The effect on blood pressure has not been included in any of the evaluations of the DSMP
we identified in our review of the literature [28,34,35].
As for the DSMP
, it centrally coordinates and strengthens the clinical support for those serving, preparing to serve or who have previously served at a high-threat post.
Thus, the flexible version of the DSMP
may appropriately yield lower internal consistency reliability because it assesses several independent dimensions of diabetes self-management (DirecNet Study Group, 2005).
Table 4 Concurrent and Predictive Validity of the HHI Concurrent validity HHI Diabetes-related conflict (DRC--parent report) .18 Diabetes-related conflict (DRC--youth report) -.13 General conflict (CBQ--parent report) .67 *** General conflict (CBQ--youth report) .19 Nonsupport of diabetes regimen (DFBC--parent report) .38 * Nonsupport of diabetes regimen (DFBC--youth report) .14 Predictive validity HHI Adjustment to illness (AIS--parent report) -.55 *** Adjustment to illness (AIS--youth report) -.37 * Adherence to treatment (DSMP
total--youth report) -.08 Exercise subscale .07 Managing hypoglycemic subscale -.52 ** Diet subscale .29 Blood glucose testing subscale -.16 Insulin subscale -.18 Metabolic control (HbA1c) .20 Note.
But the DSMP
's success really hinged on four other mechanisms:
Recently, several DSMP
architectures have been constructed and studied [Samanta et al.
In addition to FDA guidelines, the National Institutes of Health (NIH) has endorsed Data and Safety Monitoring Plans (DSMPs
) for every clinical trial (FDA, 1996; NIH, 1998).