Assessing Psychological Insulin Resistance in Type 2 Diabetes: a Critical Comparison of Measures

Current Diabetes Reports
E Holmes-TruscottJ Speight

Abstract

This study aims to examine the operationalisation of 'psychological insulin resistance' (PIR) among people with type 2 diabetes and to identify and critique relevant measures. PIR has been operationalised as (1) the assessment of attitudes or beliefs about insulin therapy and (2) hypothetical or actual resistance, or unwillingness, to use to insulin. Five validated PIR questionnaires were identified. None was fully comprehensive of all aspects of PIR, and the rigour and reporting of questionnaire development and psychometric validation varied considerably between measures. Assessment of PIR should focus on the identification of negative and positive attitudes towards insulin use. Actual or hypothetical insulin refusal may be better conceptualised as a potential consequence of PIR, as its assessment overlooks the attitudes that may prevent insulin use. This paper provides guidance on the selection of questionnaires for clinical or research purpose and the development of new, or improvement of existing, questionnaires.

References

Nov 26, 1997·Diabetic Medicine : a Journal of the British Diabetic Association·F J SnoekH M van der Ploeg
Jun 11, 2004·Clinical Therapeutics·Roger T AndersonRajesh Balkrishnan
Jan 29, 2005·Diabetes Care·Richard W GrantUNKNOWN University HealthSystem Consortium (UHC) Diabetes Benchmarking Project Team
Sep 28, 2005·Diabetes Care·William H PolonskySteven V Edelman
Dec 22, 2007·Health and Quality of Life Outcomes·Frank J SnoekFrans Pouwer
Jun 7, 2008·The Diabetes Educator·Mary E LarkinDavid M Nathan
Nov 29, 2008·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Meryl BrodTorsten L Christensen
Feb 3, 2009·Diabetic Medicine : a Journal of the British Diabetic Association·H KhanT A Chowdhury
Jan 28, 2010·Diabetes Care·Mark PeyrotLuther B Travis
Oct 6, 2010·Health and Quality of Life Outcomes·Norbert HermannsThomas Haak
Jan 12, 2011·Diabetic Medicine : a Journal of the British Diabetic Association·S WongW E Tang
Mar 9, 2011·Diabetes Research and Clinical Practice·Soohyun NamSusan L Janson
Apr 13, 2011·Diabetic Medicine : a Journal of the British Diabetic Association·N JenkinsJ Lawton
Dec 14, 2011·Diabetic Medicine : a Journal of the British Diabetic Association·Y J C WoudenbergW J M Scholte op Reimer
Dec 24, 2011·Cardiovascular Psychiatry and Neurology·Elisabeth M J Huis In 't VeldFrançois Pouwer
Feb 9, 2012·Diabetic Medicine : a Journal of the British Diabetic Association·M PeyrotP-M Schumm-Draeger
Apr 11, 2012·Diabetic Medicine : a Journal of the British Diabetic Association·N PatelK Khunti
Apr 18, 2012·Diabetic Medicine : a Journal of the British Diabetic Association·B T BlakV Gimeno
Nov 30, 2012·The Diabetes Educator·Jennifer M PolinskiWilliam H Shrank
Jan 18, 2013·Diabetic Medicine : a Journal of the British Diabetic Association·M J DaviesR Hughes
Jul 23, 2013·International Journal of Clinical Practice·A LieblUNKNOWN SOLVE Study Group
Dec 18, 2013·Patient Education and Counseling·Anke BahrmannPhilipp Bahrmann
Feb 12, 2015·Journal of Diabetes Science and Technology·Norbert HermannsThomas R Pieber
Jul 7, 2015·International Journal of Clinical Practice·C J NgC H Teo
Jan 29, 2016·Diabetes Research and Clinical Practice·Elizabeth Holmes-TruscottJane Speight
Apr 27, 2016·Journal of Diabetes and Its Complications·Elizabeth Holmes-TruscottJane Speight
Aug 10, 2016·Diabetic Medicine : a Journal of the British Diabetic Association·H McBainK Mulligan
Jan 13, 2017·Journal of Korean Academy of Nursing·Youngshin SongBohyun Kim

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Citations

Dec 9, 2017·Diabetes Therapy : Research, Treatment and Education of Diabetes and Related Disorders·Ka Yan OrKam Pui Lee
Feb 27, 2019·The Journal of Nursing Research : JNR·Hui-Chun HsuLing-Wang An

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