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Negative appraisals of insulin therapy are common among adults with Type 2 diabetes using insulin: Results from Diabetes MILES - Australia corss-sectional survey

Holmes-Truscott, E., Skinner, Timothy, Pouwer, Frans and Speight J. (2015). Negative appraisals of insulin therapy are common among adults with Type 2 diabetes using insulin: Results from Diabetes MILES - Australia corss-sectional survey<br />. Diabetic Medicine,32(10):1297-1303.

Document type: Journal Article
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Title Negative appraisals of insulin therapy are common among adults with Type 2 diabetes using insulin: Results from Diabetes MILES - Australia corss-sectional survey
Author Holmes-Truscott, E.
Skinner, Timothy
Pouwer, Frans
Speight J.
Journal Name Diabetic Medicine
Publication Date 2015
Volume Number 32
Issue Number 10
ISSN 0742-3071   (check CDU catalogue  open catalogue search in new window)
eISSN 1464-5491
Scopus ID 2-s2.0-84941934341
Start Page 1297
End Page 1303
Total Pages 7
Place of Publication United Kingdom
Publisher Wiley-Blackwell Publishing Ltd.
HERDC Category C1 - Journal Article (DIISR)
Abstract Aim
To identify insulin therapy appraisals among adults with Type 2 diabetes using insulin and how negative appraisals relate to clinical, self-care and psychosocial outcomes.

Methods
Diabetes MILES – Australia 2011 was a national survey of adults with diabetes, focused on behavioural and psychosocial issues. Subgroup analyses were conducted on the responses of 273 adults with Type 2 diabetes using insulin (46% women; mean ± sd age: 59 ± 9 years; diabetes duration: 12 ± 7 years; years using insulin: 4 ± 4). They completed validated measures of insulin therapy appraisals (ITAS), depression (PHQ–9), anxiety (GAD–7), diabetes distress (PAID) and diabetes-specific self-efficacy (DES–SF).

Results
Insulin was perceived to be very important, and its benefits (e.g. improves health) were endorsed by most (82%). Fifty-one per cent believed that taking insulin means their diabetes has become worse; 51% that insulin causes weight gain; 39% that they have ‘failed to manage’ their diabetes. Those with the greatest and least ‘ITAS negative’ scores did not differ by diabetes duration or years using insulin, or by average number of insulin injections or blood glucose checks per day. Those with more negative insulin appraisals were significantly younger (Mean Diff. = 5 years, P < 0.001), less satisfied with recent blood glucose levels (P < 0.001, d = 0.63), had reduced diabetes-specific self-efficacy (P < 0.001, d = 0.7), and were more likely to report depressive symptoms, anxiety or diabetes distress (all P < 0.001, d = 0.65–1.1).

Conclusions
Negative insulin therapy appraisals are common among adults with Type 2 diabetes using insulin, and are associated with lower general and diabetes-specific emotional well-being, reduced diabetes-specific self-efficacy and satisfaction with blood glucose.
DOI http://dx.doi.org/10.1111/dme.12729   (check subscription with CDU E-Gateway service for CDU Staff and Students  check subscription with CDU E-Gateway in new window)
Additional Notes Accepted version pp.1-23


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Created: Thu, 11 Dec 2014, 14:20:01 CST by Marion Farram