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Table 1 Overall studies characteristics

From: Quality of life and mental health measurements among patients with type 2 diabetes mellitus: a systematic review

Article characteristics

Measurement characteristics

S.N

Authors

Year

Study location

Study design

Target population

Questionnaires and main objectives

Mode of questionnaire administration

Validity

Reproducibility

Responsiveness of the participants

Type of bias

Languages support

1

Wadden et al

2014

United States

Randomized clinical trial

5,145 overweight or obese adults with Type 2 Diabetes Mellitus (T2DM)

Questionnaires: The Medical Outcomes Study Short Form 36 (SF-36) and the Beck Depression Inventory (BDI)

Main objectives: To assess the effects of long-term intensive lifestyle intervention on depression symptoms and Quality of Life (QoL) in patients with T2DM

Self-administered

Yes

Yes

40% for QoL at the last year of the study

Self-report and non-response bias

Yes

2

Hajos, T.R.S. et al

2013

Netherlands

Randomized clinical trial

2,055 adult patients with Type 1 Diabetes Mellitus (T1DM) or T2DM

Questionnaires: The Problem Areas in Diabetes scale (PAID), Medical Outcomes Short Form 12 (SF-12), the World Health Organization—Five Well-Being Index (WHO-5) and the 9-item Patient Health Questionnaire (PHQ-9)

Main objectives: To evaluate the psychometric properties of the WHO-5 index in a large sample of Dutch outpatients with T1DM or T2DM

Self-administered

Yes

Yes

47% returned the first questionnaire and 38% of the initial population returned the second

Self-report and non-response bias

Yes except the PAID questionnaire

3

Green, A.J. et al

2012

United States

Cross-sectional

2,718 US adult households with T2DM

Questionnaires: The SF-12 and the PHQ-9

Main objectives: To examine the association of hypoglycemia with QoL and depression among adults with T2DM

Self-administered

Yes

Yes

71% from the 2008 annual follow-up Study to Help Improve Early evaluation and management of risk factors Leading to Diabetes (SHIELD) survey

Self-report and non-response bias

Yes

4

Schunk, M. et al

2012

German

Cross-sectional

846 adults between 45 and 74 years old with T2DM

Questionnaires: The SF-36 and SF-12

Main objectives: To compare the population values of QoL among patients with and without T2DM, across several large population-based survey studies from different regions in Germany and a nationwide survey

Self-administered

Yes

Yes

Overall response rates ranged between 61 and 69% from national and four regional population-based surveys (KORA, CARLA, SHIP and DHS) and the primary data which is the Diabetes Collaborative Research of Epidemiologic Studies (DIAB-CORE)

Self-report and non-response bias

Yes

5

Mazhar, K. et al

2011

United States

Cohort

1,064 above 40 years old adults with T2DM

Questionnaires: The SF-12 and the National Eye Institute Vision- Specific Questionnaire (NEI-VFQ-25)

Main objectives: To evaluate the relationship between diabetic retinopathy and its severity on QoL in a population-based sample of Latinos with T2DM

Interviewer- administered

Yes

Yes

84% among the diabetic participants from the Los Angeles Latino Eye Study (LALES)

None

Yes

6

Siersma V. et al

2013

Denmark

Cross-sectional

1,232 adult patients with T2DM

Questionnaires: The EuroQoL EQ-5D

Main objectives: To investigate factors determining clinical outcome, healthcare consumption and QoL in patients with new foot ulcers

Self-administered

Yes

Yes

88.30%

Self-report

Yes

7

Nicolucci, A. et al

2012

Italy

Randomized clinical trial

606 sedentary adult patients with T2DM. From the Italian Diabetes and Exercise Study (IDES)

Questionnaires: The SF-36

Main objectives: To assess the relationship between changes in QoL and volume of physical activity/exercise, in T2DM patients

Self-administered

Yes

Yes

87.6% from the 691 assessed for eligibility in this study

Self-report and non-response bias

Yes

8

Williams, E.D. et al

2012

Australia

Randomized clinical trial

120 adult participants with T2DM

Questionnaires: The SF-36

Main objectives: To evaluate the Telephone-Linked Care (TLC) Australian program designed to improve the T2DM management and QoL among the participants compared with a large Australian population study

Self-administered

Yes

Yes

92.5% of the total sample completed the six-month assessment

Self-report and selection bias

Yes

9

Pintaudi, B. et al

2015

Italy

Cross-sectional

2,374 adults with T2DM from the benchmarking network for clinical and humanistic outcomes in diabetes (BENCH-D) study

