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Diabetes Res Clin Pract. 2010 Dec;90(3):243-9. doi: 10.1016/j.diabres.2010.07.003. Epub 2010 Oct 28.

Assessing treatment barriers in young adults with type 1 diabetes.

Author information

1
University of Nebraska Medical Center, Munroe-Meyer Institute, Omaha, NE, USA. blancaster@unmc.edu

Abstract

AIMS:

The current study was designed to identify barriers that prevent young adults with DM1 from achieving glycemic control.

METHODS:

Eighty-three young adult patients with DM1 [age 22.2 ± 2.8 years (mean ± SD), duration diabetes 11.3 ± 5.6 years, HbA1c 8.8 ± 2.1%] completed a battery of surveys assessing potential barriers to achieving glycemic control. Results of questionnaires were correlated with the patient's most recent HbA1c, and a multiple regression analysis was conducted to determine what barriers were significantly associated with HbA1c levels.

RESULTS:

Questionnaires that significantly correlated with HbA1c levels included the Conflict Subscale of the Diabetes Responsibility and Conflict Scale (r = .55, p < .01), the Modified Barriers to Adherence Questionnaire (r = .42, p < .01), and the Hospital Anxiety and Depression Scale (r = .31, p < .05). An item analysis of the Modified Barriers to Adherence Scale suggested that patient confidence with carbohydrate counting was most statistically associated with HbA1c [F(3, 80) = 12.95, p < .01, R²=.35].

CONCLUSIONS:

Results suggest that despite attempts to educate patients; barriers such as family conflict, psychological issues, and carbohydrate counting remain obstacles impeding glycemic control in young adults with DM1.

PMID:
21035226
DOI:
10.1016/j.diabres.2010.07.003
[Indexed for MEDLINE]
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