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An audit of diabetes-dependent quality of life in patients with type 2 diabetes mellitus in Malaysia

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Abstract

Purpose

The aim of this study was to evaluate and validate the ADDQoL and to assess the impact of diabetes on QoL among the type 2 diabetes mellitus patients in Malaysia.

Methods

The Malay and English versions of the ADDQoL questionnaire were administered to patients attending routine outpatient visits in three primary hospitals and a public clinic. The construct validity of the ADDQoL was validated using confirmatory factor analysis (CFA). The sample comprised 350 Malay respondents who rated the ADDQoL Malay version and 246 non-Malay respondents (Chinese or Indian) who answered using the ADDQoL original English version.

Results

CFA confirmed the presence of one-factor structure for both samples. The internal consistency was high with Cronbach’s alpha values of 0.945 and 0.907 for the ADDQoL Malay and English versions, respectively. Results showed that for all three ethnicities, the most important domain is ‘family life’. Overall, Malay patients stated their ‘living conditions’ is the most negatively affected, while for Chinese and Indians, diabetes has the greatest impact on their ‘freedom to eat’.

Conclusions

The ADDQoL was found to be culturally appropriate, valid and reliable among Malay- and English-speaking type 2 diabetes mellitus patients in Malaysia.

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References

  1. Grant, R. W., Pirraglia, P. A., Meigs, J. B., & Singer, D. E. (2004). Trends in complexity of diabetes care in the United States from 1991 to 2000. Archives of Internal Medicine, 164(10), 1134–1139.

    Article  PubMed  Google Scholar 

  2. Testa, M. A., & Simonson, D. C. (1996). Assessment of quality-of-life outcomes. New England Journal of Medicine, 334, 835–840.

    Article  CAS  PubMed  Google Scholar 

  3. Wolpert, H. A., & Anderson, B. J. (2001). Management of diabetes: Are doctors framing the benefits from the wrong perspective? BMJ (Clinical Research Edition), 323(7), 994–996.

    Article  CAS  Google Scholar 

  4. Rubin, R. R., & Peyrot, M. (1999). Quality of life and diabetes. Diabetes/Metabolism Research and Reviews, 15(3), 205–218.

    Article  CAS  PubMed  Google Scholar 

  5. Bradley, C., Todd, C., Gorton, T., Symonds, E., Martin, A., & Plowright, R. (1999). The development of an individualized questionnaire measure of perceived impact of diabetes on quality of life: the ADDQoL. Quality of Life Research: An International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation, 8(12), 79–91.

    Article  CAS  Google Scholar 

  6. Bradley, C., & Speight, J. (2002). Patient perceptions of diabetes and diabetes therapy: Assessing quality of life. Diabetes/metabolism Research and Reviews, 18(Suppl 3), 64–69.

    Article  Google Scholar 

  7. Bradley, C. (2001). Importance of differentiating health status from quality of life. The Lancet, 9249(357), 7–9.

    Article  Google Scholar 

  8. Cheung, Y. B., & Thumboo, J. (2006). Developing health-related quality-of-life instruments for use in Asia: The issues. PharmacoEconomics, 24(7), 643–650.

    Article  PubMed  Google Scholar 

  9. Herdman, M., Fox-Rushby, J., & Badia, X. (1998). A model of equivalence in the cultural adaptation of HRQoL instruments: The universalist approach. Quality of Life Research, 7(4), 323–335.

    Article  CAS  PubMed  Google Scholar 

  10. Glasgow, R. E., Fisher, E. B., Anderson, B. J., LaGreca, A., Marrero, D., Johnson, S. B., et al. (1999). Behavioral science in diabetes. Contributions and opportunities. Diabetes Care, 22(5), 832–843.

    Article  CAS  PubMed  Google Scholar 

  11. Thumboo, J., Chan, S., Machin, D., Soh, C., Feng, P., Boey, M., & Fong, K. (2002). Measuring health-related quality of life in Singapore: normal values for the English and Chinese SF-36 Health Survey. Annals of the Academy of Medicine, Singapore, 31(3), 366–374.

    CAS  PubMed  Google Scholar 

  12. Wee, H. L., Li, S. C., Cheung, Y.-B., Fong, K. Y., & Thumboo, J. (2006). The influence of ethnicity on health-related quality of life in diabetes mellitus: a population-based, multiethnic study. Journal of Diabetes and Its Complications, 20(3), 170–178.

    Article  PubMed  Google Scholar 

  13. Soon, S. S., Goh, S. Y., Bee, Y. M., Poon, J. L., Li, S. C., Thumboo, J., & Wee, H. L. (2010). Audit of diabetes-dependent quality of life (ADDQoL) [Chinese Version for Singapore] questionnaire. Applied Health Economics & Health Policy, 8(4), 239–249.

    Article  Google Scholar 

  14. Zhang, X.-H., Tan, K., Tan, H.-H., Thumboo, J., & Li, S.-C. (2012). Are English and Chinese versions of the audit of diabetes-dependent quality of life equivalent? An exploratory study based on the universalist approach. Value in Health Regional Issues, 1(1), 75–81.

