Eating Disorders: Development and Validation of the Self-Management Profile for Type 2 Diabetes (SMP-T2D).

Development and validation of the self-management profile for type 2 diabetes (SMP-T2D).

Filed under: Eating Disorders

Health Qual Life Outcomes. 2012 Oct 5; 10(1): 125
Peyrot M, Bushnell DM, Best JH, Martin ML, Cameron A, Patrick DL

ABSTRACT: BACKGROUND: This study evaluated the measurement properties of a newly developed instrument — the Self-Management Profile for Type 2 Diabetes (SMP-T2D). METHODS: The 18-item SMP-T2D assesses 12 constructs: level and perceived ease of performance in five self-care domains (blood glucose monitoring, medication-taking, healthy eating, being physically active, and coping), and two global constructs (ease of weight management, confidence with ability to manage diabetes). Validation analyses were based on two studies involved 240 patients with T2D, Study 1 ( #NCT00637273) with SMP-T2D administration supplemented by SMP-T2D retest one week later, and Study 2 (Clinical #NCT00877890) with SMP-T2D administration supplemented by 24-week SMP-T2D follow-up after medication change. Validation included clinical indicators and measures of patient reported quality of life, psychological well-being and treatment outcomes. RESULTS: All multi-item SMP-T2D measures showed acceptable internal consistency (alphas = 0.71 to 0.87); ten measures had test-retest reliability >0.75. Correlations among SMP-T2D measures and between SMP-T2D measures and validation measures, which were as hypothesized, provided evidence of convergent and discriminant validity. Scores for six SMP-T2D measures improved significantly during Study 2. Multiple regression analysis showed independent associations between change in SMP-T2D measures and change in trial outcomes from baseline to end-of-study. CONCLUSIONS: Two studies provide preliminary evidence regarding the reliability, validity and responsiveness of the SMP-T2D. Further research on the utility of the instrument is needed.
HubMed – eating


Compliance with children’s television food advertising regulations in Australia.

Filed under: Eating Disorders

BMC Public Health. 2012 Oct 5; 12(1): 846
Roberts M, Pettigrew S, Chapman K, Miller C, Quester P

ABSTRACT: BACKGROUND: The objective of this study was to assess the effectiveness of the Australian co-regulatory system in limiting children’s exposure to unhealthy television food advertising by measuring compliance with mandatory and voluntary regulations. An audit was conducted on food and beverage television advertisements broadcast in five major Australian cities during children’s programming time from 1st September 2010 to 31st October 2010. The data were assessed against mandatory and voluntary advertising regulations, the information contained in an industry report of breaches, and the Australian Guide to Healthy Eating. RESULTS: During the two months of data collection there were a total of 951 breaches of the combined regulations. This included 619 breaches of the mandatory regulations (CTS) and 332 breaches of the voluntary regulations (RCMI and QSRI). Almost 83% of all food and beverages advertised during children’s programming times were for foods classified as ‘Extras’ in the Australian Guide to Healthy Eating. There were also breaches in relation to the amount of advertising repetition and the use of promotional appeals such as premium offers, competitions, and endorsements by popular children’s characters. The self-regulatory systems were found to have flaws in their reporting and there were errors in the Australian Food and Grocery Council’s compliance report. CONCLUSIONS: This audit suggests that current advertising regulations are inadequate. Regulations need to be closely monitored and more tightly enforced to protect children from advertisements for unhealthy foods.
HubMed – eating


The impact of abuse and gender on psychopathology, behavioral disturbance, and psychotropic medication count for youth in residential treatment.

