scholarly journals Development of a Validated Questionnaire to Assess Attitude of Patient to-wards Self-Management among uncontrolled diabetic population in Tamil Nadu

2019 ◽  
Vol 10 (2) ◽  
pp. 1089-1095
Author(s):  
Ashok Kumar M ◽  
Shanmugasundaram P
Keyword(s):  
Diabetes Mellitus ◽  
Tamil Nadu ◽  
Discriminant Validity ◽  
Intraclass Correlation ◽  
Type Ii Diabetes Mellitus ◽  
Daily Basis ◽  
Diabetic Control ◽  
Self Management ◽  
Convergent And Discriminant Validity ◽  
Validated Questionnaire

Diabetes mellitus is a chronic progressive metabolic disorder characterized by hyperglycemia. Adherence to the treatment regimen and self-management of diabetes mellitus form the nucleus of diabetic control. Empowerment is a patient-centred, collaborative approach tailored to match the fundamental realities of diabetes care. Patients need to learn about diabetes and how to safely care for it on a daily basis. Hence a questionnaire was developed and validated for assessment of patient attitude towards self-management of type II diabetes mellitus. The questionnaire was examined for internal consistency, reproducibility, convergent and discriminant validity using Cronbach's alpha, intraclass correlation and CITC scores respectively. The final version of the questionnaire was found to be statistically internally consistent, reproducible and reliable and could be used to assess the awareness and attitude of patients towards self-management of diabetes mellitus.

Knowledge of Hypoglycemic Symptoms and their Self-Management among patients with Type II Diabetes Mellitus

2021 ◽  
Vol 15 (11) ◽  
pp. 2961-2962
Author(s):  
Aneel Kumar ◽  
Zahid Ali Shaikh ◽  
Sham Lal Prithiani ◽  
Bashir Ahmed Shaikh ◽  
Imdad Ali Ansari ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type Ii Diabetes ◽  
Type Ii Diabetes Mellitus ◽  
Self Management ◽  
Type I ◽  
Type Ii ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Adequate Knowledge

Aim: To determine knowledge of hypoglycaemic symptoms & their self-management among pts with type II diabetes mellitus. Study Design: Descriptive, cross-sectional. Place and duration of study: OPD Clinic of Department of Medicine, Chandka Medical College Hospital Larkana from 23rd May 2019 to 22nd November 2019. Methodology: One hundred and thirty five patients with type II diabetes mellitus of age 35- 60 years were selected. Patients with type I DM and neuro-psychiatric illness were excluded. The symptoms of hypoglycemia and their responses to those symptoms were recorded. Results: The mean age of 47.07±6.04years and majority of the patients 83 (61.48%) were between 46-60 years of age. Seventy two (53.33%) were male and 63 (46.67%) were females. Mean duration of diabetes mellitus was 6.90±3.86 years. Adequate knowledge of hypoglycemic symptoms and their self-management among patients with type II diabetes mellitus was found in 62 (56.9%) patients. Conclusion: Hypoglycemic patients are significantly unaware of their condition and have a very low knowledge about hypoglycemia and its self-management. Keywords: Type II diabetes, Hypoglycemic symptoms, Knowledge

scholarly journals Study of serum magnesium levels and its correlation with glycemic status in type II diabetes patients

2022 ◽  
Vol 8 (4) ◽  
pp. 294-296
Author(s):  
Shilpa A Pratinidhi ◽  
Yuvraj Badhe ◽  
Chaitanya Bhujbal ◽  
Mohak Tilokchandani
Keyword(s):  
Diabetes Mellitus ◽  
Glycemic Control ◽  
Type Ii Diabetes ◽  
Serum Magnesium ◽  
Insulin Binding ◽  
Type Ii Diabetes Mellitus ◽  
Diabetic Control ◽  
Type Ii ◽  
Cross Sectional ◽  
Dietary History

Magnesium is most important and vital element of body. It needs to be supplemented adequately. It plays a vital role in insulin secretion, insulin binding and homeostasis. When Serum Magnesium is adequate, the glycemic control is better and HbA1c values will fall, thus proving that serum magnesium plays a major role in glycemic control. It is now established that diabetes can by itself induce hypomagnesemia and hypomagnesemia can in turn induce onset or worsen diabetes mellitus.: A cross-sectional study was conducted in 48 diagnosed cases of type II diabetes mellitus. This study was planned to study if any correlation exists between the level of Serum Magnesium and HbA1C in diagnosed Type II diabetics.: The correlation between the two parameters was not found to be statistically significant.: Owing to COVID-19 restrictions history regarding the duration of disease, the dietary history of the participants could not be obtained : Serum magnesium does not bear a constant relationship with the diabetic control according to the findings of the current study and detailed studies including multi-parametric analysis along with duration of diabetes is required.

scholarly journals Comparative assessment of the efficacy of voglibose and metformin combined with insulin in patients with type 2 diabetes mellitus