    Article  CAS  Google Scholar 

  15. Holmanová, E., & Ziaková, K. (2009). Audit diabetes-dependent quality of life questionnaire: Usefulness in diabetes self-management education in the Slovak population. Journal of Clinical Nursing, 18(9), 1276–1286.

    Article  PubMed  Google Scholar 

  16. Turk, E., Rupel, V. P., Tapajner, A., Leyshon, S., & Isola, A. (2013). An audit of diabetes-dependent quality of life (ADDQOL) in older patients with diabetes mellitus type 2 in Slovenia. Value in Health Regional Issues, 2(2), 248–253.

    Article  Google Scholar 

  17. Ostini, R., Dower, J., & Donald, M. (2012). The audit of diabetes-dependent quality of life 19 (ADDQoL): Feasibility, reliability and validity in a population-based sample of Australian adults. Quality of Life Research: An International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation, 21(8), 1471–1477.

    Article  Google Scholar 

  18. Bradley, C., De Pablos-Velasco, P., Parhofer, K. G., Eschwège, E., Gönder-Frederick, L., & Simon, D. (2011). PANORAMA: A European study to evaluate quality of life and treatment satisfaction in patients with type-2 diabetes mellitus—Study design. Primary Care Diabetes, 5(4), 231–239.

    Article  PubMed  Google Scholar 

  19. Singh, H., & Bradley, C. (2006). Quality of life in diabetes. International Journal of Diabetes in Developing Countries, 26(1), 1–7.

    Article  Google Scholar 

  20. Rombopoulos, G., Hatzikou, M., Latsou, D., & Yfantopoulos, J. (2013). The prevalence of hypoglycemia and its impact on the quality of life (QoL) of type 2 diabetes mellitus patients (the HYPO study). Hormones (Athens, Greece), 12(4), 550–558.

    Article  Google Scholar 

  21. Wang, H.-F., & Yeh, M. C. (2013). The quality of life of adults with type 2 diabetes in a hospital care clinic in Taiwan. Quality of Life Research: An International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation, 22(3), 577–584.

    Article  Google Scholar 

  22. Kamarul Imran, M., Ismail, A. A., Naing, L., & Wan Mohamad, W. B. (2007). The reliability and validity of the Malay version of the 18-item audit of diabetes dependent quality of life (the Malay ADDQOL) questionnaire. The Southeast Asian Journal of Tropical Medicine and Public Health, 38(2), 398–405.

    CAS  PubMed  Google Scholar 

  23. Wee, H., Tan, C., Goh, S., & Li, S. (2006). Usefulness of the audit of (ADDQoL) questionnaire in patients with diabetes in a multi-ethnic Asian Country. Pharmacoeconomics, 24(7), 673–682.

    Article  PubMed  Google Scholar 

  24. Sundaram, M., Kavookjian, J., Patrick, J. H., Miller, L.-A., Madhavan, S. S., & Scott, V. G. (2007). Quality of life, health status and clinical outcomes in type 2 diabetes patients. Quality of Life Research: An International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation, 16(2), 165–177.

    Article  Google Scholar 

  25. Iversen, M. M., Espehaug, B., Rokne, B., Haugstvedt, A., & Graue, M. (2013). Psychometric properties of the Norwegian version of the audit of diabetes-dependent quality of life. Quality of Life Research: An International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation, 22(10), 2809–2812.

    Article  Google Scholar 

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Acknowledgments

The authors would like to thank Professor Clare Bradley for granting the license to translate and use the ADDQoL. We are also very grateful to Mrs. Rosalind Plowright for great support and insightful comments during the linguistic validation process. The authors would like to thank the Research Management Institute (RMI) of Universiti Teknologi MARA (UiTM), Malaysia, for funding this research under the RIF fund (600-RMI/DANA 5/3/RIF (218/2012). This study was also registered under the Medical Research and Ethics Committee, Malaysia (NMRR-13-640-15679).

Conflict of interest

None.

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Authors and Affiliations

  1. Faculty of Computer and Mathematical Sciences, Centre of Statistical and Decision Science Studies, Universiti Teknologi MARA, 40450, Shah Alam, Selangor, Malaysia

    Zeinab Jannoo, Bee Wah Yap & Mohamad Alias Lazim

  2. Department of Community Medicine, School of Medical Sciences, Universiti Sains Malaysia, Penang, Malaysia

    Kamarul Imran Musa

  3. School of Pharmaceutical Sciences, Universiti Sains Malaysia, Penang, Malaysia

    Mohamed Azmi Hassali

Authors
  1. Zeinab Jannoo
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  2. Bee Wah Yap
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  3. Kamarul Imran Musa
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  4. Mohamad Alias Lazim
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  5. Mohamed Azmi Hassali
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Corresponding author

Correspondence to Zeinab Jannoo.

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Jannoo, Z., Yap, B.W., Musa, K.I. et al. An audit of diabetes-dependent quality of life in patients with type 2 diabetes mellitus in Malaysia. Qual Life Res 24, 2297–2302 (2015). https://doi.org/10.1007/s11136-015-0969-8

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  • DOI: https://doi.org/10.1007/s11136-015-0969-8

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