | 0.3 | 21,212 | 2 | 0.7 |
11,132 | 1 | 0.3 | 21,221 | 2 | 0.7 |
11,133 | 5 | 1.7 | 21,222 | 4 | 1.3 |
11,212 | 8 | 2.7 | 21,232 | 1 | 0.3 |
11,213 | 3 | 1.0 | 21,311 | 1 | 0.3 |
11,221 | 3 | 1.0 | 21,322 | 3 | 1.0 |
11,222 | 24 | 8.0 | 21,331 | 1 | 0.3 |
11,223 | 14 | 4.7 | 22,212 | 1 | 0.3 |
11,232 | 2 | 0.7 | 22,213 | 1 | 0.3 |
11,233 | 3 | 1.0 | 22,222 | 9 | 3.0 |
11,312 | 1 | 0.3 | 22,223 | 4 | 1.3 |
11,313 | 2 | 0.7 | 22,233 | 2 | 0.7 |
11,322 | 1 | 0.3 | 22,323 | 5 | 1.7 |
11,323 | 1 | 0.3 | 22,333 | 1 | 0.3 |
12,113 | 1 | 0.3 | 23,222 | 1 | 0.3 |
12,121 | 3 | 1.0 | 23,321 | 2 | 0.7 |
12,122 | 1 | 0.3 | 23,333 | 1 | 0.3 |
12,123 | 2 | 0.7 | 31,112 | 1 | 0.3 |
12,213 | 1 | 0.3 | 31,222 | 1 | 0.3 |
12,222 | 6 | 2.0 | 32,211 | 2 | 0.7 |
12,223 | 9 | 3.0 | 32,222 | 1 | 0.3 |
12,233 | 3 | 1.0 | 32,223 | 1 | 0.3 |
12,321 | 1 | 0.3 | 32,233 | 4 | 1.3 |
12,332 | 1 | 0.3 | 32,322 | 1 | 0.3 |
12,333 | 2 | 0.7 | 32,323 | 1 | 0.3 |
13,212 | 2 | 0.7 | 32,333 | 2 | 0.7 |
13,222 | 1 | 0.3 | 33,221 | 1 | 0.3 |
21,111 | 3 | 1.0 | 33,222 | 1 | 0.3 |
21,112 | 1 | 0.3 | 33,322 | 1 | 0.3 |
21,121 | 1 | 0.3 | 33,323 | 1 | 0.3 |
21,122 | 5 | 1.7 | 33,332 | 1 | 0.3 |
21,123 | 1 | 0.3 | 33,333 | 3 | 1.0 |
Diabetes Knowledge items | Frequency (n) | Percent (%) | True (n) | False (n) |
---|---|---|---|---|
The suitable diet for a diabetic is:
| ||||
The way most Pakistani people eat | 171 | 57.0 | ||
A healthy diet for most people | 77 | 25.7 | ||
Too high in carbohydrate for most people | 28 | 9.3 | 72 | 228 |
Too high in protein for most people | 24 | 8.0 | ||
Which of the following is highest in carbohydrates?
| ||||
Baked chicken | 130 | 43.3 | ||
Cheese | 96 | 32.0 | ||
Baked potato | 57 | 19.0 | 54 | 246 |
Peanut butter | 17 | 5.7 | ||
Which of the following is highest in fat? | ||||
Low fat milk | 146 | 48.7 | ||
Orange juice | 117 | 39.0 | ||
Corn | 20 | 6.7 | 134 | 166 |
Honey | 17 | 5.7 | ||
Which of the following is free food?
| 27 | 273 | ||
Any unsweetened food | 59 | 19.7 | ||
Any dietetic food | 187 | 62.3 | ||
Any food that says sugar free on the label | 26 | 8.7 | ||
Any food that has less than 20 cal per serving | 28 | 9.3 | ||
Glycosylated haemoglobin (Haemoglobin A1) is a test that is a measure of your average blood glucose level for the past:
| ||||
Day | 22 | 7.3 | ||
Week | 63 | 21.0 | ||
6–10 weeks | 118 | 39.3 | 131 | 169 |
6 months | 97 | 32.3 | ||
Which is the best method for testing blood glucose?