2019 ◽  
Vol 10 (3) ◽  
pp. 2255-2258 ◽  
Author(s):  
Kothai Ramalingam ◽  
Veenah Ganesan ◽  
Sooraj Sasi ◽  
Surya Shanmugam ◽  
Arul Balasubramanian
Keyword(s):  
Diabetes Mellitus ◽  
Tamil Nadu ◽  
Tertiary Care ◽  
Type Ii Diabetes Mellitus ◽  
Care Hospital ◽  
Number Of Patients ◽  
Group A ◽  
Group B ◽  
Tertiary Care Hospitals ◽  
Salem District

The present study was conducted to assess the efficacy of metformin and voglibose combined with insulin in patients with type II diabetes mellitus. It is a retrospective study was conducted in tertiary care hospitals of Salem district Tamil Nadu with 120 patients who are taking either metformin and insulin or voglibose and insulin according to the inclusion and exclusion criteria. The total number of patients were divided into two groups each consist of 60. Group A was the patients prescribed with metformin and insulin and group B was the patients prescribed with voglibose and insulin. The average efficacy of metformin and voglibose combined with insulin for 10 days, 20 days, 30 days & 40 days were compared using FBS, PPBS, RBS and HbA1C values. The result shows that patients treated with metformin and insulin, the average efficacy of FBS levels on 10, 20, 30 and 40 days were 22.96%, 27.46%, 30.49% and 36.78% respectively. Whereas in the case of voglibose and insulin the efficacy was 23.48%, 28.38%, 32.57%, 40.47% for 10, 20, 30 and 40 days respectively.In the same way, the PPBS, RBS and HbA1C levels were also calculated. While comparing both the groups of patients, the average efficacy of treatment with voglibose and insulin was more effective than metformin and insulin in the tertiary care hospital of Salem district.

scholarly journals Evaluation of the reliability and validity of computerized tests of attention

2021 ◽  
Author(s):  
Robert Langner ◽  
Frank Scharnowski ◽  
Silvio Ionta ◽  
Carlos Ernesto Garrido Salmon ◽  
Brian J. Piper ◽  
...  
Keyword(s):  
Discriminant Validity ◽  
Intraclass Correlation ◽  
Temporal Stability ◽  
Reliability And Validity ◽  
Vigilance Task ◽  
Continuous Performance Task ◽  
Convergent And Discriminant Validity ◽  
Basic And Applied Research ◽  
Test Retest Reliability ◽  
Psychomotor Vigilance

Different aspects of attention can be assessed through psychological tests, in order to identify stable individual or group differences as well as alterations after interventions. Aiming for a wide applicability of psychological assessments, Psychology Experiment Building Language (PEBL) is an open-source software system for designing and running computerized tasks that tax various attentional functions. Here, we evaluated the reliability and validity of several widely used computerized attention tasks as provided with the PEBL package, namely the Continuous Performance Task (CPT), the Switcher task, the Psychomotor Vigilance Task (PVT), the Mental Rotation task, and the Attentional Network Test. For all tasks, we evaluated test–retest reliability using the intraclass correlation coefficient (ICC), as well as internal consistency through within-test correlations and split-half ICC. Across tasks, response time scores showed adequate reliability, whereas scores of performance accuracy, variability, and deterioration over time did not. Stability across application sites was observed for the CPT and Switcher task, but substantial practice effects (i.e., a lack of temporal stability) was observed for all tasks except the PVT. We substantiate convergent and discriminant validity for several task scores using between-task correlations and provide further evidence for construct validity via associations of task scores with attentional and motivational assessments. The Switcher task did not show sufficient stability and validity for the evaluation of switching costs, therefore we propose that a longer practice period might be necessary for achieving sound psychometric properties for this task. We suggest that researchers interested in individual differences should be particularly cautious when including accuracy or variability scores in their assessment. Taken together, our results provide necessary and valuable information that may help design and interpret studies involving attention assessments in basic and applied research.

scholarly journals Breast Cancer Screening Beliefs Questionnaire: Psychometric Properties of the Persian Version

2020 ◽  
Author(s):  
Hamid Sharifnia ◽  
Fereshteh Behmanesh ◽  
Cannas Kwok ◽  
Mojgan Firouzbakht ◽  
Abbas Ebadi ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Cancer Screening ◽  
Breast Cancer Screening ◽  
Discriminant Validity ◽  
Intraclass Correlation ◽  
Convergent And Discriminant Validity ◽  
Confirmatory Factor ◽  
Attitudes And Knowledge ◽  
Composite Reliability ◽  
Three Factor

