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DOC News    July 1, 2004
Volume 1 Number 1 p. 14
© 2004 American Diabetes Association

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Diabetes Diet-Related Quality-of-Life Scale

One of the most unpalatable aspects of life with diabetes is dietary restrictions that trade glycemic control for flavor and satisfaction. In order to help study quality-of-life issues related to diabetes care, a group of investigators at the University of Tokyo developed and validated an assessment scale to measure the influence of diet therapy.

The Diabetes Diet-Related Quality-of-Life (DDRQOL) scale was adapted by the authors from an existing scale developed by one of them to measure dietary satisfaction among patients with kidney disease. The DDRQOL scale required slight modification, changing terminology from "protein restriction" to "energy restriction" in several places.

The instrument consists of eight subscales that solicit information about satisfaction with diet; the psychological burden of diet therapy; the physical burden of diet therapy; the perceived merits of diet therapy; general perceptions of diet; and restriction of social function, vitality, and mental health.

Investigators validated the DDRQOL instrument on 236 middle-aged patients with type 2 diabetes, associating results with the standard questionnaire short form 36 (SF-36). "The DDRQOL was found to have a reasonable degree of reliability and validity," the authors concluded. "Therefore, its application for the assessment of patients' needs and the evaluation of intervention in the form of diet education in diabetic patients is awaited."

Sato E, Suzukamo Y, Miyashita M, Kazume K: Development of a diabetes diet-related quality-of-life scale. Diabetes Care 27:1271–1275, 2004.[Abstract/Free Full Text]


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