| ||||
Urine test | 37 | 12.3 | ||
Blood test | 152 | 50.7 | 144 | 156 |
Both are equally good | 111 | 37.0 | ||
What effect does unsweetened fruit juice have on blood glucose?
| ||||
Lowers it | 69 | 23.0 | ||
Raises it | 133 | 44.3 | 121 | 179 |
Have no effect | 98 | 32.7 | ||
Which should not be used to treat low blood glucose?
| ||||
3 hard candies | 144 | 48.0 | ||
½ cup orange juice | 42 | 14.0 | ||
1 cup diet soft drink | 87 | 29.0 | 87 | 213 |
1 cup skim milk | 27 | 9.0 | ||
For a person in good control, what effect does exercise have on blood glucose?
| ||||
Raises it | 220 | 73.3 | ||
Lowers it | 54 | 18.0 | 219 | 81 |
Has no effect | 26 | 8.7 | ||
Infection is likely to cause:
| ||||
An increase in blood glucose | 114 | 38.0 | ||
A decrease in blood glucose | 85 | 28.3 | 83 | 217 |
Has no change on blood glucose | 101 | 33.7 | ||
The best way to take care of your feet is to:
| ||||
Look at and wash them each day | 133 | 44.3 | ||
Massage them with alcohol each day | 66 | 22.0 | ||
Soak them for 1 h each day | 77 | 25.7 | 145 | 155 |
Buy shoes a size larger than usual | 24 | 8.0 | ||
Eating food lower in fat decrease your risk for:
| ||||
Nerve disease | 115 | 38.3 | ||
Kidney disease | 60 | 20.0 | ||
Heart disease | 113 | 37.7 | 113 | 186 |
Eye disease | 12 | 4.0 | ||
Numbness and tingling may be symptoms of:
| ||||
Kidney disease | 39 | 13.0 | ||
Nerve disease | 178 | 59.3 | ||
Eye disease | 76 | 25.3 | 181 | 119 |
Liver disease | 7 | 2.3 | ||
Which of the following is usually not associated with diabetes?
| ||||
Vision problem | 23 | 7.7 | ||
Kidney problem | 27 | 9.0 | ||
Nerve problem | 30 | 10.0 | 229 | 71 |
Lung problem | 220 | 73.3 |
Drug adherence item | False | True | ||
---|---|---|---|---|
Number | Percent | Number | Percent | |
For me the good things about medication outweigh the bad | 177 | 59.0 | 123 | 41.0 |
I feel uncomfortable on medication | 221 | 73.7 | 79 | 26.3 |
I take medications of my own choice | 25 | 8.3 | 275 | 91.7 |
Medications make me more relaxed | 39 | 13.0 | 261 | 87.0 |
Medication make me tired and sluggish | 164 | 54.7 | 135 | 45.3 |
I take medication only when I am sick | 173 | 57.7 | 127 | 42.3 |
I feel more normal on medication | 17 | 5.7 | 283 | 94.3 |
It is unnatural for my mind and body to be controlled by medications | 163 | 54.3 | 137 | 45.7 |
My thoughts are clearer on medication | 23 | 7.7 | 277 | 92.3 |
By staying on medications, I can prevent getting sick | 20 | 6.7 | 280 | 93.3 |
Characteristics |
P-Value |
---|---|
HRQoL | |
Age |
0.027 (φc = 0.559)
|
Gender | 0.403 |
Education | 0.060 |
Occupation | 0.149 |
Income | 0.413 |
Locality | 0.895 |
Duration of disease (years) |
0.016 (φc = 0.564)
|
Family history of diabetes | 0.246 |
Number of prescribed drugs |
0.01 (φc = 0.592)
|
Medication adherence |
0.01 (φc = 0.559)
|
Diabetes-related knowledge | 0.546 |
Treatment satisfaction |
0.037 (φc = 0.565)
|