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Table 4 List of domains perceived as omitted or inadequately assessed in one or more questionnaire

From: Perceptions of adults with type 1 diabetes toward diabetes-specific quality of life measures: a survey-based qualitative exploration

Domains

Example quotes

Diabetes-specific

 

Complications of diabetes

“No coverage of sexual dysfunction” (60, M, UK)

Disordered eating

“Diabulimia had no mention” (24, F, UK)

Illness perceptions

“I think there should be questions such as…Do you feel like you are suffering?” (54, F, AUS)

Impact of high/low glucose

“Missing: Number of severe hypos per week” (70, F, UK); “Not one question about high blood sugars which are just as terrifying as lows.” (22, F, UK)

Impact of managing diabetes

“The way you control your sugar levels ie insulin pump, DAFNE concepts, type of diet you are following” (57, F, Aus)

Social and professional support

“The support you get from medical teams was missing from the questionnaire” (52, F, UK); “Should ask about support / knowing other diabetics. Shared experience.” (38, F, UK)

Global aspects of life

 

Alcohol

“You didn’t mention alcohol?” (49, F, UK)

Driving

“There were no questions about driving.” (65, M, UK

Family planning

“Major issue I feel was overlooked is pregnancy, childbirth and fertility” (56, F, Aus)

Financial and access Issues

“I don’t feel that the financial burden of diabetes management as a young, financially independent person is explored enough - this is a major burden.” (28, F, Aus)

Health in general

“Haven’t asked how normal health concerns are impacted by diabetes” (33, F, UK)

Impact on family

“Again, nothing about the impact on loved ones or carers” (53, M, UK)

Intimate relationships

“It would be good to include a question on intimate relationships as well.” (25, F, UK)

Mental health and emotional well-being

“The demands made of diabetes management on mental health need consideration” (46, M, Aus)

Physical activity

“Didn’t provide a lot of insight into why…I can’t be as active as I would like” (33, F, Aus)

Sleep

“Diabetes is very disruptive with regard to sleep and these issues were not covered” (51, F, Aus)

Socialising

“Never asked what its like injecting in public, always having to think ahead before going out, never being spontaneous” (22, M, Aus)

Social perceptions and stigma

“Not much to do with other people and their influences/thoughts” (22, F, Aus)

Time and energy

“The amount of time or energy expended by various Diabetic issues” (41, M, Aus)

Working life and employment

“The effect of diabetes with employment. Having hypos severely affects productivity which is often unacceptable to employers” (42, F, Aus)

Othera

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  1. aSeveral discrete categories are combined to form an ‘Other’ category’ where the life domain does not fall in the above categories and was reported by a single respondent
  2. M male, F female; Aus Australia, UK United Kingdom