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Across and Within- Individual Associations Between Everyday Activities and Quality of Life Relevant Measures, in Workers with Type 1 Diabetes

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Listed:
  • Raymond Hernandez

    (University of Southern California)

  • Stefan Schneider

    (University of Southern California
    University of Southern California)

  • Loree Pham

    (University of Southern California)

  • Elizabeth A. Pyatak

    (University of Southern California)

Abstract

Relationships between activity engagement and health related quality of life (HRQOL) can differ based on the level of analyses. For instance, greater exercise on average may be linked with lower fatigue across individuals (between-person level), whereas the momentary experience of exercise may be associated with increased fatigue within an individual (within-person level). Disentangling the between- and within-person associations between everyday activities and HRQOL outcomes may provide insights for personalized lifestyle-oriented health promotion efforts for individuals with chronic conditions. The purpose of this paper was to examine the between- and within-person relationships between activity engagement and HRQOL relevant measures in a sample of 92 workers with type 1 diabetes (T1D), from whom we collected ecological momentary assessment (EMA) data 5–6 times daily over 14 days. At each EMA prompt, information was collected on the activity participants just engaged in, and HRQOL relevant metrics (e.g. mental health, blood glucose, fatigue, functioning). Momentary reports of “caring for others”, and more frequently “caring for others”, were both associated with decreased HRQOL. Reporting napping 10% or more of the time during a person’s waking hours, but not the momentary experience of napping, was associated with decreased HRQOL. Momentary reports of sleeping were associated with low activity satisfaction relative to other activities, but higher activity importance. Study results provided a quantitative representation of the lived experience of T1D covering multiple types of activity engagement, which potentially has health promotion implications for workers with T1D.

Suggested Citation

  • Raymond Hernandez & Stefan Schneider & Loree Pham & Elizabeth A. Pyatak, 2023. "Across and Within- Individual Associations Between Everyday Activities and Quality of Life Relevant Measures, in Workers with Type 1 Diabetes," Applied Research in Quality of Life, Springer;International Society for Quality-of-Life Studies, vol. 18(4), pages 1965-1987, August.
    • Handle: RePEc:spr:ariqol:v:18:y:2023:i:4:d:10.1007_s11482-023-10171-2
    DOI: 10.1007/s11482-023-10171-2
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    References listed on IDEAS

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    2. Hansen, Ulla Møller & Cleal, Bryan & Willaing, Ingrid & Tjørnhøj-Thomsen, Tine, 2018. "Managing type 1 diabetes in the context of work life: A matter of containment," Social Science & Medicine, Elsevier, vol. 219(C), pages 70-77.
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