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An update on the Diabates Health Profile (DHP-18)-A Short Measure of Psychological and Behavioural Dysfunctioning in People with Type 1 and Type 2 Diabetes 


Keith Meadows AMRS, BA, PhD1 | Marie-Line Erpelding2 | Anne fagot-Campagna3 | Stephanie Boini2,5 | Angela Farr4 | Serge Briançon2,5 

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1 Tower Hamlets PCT, London United Kingdom
2 Clinical Epidemiology and Evaluation CIC-EC CIE6 Inserm, University hospital of Nancy, France
3 Department of chronic disease and injury, National Institute for Health Surveillance, Saint-Maurice, France
4 Institute for Health Research, School of Health Science, Swansea University, Wales
5 EA 4003 Nancy UniversityEconomics and Decision Science, University of Sheffield, Sheffield, United Kingdom

Keywords: HRQOL, diabetes health profile DHP-18, psychological and behavioural dysfunctioning, DHP database, validation




Over the past two decades, the importance of health-related quality of life (HRQOL) in the care and treatment of patients with diabetes has gained significant prominence. This has led to the development of a number of diabetes-specific instruments covering a range of patients’ psychological state and behaviour, satisfaction and beliefs. This article provides an update on work in progress in establishing further the construct, convergent and discriminant validity as well as clinical utility of the Diabetes Health Profile (DHP-18).


The DHP-18


The (DHP-18) has been derived from the 32-item DHP-1 for use with adults with insulin, tablet and/or diet treated diabetes (type 1 or type 2)1,2. The DHP-18 has demonstrated highly satisfactory psychometric properties, and has been as well as currently being used across a range of clinical settings, community surveys and research3,4.

It was developed as a patient self-completion, diabetes specific questionnaire for use in clinical settings and research, to identify aspects of condition-related psychological and behavioural dysfunctioning. It encompasses elements of psychological distress and operant-related anxiety as well as eating restraint failure.


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