Evaluation of a quality-of-life tool for dogs with diabetes mellitus.

IF 2.6 2区农林科学

Journal of Veterinary Internal Medicine Pub Date : 2012-07-01 Epub Date: 2012-05-31 DOI:10.1111/j.1939-1676.2012.00947.x

S J M Niessen, S Powney, J Guitian, A P M Niessen, P D Pion, J A M Shaw, D B Church

{"title":"Evaluation of a quality-of-life tool for dogs with diabetes mellitus.","authors":"S J M Niessen, S Powney, J Guitian, A P M Niessen, P D Pion, J A M Shaw, D B Church","doi":"10.1111/j.1939-1676.2012.00947.x","DOIUrl":null,"url":null,"abstract":"Background: Diabetes mellitus (DM) management primarily focuses on improvement in blood glucose concentrations and clinical signs. A tool to assess the psychological and social impact of DM and its treatment on quality of life (QoL) previously has only been validated for feline DM.Hypothesis/objectives: To validate a diabetic pet and owner-centered individualized measure of impact of DM (DIAQoL-pet) for diabetic dogs and their owners. ANIMALS/SUBJECTS: A total of 101 owners of insulin-treated diabetic dogs were recruited to complete the DIAQoL-pet.Methods: Discussions and pilot surveys with clinicians and owners of diabetic pets led to the design of 29 specific DM-associated QoL questions. Each item was scored according to impact frequency and perceived importance. An Item-Weighted-Impact-Score (IWIS) for each item was calculated, as was an Average-Weighted-Impact-Score (AWIS) by averaging all IWISs. Principal component analysis and Cronbach's α calculation assessed the measure's reliability.Results: The DIAQoL-pet showed high reliability (Communalities ≥0.5; Cronbach's α 0.85). The AWIS was -2.74 ± 1.7 (mean ± SD). Areas reported as most negatively impacting QoL included: \"worry\" (IWIS ± SD: -5.92 ± 4.3), \"difficulties leaving dog with friends or family\" (-5.68 ± 5.1), \"worry vision\" (-5.58 ± 4.6), \"boarding difficulties\" (-5.18 ± 5.2), \"worry hypoglycemia\" (-4.95 ± 4.3), \"social life\" (-4.82 ± 4.4), \"costs\" (-4.11 ± 4.7), and \"future care\"(-4.07 ± 4.6). Eighty-four percent of owners reported negative impact of DM on QoL.Conclusions and clinical importance: The DIAQoL-pet proved robust when used by owners of insulin-treated diabetic dogs and identified specific areas most negatively impacting dogs' and their owners' QoL. This tool could be used as an additional assessment parameter in clinical and research settings.","PeriodicalId":17462,"journal":{"name":"Journal of Veterinary Internal Medicine","volume":"26 4","pages":"953-61"},"PeriodicalIF":2.6000,"publicationDate":"2012-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1939-1676.2012.00947.x","citationCount":"58","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Veterinary Internal Medicine","FirstCategoryId":"97","ListUrlMain":"https://doi.org/10.1111/j.1939-1676.2012.00947.x","RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2012/5/31 0:00:00","PubModel":"Epub","JCR":"","JCRName":"","Score":null,"Total":0}

引用次数: 58

Abstract

Background: Diabetes mellitus (DM) management primarily focuses on improvement in blood glucose concentrations and clinical signs. A tool to assess the psychological and social impact of DM and its treatment on quality of life (QoL) previously has only been validated for feline DM.

Hypothesis/objectives: To validate a diabetic pet and owner-centered individualized measure of impact of DM (DIAQoL-pet) for diabetic dogs and their owners. ANIMALS/SUBJECTS: A total of 101 owners of insulin-treated diabetic dogs were recruited to complete the DIAQoL-pet.

Methods: Discussions and pilot surveys with clinicians and owners of diabetic pets led to the design of 29 specific DM-associated QoL questions. Each item was scored according to impact frequency and perceived importance. An Item-Weighted-Impact-Score (IWIS) for each item was calculated, as was an Average-Weighted-Impact-Score (AWIS) by averaging all IWISs. Principal component analysis and Cronbach's α calculation assessed the measure's reliability.

Results: The DIAQoL-pet showed high reliability (Communalities ≥0.5; Cronbach's α 0.85). The AWIS was -2.74 ± 1.7 (mean ± SD). Areas reported as most negatively impacting QoL included: "worry" (IWIS ± SD: -5.92 ± 4.3), "difficulties leaving dog with friends or family" (-5.68 ± 5.1), "worry vision" (-5.58 ± 4.6), "boarding difficulties" (-5.18 ± 5.2), "worry hypoglycemia" (-4.95 ± 4.3), "social life" (-4.82 ± 4.4), "costs" (-4.11 ± 4.7), and "future care"(-4.07 ± 4.6). Eighty-four percent of owners reported negative impact of DM on QoL.

Conclusions and clinical importance: The DIAQoL-pet proved robust when used by owners of insulin-treated diabetic dogs and identified specific areas most negatively impacting dogs' and their owners' QoL. This tool could be used as an additional assessment parameter in clinical and research settings.

查看原文本刊更多论文

糖尿病犬的生活质量评估工具。

背景:糖尿病(DM)的管理主要侧重于改善血糖浓度和临床体征。一种评估糖尿病的心理和社会影响及其治疗对生活质量(QoL)的工具以前只在猫DM中得到验证。假设/目标:验证糖尿病宠物和以糖尿病狗及其主人为中心的糖尿病影响个体化测量(DIAQoL-pet)。动物/受试者:总共招募了101只接受胰岛素治疗的糖尿病狗的主人来完成diaql -pet。方法:与临床医生和糖尿病宠物的主人进行讨论和试点调查，设计了29个与糖尿病相关的特定生活质量问题。根据影响频率和感知重要性对每个项目进行评分。计算每个项目的项目加权影响得分(IWIS)，以及通过计算所有IWIS的平均加权影响得分(AWIS)。主成分分析和Cronbach's α计算评估了测量的信度。结果:diaql -pet具有较高的信度(社区≥0.5;Cronbach’s α 0.85)。AWIS为-2.74±1.7 (mean±SD)。对生活质量影响最大的领域包括:“担忧”(IWIS±SD: -5.92±4.3)、“难以将狗留给朋友或家人”(-5.68±5.1)、“担忧视力”(-5.58±4.6)、“寄宿困难”(-5.18±5.2)、“担忧低血糖”(-4.95±4.3)、“社交生活”(-4.82±4.4)、“成本”(-4.11±4.7)和“未来护理”(-4.07±4.6)。84%的业主报告了DM对生活质量的负面影响。结论和临床意义:diaol -pet在接受胰岛素治疗的糖尿病狗的主人使用时证明是可靠的，并确定了对狗及其主人生活质量影响最大的特定区域。该工具可作为临床和研究设置的附加评估参数。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Journal of Veterinary Internal Medicine Veterinary-General Veterinary

自引率

11.50%

发文量

243

期刊介绍： The mission of the Journal of Veterinary Internal Medicine is to advance veterinary medical knowledge and improve the lives of animals by publication of authoritative scientific articles of animal diseases.