Filed under: Eating Disorders

Am J Orthopsychiatry. 2012 Oct; 82(4): 562-72
Badura Brack A, Huefner JC, Handwerk ML

This study examined the relationship between gender, abuse history, and clinical change in a residential treatment program for youth with emotional and behavioral disturbance. Admission data and data collected after 1?year of treatment or at discharge were examined for 1,303 youth. Measures included the Suicide Probability Scale, Child Behavior Checklist, and the Diagnostic Interview Schedule for Children. Data also included medication count, demographic data, and history of sexual or physical abuse or both. At intake, girls scored significantly more pathologically than boys on 9 out of 12 measures. At intake, abused youth indicated more hostility, anxiety, and mood disorder symptoms as well as psychotropic medication usage than nonabused youth. Youth improved significantly on all outcome measures with treatment, although interaction effects indicate some differing treatment responses by abuse history or gender. After treatment, girls still scored significantly higher than boys on 6 of 8 outcome measures, and abused youth, especially youth experiencing both sexual and physical abuse, had significantly higher anxiety, affective, behavior, and eating disorder symptom counts and were on more psychotropic medications than nonabused youth. Although behaviorally focused treatment was associated with improvement on every measure, the most important implication of our study is that a singular treatment approach does not fit all youth completely as reflected by continuing treatment needs in our most troubled youth. Additional symptom-focused treatment and research attention must be given to girls and abused youth in residential care to maximize their therapeutic outcomes.
HubMed – eating


Assessment and validation of the oral impact on daily performance (OIDP) instrument among adults in Karnataka, South India.

Filed under: Eating Disorders

Community Dent Health. 2012 Sep; 29(3): 203-8
Purohit BM, Singh A, Acharya S, Bhat M, Priya H

The objective of the study was to test the applicability of abbreviated version of the oral impact on daily performance (OIDP) inventory among the adults visiting dental outreach centre in Karnataka, South India.Cross sectional study.Dental outreach centre in Udupi District, Karnataka.312 adults aged 35-44 years attending the centre.Face-to-face interview followed by oral health examination. The questionnaire in Kannada version of OIDP, perceived general and oral health and satisfaction with dental appearance were used.Reliability and Validity of OIDP instrument, Prevalence of oral impacts in study population.Majority of the participants (71.2%) reported oral health problems affecting at least one daily performance in the 6 months preceding the survey. The performance most affected was ‘eating’ (52.2%) followed by ‘cleaning teeth’ (32.4%). Cronbach’s alpha for the OIDP frequency items was 0.70. Construct validity was proved by significant association of OIDP scores and self-rated oral, general health status and perceived satisfaction with appearance of teeth; with those more satisfied having fewer oral impacts (p < 0.001). Criterion validity was demonstrated in that the OIDP scores increased significantly as the number of decayed and missing teeth increased (p < 0.001).The Kannada version of OIDP had excellent psychometric properties for applicability among the adults in Karnataka. Thus, the study highlighted the limits of focusing exclusively on normative needs and suggested the incorporation of oral quality of life measures into the oral healthcare services. HubMed – eating



Types of Eating Disorders – National Eating Disorders Awareness Week – Watch more of Lauren B.’s ED Recovery videos on her PERSONAL CHANNEL: –This is a Libero Network vBlog – visit: to find out more– FOLLOW ON Facebook Twitter: @liberonetwork Here are the types of EDs I talk about (definitions from 1. Anorexia Nervosa – obsessing with controlling food intake. 2. Bulimia Nervosa – Cycles of bingeing and purging driven by a desire to regulate feelings and worries and control body weight and shape. Purging can be: vomiting, intake of laxatives, enemas or diuretics, over exercises, restricting. 3. Binge Eating Disorder – eating excessive amounts of food at one time in order to make up for long periods of restricting/dieting AND/OR to comfort one’s self or numb feelings 4. Anorexia Athletica – a condition where one over-exercises because he/she believes this will control his/her body and given him/her a sense of power, control and self-respect. (usually includes restricting food as well) 5. Orthorexia – a cluster of food and weight related symptoms such as eating only ‘healthy’ foods, relying only on ‘natural’ foods and products (including when treating illness), and finding more pleasure in eating ‘correctly’ than in simply eating. 6. Night-Eating Syndrome – limiting eating during the day (restricting) and then compensating (by overeating) at night.


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