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Response shift and glycemic control in children with diabetes
1Department of Behavioral Sciences and Community Health, University of Connecticut, School of Dental Medicine, 263 Farmington Avenue, Farmington, CT 06030, USA. juwagner@uchc.edu
Health and Quality of Life Outcomes
|June 16, 2005
Summary
Children with diabetes may adjust their perception of challenges, a phenomenon called scale recalibration. This adjustment appears linked to their glycemic control, measured by HbA1c levels.
Area of Science:
- Psychology
- Endocrinology
- Pediatrics
Background:
- Response shift is a psychological phenomenon impacting self-reported health.
- Understanding response shift is crucial for accurately assessing health in pediatric populations.
Purpose of the Study:
- To investigate scale recalibration in children with diabetes.
- To examine the relationship between scale recalibration and glycemic control (HbA1c).
Main Methods:
- Thirty-eight children with type 1 diabetes completed the Problem Areas in Diabetes (PAID) questionnaire at baseline and post-camp.
- A 'thentest' method was used post-camp for retrospective self-assessment.
- Glycemic control was assessed via HbA1c levels at year 2.
Main Results:
- PAID scores decreased from baseline to post-camp, with a larger decrease between retrospective and post-camp scores, indicating scale recalibration.
- Higher retrospective PAID scores correlated positively with baseline HbA1c.
- Retrospective PAID scores predicted higher year 2 HbA1c, even after controlling for baseline HbA1c.
Conclusions:
- Children with diabetes demonstrate scale recalibration.
- Scale recalibration may be associated with glycemic control in children with diabetes.