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Traina SB, Colwell HH, Crosby RD, et al. Pragmatic measurement of health satisfaction in people with type 2 diabetes mellitus using the Current Health Satisfaction Questionnaire. Patient Relat Outcome Meas. 2015;6:103-15doi: 10.2147/PROM.S79368.
Traina, S. B., Colwell, H. H., Crosby, R. D., & Mathias, S. D. (2015). Pragmatic measurement of health satisfaction in people with type 2 diabetes mellitus using the Current Health Satisfaction Questionnaire. Patient related outcome measures, 6103-15. https://doi.org/10.2147/PROM.S79368
Traina, Shana B, et al. "Pragmatic measurement of health satisfaction in people with type 2 diabetes mellitus using the Current Health Satisfaction Questionnaire." Patient related outcome measures vol. 6 (2015): 103-15. doi: https://doi.org/10.2147/PROM.S79368
Traina SB, Colwell HH, Crosby RD, Mathias SD. Pragmatic measurement of health satisfaction in people with type 2 diabetes mellitus using the Current Health Satisfaction Questionnaire. Patient Relat Outcome Meas. 2015 Mar 26;6:103-15. doi: 10.2147/PROM.S79368. eCollection 2015. PMID: 25870519; PMCID: PMC4381897.
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Patient Relat Outcome Meas. 2015 Mar 26;6:103-15. doi: 10.2147/PROM.S79368. eCollection 2015.

Pragmatic measurement of health satisfaction in people with type 2 diabetes mellitus using the Current Health Satisfaction Questionnaire.

Patient related outcome measures

Shana B Traina, Hilary H Colwell, Ross D Crosby, Susan D Mathias

Affiliations

  1. Janssen Global Services, LLC, Raritan, NJ, USA.
  2. Health Outcomes Solutions, Winter Park, FL, USA.
  3. Health Outcomes Solutions, Winter Park, FL, USA ; Neuropsychiatric Research Institute and University of North Dakota School of Medicine and Health Sciences, Fargo, ND, USA.

PMID: 25870519 PMCID: PMC4381897 DOI: 10.2147/PROM.S79368

Abstract

BACKGROUND: The concept of diabetes-related health satisfaction encompasses issues specifically related to living with diabetes (eg, blood glucose, blood pressure levels, body weight). Health satisfaction is more specific than overall health-related quality of life because it considers disease-related factors, and is different from diabetes treatment satisfaction because it addresses issues not specifically related to treatment. Low levels of health satisfaction in people with type 2 diabetes mellitus (T2DM) may negatively affect self-care behaviors and treatment outcomes; however, there are currently no instruments available to assess health satisfaction in this population. This study assessed the measurement properties of a newly constructed, 14-item Current Health Satisfaction Questionnaire (CHES-Q) designed to assess diabetes-related health satisfaction and knowledge of the disease and important laboratory results.

METHODS: In-depth interviews were conducted in 23 adults with T2DM to confirm the content and clarity of the CHES-Q. The revised instrument was administered to 1,015 individuals with T2DM, along with supplemental questionnaires, including the Short Form-36. All subjects completed the questionnaires again 3 to 7 days later. CHES-Q test-retest reliability, construct validity, and known-groups validity were evaluated.

RESULTS: In general, respondents found the CHES-Q to be clear and comprehensive. Test-retest reliability was generally acceptable for all items (≥0.70), except for three that fell just below the widely accepted cut-point of 0.70 (range 0.63-0.69). Convergent and divergent validity was demonstrated based on hypothesized correlations with the Short Form-36. Known-groups validity was confirmed for most CHES-Q items when respondents were split into groups known to differ clinically by body mass index, disease severity, or glycated hemoglobin.

CONCLUSION: Health satisfaction is a unique and important concept to consider when developing individualized strategies for managing T2DM because health satisfaction is a key element of patient-centered care. The CHES-Q allows for the pragmatic assessment of many aspects of diabetes-related health satisfaction in a single questionnaire.

Keywords: Current Health Satisfaction Questionnaire; diabetes; health satisfaction; patient-reported outcomes; reliability; validity

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