Diabetes Impact Measurement Scale Fact Sheet
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Detailed Description
Measurement of health status (impact of diabetes on life) in individuals. An index evaluating the changes in health status or impact related to the disease in clinical trials, therapeutic intervention, or the comparison between various groups of diabetic patients.

Originally used to measure longitudinal changes in health status in Diabetics for application in clinical trials, the DIMS collects basic clinical diabetes information and contains 44 items in 5 dimensions using 4- to 6-point scale. Asks for recall of symptoms over the past month.

The report of patient responses allows the physician to evaluate the patient's adjustment to the disease and to identify lifestyle problem areas to be addressed.

Psychometrics: alpha=0.60-0.85, convergent validity with Global judgment of general health by patient (r=0.27-0.47) and by clinician (r=0.29-0.45) (Garratt et al., 2002)

Norms

Reading level 6th grade
Norms Adult population of insulin-dependent or non-insulin dependent diabetics
Estimated completion time 10 Minutes (44 items)
Scales Symptoms, well-being, diabetes-related morale, social role fulfillment

When to administer this assessment
No protocol exists for the administration of this instrument. As with most quality of life assessments, a baseline assessment early after diagnosis, then regularly until the patient's condition stabilizes will help the physician evaluate the patient's adjustment to the disease and adoption of self-care regimes.

Quality of life is a complex concept affected by an individual's physical health, social relationships, psychological state, and overall perception of their position in life. A quality of life assessment is not expected to provide a detailed measure of symptoms of diseases or conditions. It is designed to assess the effects of disease and health interventions on the patient's sense of well-being.

Author
Thomas T. Aoki and G. Steven Hammond, 1992

 

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