Questionnaires: The SF12, the WHO-5, Diabetes Empowerment Scale-Short Form (DES-SF), Patient Assessment of Chronic Illness Care-Short Form (PACIC-SF), Health Care Climate-Short Form (HCC-SF), Global Satisfaction with Diabetes Treatment (GSDT), Summary of Diabetes Self-Care Activities measure (SDSCA-6), Barriers to Medications (BM) and Perceived Social Support (PSS)

Main objectives: To evaluate correlates of diabetes related distress in the context of the large sample of people with T2DM participating in the BENCH-D study

Self-administered

Yes

Yes

Not mentioned

Self-report bias

Yes all the instruments, with the only exceptions of the WHO-5 and SF- 12, already available in Italian language

10

Löndahl, M. et al

2011

Sweden

Randomized clinical trial

75 adults with T2DM

Questionnaires: The SF-36

Main objectives: To evaluate whether hyperbaric oxygen therapy improves QoL in these patients or not

Self-administered

Yes

Yes

98% the article mentioned that there was only two patients did not fill out the SF-36 at 12 month follow-up due to their deteriorated medical condition

Self-report bias

Yes

11

Adriaanse, M.C. et al

2016

Netherlands

Cross-sectional

1,676 with T2DM adult patients, aged between 31 and 96 years old

Questionnaires: The SF-12

Main objectives: To study the prevalence, impact and the dose–response relationship of comorbid chronic conditions on QoL in T2DM patients

Self-administered

Yes

Yes

44% from the original data derived from two data sources

Self-report bias

Yes

12

Myers, V.H. et al

2013

United States

Randomized clinical trial

212 sedentary adults with T2DM aged between 30 and 75 years old

Questionnaires: The SF-36

Main objectives: To compare the effects of aerobic, resistance, or a combination of both on QoL in sedentary individuals with T2DM

Self-administered

Yes

Yes

70% who met a minimum criteria of attendance to their exercise prescription for at least 6 months and had SF-36 data at baseline and follow-up

Self-report and non-response bias

Yes

13

Chew, B.-H. et al

2015

Malaysia

Cross-sectional

752 adults with T2DM above 30 years old

Questionnaires: The World Health Organization Quality of Life-Brief (WHOQOL-BREF), the 17-items Diabetes Distress Scale (DDS-17), and the PHQ-9

Main objectives: To examine the effects of diabetes-related distress on QoL among patients with T2DM who received regular primary medical care in three public health clinics

Self-administered

Yes

Yes

93.10%

Self-report bias

Yes

14

Shi, L. et al

2014

United States

Cross-sectional

3,999 adult patients with T2DM

Questionnaires: The EuroQoL EQ-5D and the SF-12

Main objectives: To test whether fear of hypoglycemia is independently associated with poorer QoL among patients with T2DM or not

Self-administered

Yes

Yes

20.30%

Self-report and non-response bias

Yes

15

Kuznetsov, L. et al

2014

United Kingdom

Cross-sectional

1,876 adults with T2DM aged between 40 and 69 years old

Questionnaires: The SF-36 and the Audit of Diabetes Dependent Quality of Life (ADDQoL19)

Main objectives: To examine the association between health status, diabetes-specific QoL and glycemic control among individuals with T2DM

Self-administered

Yes

Yes

66% of the 2859 patients still alive at 5 years from the ADDITION-Europe trial cohort

Self-report, recall and social desirability bias

Yes

16

Bourdel-Marchasson, I. et al

2013

France

Cross-sectional

2,832 patients with T2DM adults (18 years and older)

Questionnaires: The SF-12

Main objectives: To assess QoL in people with T2DM and to estimate the relative contributions of socio-demographic factors, diabetes characteristics, complications and treatment, social support and functional impairment in daily living, in mental and physical components of QoL

Self-administered

Yes

Yes

59%

Self-report and non-response bias

Yes

17

Freemantle, N. et al

2013

United Kingdom

Randomized clinical trial

1,922 adults with T2DM from three randomized clinical trials

Questionnaires: The SF-36

Main objectives: To compare the effect of insulin degludec and insulin glargine on QoL in patients with T2DM starting on basal insulin, in combination with oral antidiabetic drugs

Self-administered

Yes

Yes

Not mentioned

Self-report bias

Yes

18

Kempf, K. et al

2012

Germany

Cohort

327 adults with T2DM not older than 75 years old

Questionnaires: The SF-36 and the Center for Epidemiologic Studies Depression Scale questionnaires (CES-D)

Main objectives: To evaluate the impact of lifestyle intervention program on glucometabolic and QoL, with weight and HbA1c reduction as main outcome variables

