A Clinical Measure for Evaluating Patient Functioning in Diabetics

Part of the Frontiers of Primary Care book series (PRIMARY)


Many clinicians have noted that the clinical course of patients with chronic diseases that require long-sustained interventions is often characterized by discrepancies between their biomedical state and their capacity to function in a variety of roles. More recently, several clinicians have commented on the difficulty of interpreting and applying in clinical practice the results of many conventional therapeutic trials because of the lack of information about the patient’s functional status. Both situations suggest the need for an approach to measure the impact of treatments on patients in a manner that qualitatively expands traditional biomedical outcomes.


Patient Functioning General Health Perception Insulin Pump Factor Analysis Model Insulin Dependent Diabetic Patient 
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  1. 1.
    Cahill GF, Etzwiler DD, et al.: Blood glucose control in diabetes. Diabetes 25: 237–239, 1976.Google Scholar
  2. 2.
    Tchobroutsky G: Relation of diabetes control to development of microvascular complications. Diabetologia 15: 143–152, 1978.PubMedCrossRefGoogle Scholar
  3. 3.
    Pirart A: Diabetes mellitus and its degenerative complications: A prospective study of 4000 patients observed between 1947 and 1973. Diabetes Care 1:168–187, 1978.Google Scholar
  4. 4.
    Ainslie MB: Why tight diabetes control should be approached with caution. Diabetes Control, 75 (4): 49–53. 1984.Google Scholar
  5. 5.
    Seigler DE, La Greca A, et al.: Psychological effects of intensification of diabetic control. Diabetes Care 5 (suppl 1): 19–23, 1982.PubMedGoogle Scholar
  6. 6.
    Shapiro J, Wigg D, et al.: Personality and family profiles of chronic insulin dependent diabetic patients using conventional and portable insulin infusion therapy. Diabetes Care 7 (2): 137–142, 1984.PubMedCrossRefGoogle Scholar
  7. 7.
    Marliss EB, Caron D: Present and future expections regarding insulin infusion pumps. Diabetes Care 4 (2): 325–327, 1981.PubMedGoogle Scholar
  8. 8.
    Mecklenberg RS, Benson JW, et al.: Clinical use of the insulin infusion pump in 100 patients with type 1 diabetes. New Engl J Med 307 (9): 513–518, 1982.CrossRefGoogle Scholar
  9. 9.
    Rudolf MC, Ahern JA, et al.: Optimal insulin delivery in adolescent diabetes. Impact of intensive treatment on psychosocial adjstment. Diabetes Care 5 (suppl. 1): 53–57, 1982.PubMedGoogle Scholar
  10. 10.
    Deeb LC, Williams PE: Premature mortality from diabetes. J Fl Med Assoc 69 (12): 1004–1008, 1982.Google Scholar
  11. 11.
    Dupre J, Champion M: Advances in insulin delivery in the management of diabetes mellitus. Clin Endocrinol Met 11 (2): 525–548, 1982.CrossRefGoogle Scholar
  12. 12.
    Dunn SM, Turtle JR: The myth of the diabetic personality. Diabetes Care 4: 645, 1981.Google Scholar
  13. 13.
    Moses L, Brown B Wm: Experiences with evaluating and safety and efficacy of medical technologies. Ann Rev Publ Health 5: 267–292, 1984.CrossRefGoogle Scholar
  14. 14.
    Ware, J: Monitoring and evaluating health, a commentary. Med Care 23(5):705709, 1985.Google Scholar
  15. 15.
    Wenger NK, Mattson ME, et al.: Assessment of Quality of Life in Clinical Trials of Cardiovascular Therapies. Le Jacq Publishing Inc, New York. USA, 1984.Google Scholar
  16. 16.
    Guyatt G, Bombardier C, Tugwell P: Measuring Disease-Specific Quality of Life in Clinical Trials. CMAJ, Apr. 1986; Vol. 134, 889–894.PubMedGoogle Scholar
  17. 17.
    Ware J: Conceptualizing Disease Impact and Treatment Outcomes. WD-1789-HHS, Rand Corporation Publication Service, Santa Monica, CA, Mar 1983.Google Scholar
  18. 18.
    Bergner M: Measurement of health status. Med Care, (5):696–704, 1985.CrossRefGoogle Scholar
  19. 19.
    Jette A, Davies A, Cleary PD, Calkins DR, Rubinstein LV, Fink A, Kosecoff J, Young RT, Brook RH, Delbanco TL: The functional status questionnnaire: Reliability and validity when used in primary care. J Gen Int Med 1: 143–149, 1986.CrossRefGoogle Scholar
  20. 20.
    Sayetta RB, Murphy RS: Summary of current diabetes-related data from the National Center for Health Statistics. Diabetes Care, 105–119, 1979.Google Scholar
  21. 21.
    Moos RH, Cronkite RC, et al.: Health and Daily Living Form Manual. Palo Alto, CA, Social Ecology Laboratory, Verterans Administration and Stanford University Medical Centers, 1984.Google Scholar
  22. 22.
    Veit C, Ware J: The structure of psychological distress and well-being in general populations. J Consult Clin Psychol (5):730–742, 1983.Google Scholar
  23. 23.
    Davies AR, Ware JE: Measuring Health Perceptions in the Health Insurance Experiments. R-2711-HHs, Rand Publications Series, San Francisco, 1981.Google Scholar
  24. 24.
    Parkerson G, Gehlbach S, Wagner E, James SA, Clapp NE, Muhlbaier LH: The Duke-UNC Health Profile: An adult health status instrument for primary care. Med Care 19 (8): 806–823, 1981.PubMedCrossRefGoogle Scholar
  25. 25.
    Speilberger CD, Gorsuch RL, et al.: Manual for the State-Trait Anxiety Inventory (self-evaluation questionnaire). Palo Alto, CA, Consulting Psychologists Press, 1970.Google Scholar
  26. 26.
    Connis RT, Gordon MJ, Taylor TR: Changes in cognitive and social functioning of diabetic patients following initiation of insulin infusion therapy. Experimental Aging Res. 15 (2): 51–60, 1989.Google Scholar
  27. 27.
    Mengel MB, Connis RT, Gordon MJ, Taylor TR: The relationship of family dynamics and social support to personal, psychological, social functioning in diabetic patients on the insulin pump. Fam Systems Med. 6 (3): 317–333, 1988.CrossRefGoogle Scholar
  28. 28.
    Connis RT: Age Related Changes in Functioning of Insulin Dependent Diabetic Patients: The Impact of Insulin Infusion Therapy on Development. Doctoral dissertation, University of Washington, February, 1986.Google Scholar

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© Springer-Verlag New York, Inc. 1990

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