Skip to main content
Article thumbnail
Location of Repository

Quality of life in people with Type 2 diabetes in relation to deprivation, gender, and age in a new community-based model of care

By G. Lindsay, K. Inverarity and J.R.S. McDowell


Objectives. To evaluate changes in health related quality of life (HRQL) for individuals with Type 2 diabetes following the introduction of a new community-based model of care. Methods. A survey method was used in which HRQL, Problems Areas In Diabetes (PAID) and demographics were assessed before and 18 months after introducing the new service. Results. Overall HRQL and PAID scores were lower than published levels in individuals with diabetes but remained stable during the transition to the new model of care except for the bodily pain domain and deteriorating PAID scores for older patients. Four domains of SF36 health showed deterioration in the highest socio-economic groups. Deterioration was also observed in males, most notably mental health, in patients aged 54 years or less, 75 years or more and patients from socio-economic groups 1 and 2. HRQL was lowest at baseline and follow-up in socio-economic groups 6 and 7. Low levels of distress in patients across all deprivation categories was observed but remained stable over the transition. Conclusions. HRQL and distress associated with diabetes remained stable following the introduction of the new community-based model of care except for deterioration in the bodily pain domain and deteriorating PAID scores for older patients. Relevance for Practice. (i) Health related quality of life assessment is practical and acceptable to patients. \ud (ii) In clinical governance terms it is good practice to monitor the impact of change in service delivery on the health of the patients in your care. \ud (iii) Screening with health related quality of life tools such as generic and disease specific tools could help identify health problems otherwise undetected within current clinical care. Systematic identification of the most vulnerable groups with Type 2 diabetes should allow care to be better targeted

Topics: RT
Publisher: Hindawi Publishing Corporation
Year: 2011
OAI identifier:
Provided by: Enlighten

Suggested articles


  1. (1994). A .M .J a c o b s o n ,M .D eG r o o t ,a n dJ .A .S a m s o n ,“ T h e evaluation of two measures of quality of life in patients with type I and type II diabetes,” Diabetes Care,v o l .1 7 ,n o .4 ,p p .
  2. (2006). A report by the All Parliamentary Group for Diabetes and Diabetes UK, “Diabetes and the disadvantaged: reducing health inequalities in the UK,” World Diabetes Day,
  3. (2006). An Evaluation of the Impact of the Glasgow Diabetes Project for Healthcare for Patients with Type 2 Diabetes,
  4. (2001). Association of depression and diabetes complications: a meta-analysis,”
  5. (2001). Carstairs Scores for Scottish Postcode Sectors from the 1991 &
  6. (1952). Constitution of the World Health Organisation, Handbook of Basic Documents, World Health Organisation,
  7. (2005). Depression and diabetes: a large population-based study of sociodemographic, lifestyle, and clinical factors associated with depression
  8. (2002). Diabetes related distress in type 2 diabetes,”
  9. (1990). e n k i n s ,R .T .J o n o ,B .A .S t a n t o n ,a n dC .A .S t r o u p -Benham, “The measurement of health-related quality of life: major dimensions identified by factor analysis,”
  10. (2001). Good continuity of care may improve quality of life
  11. (1997). Griffit h ,R .E .C l o u s ee ta l . ,“ E ffects of nortiptyline on depression and glucose regulation in diabetes: results of a double-blind, placebo-controlled trial,”
  12. (2010). Intercollegiate Guideline Network,
  13. P a r c h m a n ,J .A .P u g h ,C .P .W a n g ,a n dR .L .R o m e r o , “Glucose control, self-care behaviours, and the presence of the chroniccaremodelinprimarycareclinics,”DiabetesCare,vol.
  14. (2009). Perceptions of service redesign by adults living with type 2 diabetes,”
  15. (1999). Quality of life and diabetes,”
  16. (2003). Responsiveness of the problem areas in diabetes questionnaire,”
  17. (1993). SF-36: HealthSurveyManualandInterpretationGuide,NimrodPress,
  18. (1993). Short form 36 (SF 36) health survey questionnaire: Normative data for adults of working age,”
  19. (2004). Socioeconomic position and health among persons with diabetes mellitus: a conceptual framework and review of the literature,”
  20. (2007). The effects of interventions on health-related quality of life among persons with diabetes: a systematic review,”
  21. (1997). The problem areas in diabetes scale: An evaluation of its clinical utility,” Diabetes Care,
  22. (1995). W.H.Polonsky,B.J.Anderson,P.A.Lohreretal.,“Assessment of diabetes-related distress,” Diabetes Care,v o l .1 8 ,n o .6 ,p p .
  23. (2001). What will it take to improve care for chronic illness?” Effective Clinical Practice,

To submit an update or takedown request for this paper, please submit an Update/Correction/Removal Request.