Self-administered

Yes

Yes

70% from the participants who are completed the study

Self-report and non-response bias

Yes

19

Wermeling, P.R. et al

2012

Netherlands

Cross-sectional

2,086 adults with T2DM aged between 40 and 80 years old

Questionnaires: The SF-36 and EuroQoL EQ-5D

Main objectives: To assess the association between the number and type of comorbidities and health status in a large sample of well-controlled T2DM in general practice

Self-administered

Yes

Yes

95% from the invited participants

Self-report and selection bias

Yes

20

Reach, G. et al

2013

France

Cross-sectional

1,933 adults above 18 with T2DM

Questionnaires: The SF-12

Main objectives: To evaluate the impact of insulin therapy on mental and physical quality QoL and patient adherence

Self-administered (Internet-based or online)

Yes

Yes

Not mentioned

Self-report bias

Yes

21

Donald, M. et al

2013

Australia

Cross-sectional

3,609 patients with T2DM aged between 18 years or older

Questionnaires: The Audit of Diabetes-Dependent Quality of Life (ADDQoL)

Main objectives: To assess the diabetes-specific QoL of a large sample of patients with T2DM

Self-administered

Yes

Yes

27.3% from the invited sample of 14,439 registrants to participate

Self-report and non-response bias

Yes

22

Zurita-Cruz, J.N. et al

2018

Mexico

Cross-sectional

1,394 patients over 18 years of age with T2DM

Questionnaires: The SF-36 and the BDI

Main objectives: To understand the relationship between glycemic control and patient-centered care to better determine its legitimacy as a means of improving care for patients with T2DM

Self-administered

Yes

Yes

Questionnaires that lacked an answer were returned to the patients to complete them

Self-report bias

Yes

23

Williams, J.S. et al

2016

United States

Cross-sectional

615 adults with T2DM above 18 years old

Questionnaires: The SF-12

Main objectives: To evaluate the relationship between patient-centered care, diabetes self-care, glycemic control, and QoL in a sample of adults with T2DM

Self-administered

Yes

Yes

Not mentioned

Self-report bias

Yes

24

Al Sayah, F. et al

2015

Canada

Controlled clinical trial

157 adults with T2DM above 18 years old

Questionnaires: The SF-12, the PHQ-9 and the EuroQoL EQ-5D

Main objectives: To examine the longitudinal associations of inadequate health literacy with depression related and other health outcomes in patients with T2DM who had recently screened positive for depression in a clinical trial

Self-administered

Yes

Yes

71%

Self-report and non-response bias

Yes

25

Jayasinghe, U.W. et al

2013

Australian

Cross-sectional

2,181 adults with T2DM and/or hypertension/ischemic heart disease patients aged 18 years or more

Questionnaires: The SF-12 and the Chronic Illness Care (PACIC). Main objectives: To investigate the relationship between patient or general practitioners’ characteristics and QoL in a large sample of chronically-ill Australian adults from two states and the Australian Capital Territory

Self-administered

Yes

Yes

70%

Self-report and non-response bias

Yes

26

Hunger, M. et al

2014

German

Cohort

1,046 participants with T2DM aged between 55 and 74 years old

Questionnaires: The SF-12

Main objectives: To examine how changes between NGT, prediabetes and diabetes over a 7-year period are associated with change in QoL

Face-to-face interview at baseline and self-administered at follow-up

Yes

Yes

67% from the population-based German KORA (Cooperative Health Research in the region of Augsburg) study

Self-report and non-response bias

Yes

27

Sayah, F.A. et al

2016

Canada

Cohort

1,948 adults above 18 years old with T2DM

Questionnaires: The SF-12, the EuroQoL EQ-5D, and the PHQ8

Main objectives: To examine the association of health literacy (HL) with changes in QoL among patients with T2DM

Self-administered

Yes

Yes

Not mentioned

Self-report bias

Yes

28

Pawaskar, M. et al

2018

United States

Cross-sectional

3,630 participants above 18 years old with T2DM

Questionnaires: The SF-36

Main objectives: To explore the association between hypoglycemia severity and QoL

Self-administered (Internet-based or online)

Yes

Yes

Not mentioned

Self-report bias

Yes

29

Wan, E.Y.F. et al

2016

Hong Kong

Cross-sectional

1,826 adults with T2DM above 18 years old

Questionnaires: The SF-12

Main objectives: To identify the predictors for poorer QoL in Chinese patients with T2DM over time and provide a 2-year estimate of preference-based measure for cost-effectiveness analysis of primary care interventions for patients with diabetes

Interviewer-administered (By phone)

Yes

Yes

Between 75.5% and 59.7%

Non-response bias

Yes

30

Saffari, M. et al

2019

Iran

Cross-sectional

793 adults 65 years or older with T2DM

Questionnaires: The World health organization quality of life scale brief version (WHOQOL-BREF) and Diabetes-specific quality of life questionnaire module (DMQoL)

