Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles, California.
Department of Pediatrics, University of Southern California, Los Angeles, California.
Diabetes Educ. 2018 Dec;44(6):489-500. doi: 10.1177/0145721718804170. Epub 2018 Oct 8.
The purpose of this study was to evaluate relationships between behavioral and psychosocial constructs, A1C, and diabetes-dependent quality of life (DQoL) among low-socioeconomic status, ethnically diverse young adults with diabetes.
Using baseline data of 81 participants in the Resilient, Empowered, Active Living (REAL) randomized controlled trial, behavioral, cognitive, affective, and experiential variables were correlated with A1C and DQoL while adjusting for demographic characteristics, and these relationships were examined for potential effect modification.
The data indicate that depressive symptoms and satisfaction with daily activities are associated with both A1C and DQoL, while diabetes knowledge and participation in daily activities are associated with neither A1C nor DQoL. Two constructs, diabetes distress and life satisfaction, were associated with DQoL and were unrelated to A1C, while 2 constructs, self-monitoring of blood glucose and medication adherence, were associated with A1C but unrelated to DQoL. These relationships were largely unchanged by adjusting for demographic characteristics, while numerous effect modifications were found.
The data suggest that when tailoring interventions, depressive symptoms and satisfaction with daily activities may be particularly fruitful intervention targets, as they represent modifiable risk factors that are associated with both A1C and DQoL.
本研究旨在评估行为和心理社会结构、A1C 与糖尿病相关生活质量（DQoL）之间的关系，研究对象为社会经济地位较低、种族多样的年轻糖尿病患者。
REAL 随机对照试验的 81 名参与者的基线数据用于本研究，对行为、认知、情感和经验变量与 A1C 和 DQoL 进行相关性分析，同时调整人口统计学特征，并对潜在的效应修饰作用进行检验。
数据表明，抑郁症状和日常活动满意度与 A1C 和 DQoL 均相关，而糖尿病知识和日常活动参与度与 A1C 和 DQoL 均不相关。两个结构，糖尿病困扰和生活满意度，与 DQoL 相关，与 A1C 无关，而两个结构，自我血糖监测和药物依从性，与 A1C 相关，与 DQoL 无关。这些关系在调整人口统计学特征后基本保持不变，但发现了许多效应修饰作用。
数据表明，在进行干预时，抑郁症状和日常活动满意度可能是特别有成效的干预目标，因为它们是与 A1C 和 DQoL 均相关的可改变的风险因素。
