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Copyright DHP Research & Consultancy Ltd 2011 All rights reserved The Diabetes Health Profile (DHP-1 & DHP-18) Dr Keith Meadows DHP Research & Consultancy Ltd
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The Diabetes Health Profile

Jun 11, 2015

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Health & Medicine

Keith Meadows

The Diabetes Health Profile (DHP) - A diabetes-specific patient reported outcome measure (PROM)
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Page 1: The Diabetes Health Profile

Copyright DHP Research & Consultancy Ltd 2011 All rights reserved

The Diabetes Health Profile

(DHP-1 & DHP-18)

Dr Keith Meadows

DHP Research & Consultancy Ltd

Page 2: The Diabetes Health Profile

Copyright DHP Research & Consultancy Ltd 2011 All rights reserved

A diabetes-specific patient reported outcome measure (PROM) of the health-related quality of life (HRQoL) of people 18 years and older.

Completed globally by over 8,000 patients including the UK and Europe, it is available in 29 different languages.

What is the Diabetes Health Profile?

Page 3: The Diabetes Health Profile

What does the DHP measure?

Psychological distress

Barriers to activity

Disinhibited eating

Dysphoric mood, irritability, feelings of hopelessness 

Anxiety, perceived barriers in activity

Lack of eating restraint, eating in response to food cues.

Page 4: The Diabetes Health Profile

There are two versions of the DHP

DHP-132-items

DHP-1818-items

Type 1 Diabetes and insulin requiring

Type 1 and Type 2 Diabetes including,

tablet, diet

Page 5: The Diabetes Health Profile

How is the DHP scored?

Items scored using 4-point Likert scale (Range 0-3)

Standardised subscale scores 0 (no dysfunction) thru 100 (max dysfunction)

Norm-referenced scoring using standardised population means

Page 6: The Diabetes Health Profile

The DHP is a reliable and valid measure of diabetes HRQoL

• Established content validity based on patient interviews and sound conceptual model

• Psychometrically proven conceptual framework

• Consistent factor structure across samples and patient groups,

• Low ceiling and floor effects, high item convergent and discriminant validity and construct validity

• High Cronbach’s alpha internal reliability coefficients

Psychometrics

• Discriminates between patients groups treated with insulin, oral treatment and diet, presence of microvascular complications, weight gain, non-adherence to treatment, severe hypoglycaemic episodes, age, sex

• Minimally Important difference (MID) values

• Predicts both the EQ-5D and SF-6D utility scores • Proven patient acceptability, high item completion rate (90%)

• Flesch reading ease >75

Clinical utility

Page 7: The Diabetes Health Profile

The DHP can be used for:

Measuring the effect of health improvement on the patient’s HRQoL

Evaluating the impact of health programmes on the patient’s HRQoL

Assessing treatment effectiveness on the patient’s HRQoL

Improving doctor/patient communication and the patient’s HRQoL

Monitoring patients HRQoL

Page 8: The Diabetes Health Profile

Current use of the DHP

International clinical trials

International/national research

National community-based surveys

Service design and development

Page 9: The Diabetes Health Profile

Administering the DHP

Images & copy courtesy of PHT Corporation. Copyright 2011 PHT Corporation. All rights reserved

In addition to pencil/paper format the DHP can be administered using a variety of e-devices

Page 10: The Diabetes Health Profile

The eDHP-18

PHT LogPad LVPHT SitePad

Page 11: The Diabetes Health Profile

Translations

.

Bulgarian Canada (English)Canada (French)

CroationCzechDanishFinnishFlemishFrench

French (Swiss)German

German (Austrian)German (Swiss)

HungarianItalian

Italian (Swiss)

Languages

Mandarin Netherlands Norwegian

Polish Romanian

Slovak Slovenian Spanish Swedish

US (English) US (Spanish)

Turkish (for Germany) Waloon

Page 12: The Diabetes Health Profile

Copyright DHP Research & Consultancy Ltd 2011 All rights reserved

DHP Research & Consultancy Ltd

113 Lower Camden Chislehurst Kent BR7 5JD

Tel: +44 (0)20 8467 3739Email: [email protected]: www.dhpresearch.com