Main objectives: To investigate how religiosity may affect disease-specific QoL

Self-administered

Yes

Yes

Not mentioned

Self-report bias

Yes

31

Alenzi, E.O. et al

2016

United States

Cross-sectional

1,033 adults aged over 21 years or older with DM and depression

Questionnaires: The SF-12

Main objectives: To examine the association between depression treatment and QoL measures of adults with DM and depression, comparing them to those who did not report any depression treatment

Interviewer-administered

Yes

Yes

Not mentioned

Self-report and recall bias

Yes

32

Abbatecola, A.M. et al

2015

Italy

Cross-sectional

558 older people with T2DM

Questionnaires: The SF-12 and ADDQoL

Main objectives: To investigate the validity and reliability of the ADDQoL in older outpatients with T2DM and to investigate the association between the overall impact of diabetes assessed using the average weighted impact score from the ADDQoL, on improvement in glycemic control over time

Self-administered

Yes

Yes

Not mentioned

Self-report and selection bias

Yes

33

Thiel, D.M. et al

2017

Canada

Cohort

1,948 adults above 18 years old with T2DM

Questionnaires: The SF-12 and the EuroQoL EQ-5D

Main objectives: To investigate the longitudinal relationship between physical activity and QoL in adults with T2DM

Self-administered

Yes

Yes

Not mentioned

Self-report bias

Yes

34

Janssen, L.M.M. et al

2020

United States

Cross-sectional

2,915 individuals aged between 40 and 75 years old with T2DM

Questionnaires: The SF-36 and the EuroQoL EQ-5D

Main objectives: To investigate the associations of diabetes related complications and other social determinants with the costs related to T2DM and with the QoL of people with the disease

Self-administered

Yes

Yes

85% from the first participants in the Maastricht Study

Self-report and recall bias

Yes

35

Cai, J. et al

2018

United States

Randomized clinical trial

2,536 adults with T2DM

Questionnaires: The SF-36, the Impact of Weight on Quality of Life-Lite (IWQoLLite) and Current Health Satisfaction Questionnaire (CHES-Q)

Main objectives: To evaluate the effect of treatment with canagliflozin, a sodium glucose cotransporter 2 inhibitor, compared with placebo or sitagliptin on QoL outcomes in participants with T2DM from the clinical development program

Self-administered

Yes

Yes

Ranged between 81 and 93%

Self-report bias

Yes

36

Zhao, H. et al

2020

Canada

Cohort

969 adults above 18 years old with T2DM

Questionnaires: The SF-12 and the EuroQoL EQ-5D

Main objectives: To evaluate the relationship between diabetic foot disease and QoL over a 2-year period

Self-administered

Yes

Yes

82%

Self-report bias

Yes

37

Lloyd, C.E. et al

2020

Switzerland

Cohort

1,616 adults with T2DM aged between 18 and 65 years old

Questionnaires: The PHQ-9, the WHO-5 and the PAID

Main objectives: To identify specific risk factors for the onset of diagnosed depression as well as depressive symptoms in this cohort of individuals with T2DM

Self-administered

Yes

Yes

Not mentioned

Self-report bias

Yes

38

Sacre, J.W. et al

2021

Australia

Cross-sectional

470 adults with T2DM aged between 18 and 80 years old

Questionnaires: The Generalised Anxiety Disorder (GAD-7), the PHQ-8, the PAID, and the Confidence in Diabetes Self-Care (CIDS) scale and 12-item Diabetes Support Scale (DSS)

Main objectives: To investigate worry about COVID-19 and its perceived impact on QoL and healthcare access among adults with T2DM

Self-administered (phone and online)

Yes

Yes

96%

Self-report and selection bias

Yes

39

Selenius, J.S. et al

2020

Finland

Cross-sectional

1,930 adults with T2DM

Questionnaires: The SF-36 and the BDI

Main objectives: To investigate whether the association between the different degrees of impairment in glucose regulation and QoL is modified by the severity and type of depressive symptoms

Self-administered

Yes

Yes

Not mentioned

Self-report bias

Yes

40

Nicolucci, A. et al

2021

Italy

Cross-sectional

12,028 adults with T2DM

Questionnaires: The SF-36-Item and the Hypoglycemia Fear Survey-II (HFS-II)

Main objectives: To investigate factors associated with QoL in patients with T2DM at initiation of second-line glucose-lowering therapy

Self-administered

Yes

Yes

Between 69.1% and 72.6%

Self-report and non-response bias

Yes

  1. This table was organised based on the frequency of citations (from the highly cited article to the least cited article)