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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
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?
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.
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
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
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
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
Current use of the DHP
International clinical trials
International/national research
National community-based surveys
Service design and development
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
The eDHP-18
PHT LogPad LVPHT SitePad
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
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