The Diabetes Treatment Satisfaction Questionnaire change version (DTSQc) A change version of the DTSQ (DTSQc) is compared here with the original status. as measured by the Diabetes Treatment Satisfaction Questionnaire (DTSQ status) Principal components analysis was conducted on the 8-item DTSQ (1). Bradley C. Diabetes Treatment Satisfaction Questionnaire (DTSQ). In: Bradley C, ed. Handbook of psychology and diabetes. Chur (Switzerland): Harwood.
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DTSQ is now translated into more than languages, including Japanese [ 11 ], and is one of the most widely used questionnaires in the field of diabetes. Improved treatment satisfaction and weight-related quality of life with exenatide once weekly or twice daily.
Change version for use alongside status version provides appropriate solution where ceiling effects occur. No or only modest associations between HbA1c levels and DTSQ score have also been reported [ 111314 ], which is consistent with our results.
As discussed above, DTSQ scores may also be affected by various factors, including waiting time and satisfaction with consultation with medical staff. The Change version was completed only at endpoint. However, it was expected that the Not at Ceiling group would be better able to show an increase in Treatment Satisfaction than the At Ceiling group, if they were using the DTSQsDiff, and this was indeed the case. Table 1 Major questionnaires for PROs used internationally in patients with diabetes.
Ceiling effect reduces the validity of the Diabetes Treatment Satisfaction Questionnaire. Dealing with ceiling baseline treatment satisfaction level in patients with diabetes under flexible, functional insulin treatment: This article has been cited by other articles in PMC. Measures of psychological well-being and treatment satisfaction developed from the responses of people with tablet-treated diabetes. Table 6 “Treatment Satisfaction” — Descriptive Statistics. JS conducted the analyses of the DTSQ data, contributed to reports and papers on the glargine trials, advised on part of these statistical analyses and contributed to the discussion of the responsiveness analyses.
DTSQs and DTSQc – Diabetes Treatment Satisfaction Questionnaire, status and change versions
To explore further the sensitivity to change of the questionnaires an analysis of effect sizes was conducted in addition to the analysis of satisfaxtion. Results for Perceived Hyper- and Hypoglycaemia also demonstrated important differences between the questionnaires in the detection of treatment effects.
In this review, we summarize the current topics in DTSQ, introducing our own experience, and discuss the role of PROs in diabetes treatment.
A better understanding of the role of PROs in diabetes care and appropriate use of each questionnaire, including DTSQ, is needed for further improvement of current diabetes treatment.
Published online Oct The results of using status measures to identify any changes in treatment satisfaction strongly suggest a need for specific change instruments designed to overcome the ceiling effects frequently observed at baseline.
Viabetes the DTSQc is a measure of comparative satisfaction, a measure of absolute Satisfaction should always be used at baseline using the original Status version of the DTSQ, to enable researchers to put the findings of the Change measure into context, i.
Published online May 9. Conclusion The DTSQc, used in conjunction with the DTSQs, overcomes the problem of ceiling effects encountered when only the status measure is used and provides a means for new treatments to show greater value than is possible with the DTSQs alone. It is important to note that, although the benefits of the change measure are most apparent in the Treatment Satisfaction scores from patients scoring At Ceiling at baseline, the DTSQc is also more responsive to change than the DTSQsDiff in patients who were Not at Ceiling to start with.
These six questions showed good internal consistency, with a Cronbach alpha score of 0. Aseltine et al did not consider the role of ceiling or floor effects in limiting the validity of status measures, although the data they presented suggest that ceiling effects with the status version of the health status measure they used may have increased the difference between the status and change measures, while the symptom measure used appeared little affected by ceiling or floor effects and also gave rise to fewer discrepancies between status and change measures.
Introduction The goal of diabetes treatment is the prevention of the onset and progression of micro- and macrovascular complications as well as the achievement of quality of life QOL and longevity equivalent to people without diabetes.
Treatment effects on Perceived Hypoglycaemia observed in the type 2 participants only became significant in the interaction with Questionnaire and Floor effect. Impact on treatment success, satisfaction, quality of life, and adherence. Scope and measurement of patient satisfaction. This can give rise to potentially misleading conclusions, as patients appear not to value a new treatment as highly as in fact they do.
However, as the effect sizes based on these ts differ significantly despite the positive correlations, the stated results are conservative. The results have been reported previously. Novel therapeutic options, such as insulin analogs, incretin-based therapy and sodium-glucose cotransporter 2 SGLT2 inhibitors, have been shown to improve patient satisfaction using DTSQ for assessments. Background Patients are inclined to make the best of their current treatment and only become aware of its drawbacks when they can compare it with something better [ 1 ].
Diabetes Treatment Satisfaction Questionnaire, status and change versions (DTSQs and DTSQc)
On these two items, low scores represent good perceived blood glucose control. There was no apparent correlation between total DTSQ score and age or sex in our cohort.
A systematic review of adherence, treatment satisfaction and costs, in fixed-dose combination regimens in type 2 diabetes. Less hypoglycaemia with insulin glargine in intensive insulin therapy for type 1 diabetes. The wording of the items themselves is the same for both the status and change versions, the small exception being part of the wording of item 7 recommending the treatment.
Africaconfirming the validity of the German questiomnaire for Austria and now Germany for the first time, for patients with both type 1 and type 2 diabetes. The results of DTSQ are not limited to a specific medication or treatment strategy, but rather the overall satisfaction with the treatment of diabetes.
The evidence is that the DTSQc does not.