Abstract Backgrand Cancer-related personal beliefs, attitudes, and knowledge can significantly determine cancer screening behaviors. Valid and reliable instruments are needed to assess such beliefs, attitudes, and knowledge. This study aimed to translate Breast Cancer Screening Beliefs Questionnaire into Persian and evaluate its psychometric properties among Iranian women.Methods In this methodological study, the twelve-item Breast Cancer Screening Beliefs Questionnaire was translated into Persian and filled out by 1256 Iranian women. Sampling was purposively done from June 2017 to March 2018. Face, content, convergent, and discriminant validity were evaluated and exploratory and confirmatory factor analyses were performed for construct validity evaluation. Reliability was also evaluated through calculating Cronbach’s alpha, McDonald’s omega, Average inter-item correlation, and test-retest intraclass correlation coefficient and finally, composite reliability was estimated.Results Three factors were extracted in factor analysis which included screening attitude, screening knowledge and perception, and screening practice. These factors explained 55.71% of the total variance of breast cancer screening beliefs. This three-factor model was confirmed in confirmatory factor analysis based on model fit indices (PCFI = 0.703, PNFI = 0.697, CMIN/DF = 2.127, RMSEA = 0.30, GFI = 0.980, AGFI = 0.998, and CFI = 0.991). Convergent and discriminant validity were also confirmed. Composite reliability and test-retest intraclass correlation coefficient were more than 0.7.Conclusion With a three-factor structure, the Persian Breast Cancer Screening Beliefs Questionnaire has acceptable validity and reliability and hence, can be used to evaluate Iranian women’s breast cancer screening beliefs.

scholarly journals Associations among comorbid anxiety, psychiatric symptomatology, and diabetic control in a population with serious mental illness and diabetes: Findings from an interventional randomized controlled trial

2017 ◽  
Vol 53 (3) ◽  
pp. 126-140 ◽  
Author(s):  
Awais Aftab ◽  
Chetan Bhat ◽  
Douglas Gunzler ◽  
Kristin Cassidy ◽  
Charles Thomas ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Mental Illness ◽  
Anxiety Disorders ◽  
Serious Mental Illness ◽  
Type Ii Diabetes ◽  
Type Ii Diabetes Mellitus ◽  
Diabetic Control ◽  
Illness Management ◽  
Type Ii ◽  
Psychiatric Symptomatology

Objective Serious mental illness and type II diabetes mellitus have a high comorbidity, and both have a higher prevalence of anxiety disorders compared to the general population. Targeted Training in Illness Management is a group-based self-management training approach which targets serious mental illness and type II diabetes mellitus concurrently. This analysis examines data from a randomized controlled trial of Targeted Training in Illness Management intervention to examine the impact of comorbid anxiety on baseline psychiatric symptomatology and diabetic control, and on longitudinal treatment outcomes. Methods We conducted secondary analyses on data from a prospective, 60-week, randomized controlled trial testing Targeted Training in Illness Management versus treatment as usual in 200 individuals with serious mental illness and diabetes. Primary outcomes included measures related to serious mental illness symptoms, functional status, general health status, and diabetes control. Measures were compared between those participants with anxiety disorders versus those without anxiety at baseline as well as over time using linear mixed effects analyses. Results Forty seven percent of the participants had one or more anxiety disorders. At baseline, those with an anxiety diagnosis had higher illness severity, depressive, and other psychiatric symptomatology and disability. Diabetic control (HbA1c) was not significantly different at baseline. In the longitudinal analyses, no significant mean slope differences over time (group-by-time interaction effect) between those with anxiety diagnoses and those without in treatment as usual group were found for primary outcomes. Within the Targeted Training in Illness Management arm, those with anxiety disorders had significantly greater improvement in mental health functioning. Those with anxiety comorbidity in the Targeted Training in Illness Management group demonstrated significantly lower HbA1c levels compared to no anxiety comorbidity and also demonstrated a greater improvement in HbA1c over the first 30 weeks compared to those without anxiety comorbidity. Conclusion Comorbid anxiety in serious mental illness and type II diabetes mellitus population is associated with increased psychiatric symptomatology and greater disability. Individuals from this population appear to experience greater improvement in functioning from baseline with the Targeted Training in Illness Management intervention. Anxiety comorbidity in the serious mental illness and type II diabetes mellitus population does not appear to have a negative impact on diabetic control. These complex relationships need further study. Clinical Trials Registration ClinicalTrials.gov: Improving outcomes for individuals with serious mental illness and diabetes (NCT01410357).

scholarly journals THE INFLUENCE OF FAMILY SUPPORT AMONG UNCONTROLLED TYPE II DIABETES MELLITUS PATIENTS

2020 ◽  
Vol 4 (11) ◽  
Author(s):  
Khaled Hassan
Keyword(s):  
Diabetes Mellitus ◽  
Family Support ◽  
Self Efficacy ◽  
Well Being ◽  
Type Ii Diabetes Mellitus ◽  
Self Management ◽  
Physiological Indicators ◽  
Patient Health ◽  
Close Relatives

Across the Worldwide, the prevalence of type 2 diabetes mellitus (T2D) is rising significantly. Continuing diabetes mellitus (DM) treatment allows both patients and family members to undergo appropriate self-management instruction and support. This study aimed to review and describe the effect of self-management education for diabetes mellitus (DSME) involving close relatives on patient outcomes associated with patient health habits and perceived self-efficacy on self-management, such as medication adherence, tracking blood glucose, improvements in diet and exercise, health outcomes including psychological well-being and self-efficacy, and physiological indicators like body mass index. Three databases, PubMed, CINAHL, and Scopus, have been reviewed for relevant articles. Keywords: close relatives, self-management; family support; uncontrolled glycaemia; type 2 DM.

Sign in / Sign up

Export Citation Format

Share Document