An assessment of attitudes, behaviors, and outcomes of patients with type 2 diabetes

Jeanette M Daly; Arthur J Hartz; Yinghui Xu; Barcey T Levy; Paul A James; Mary L Merchant; Robert E Garrett

doi:10.3122/jabfm.2009.03.080114

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An assessment of attitudes, behaviors, and outcomes of patients with type 2 diabetes

Journal article

Open access

An assessment of attitudes, behaviors, and outcomes of patients with type 2 diabetes

Jeanette M Daly, Arthur J Hartz, Yinghui Xu, Barcey T Levy, Paul A James, Mary L Merchant and Robert E Garrett

Journal of the American Board of Family Medicine, Vol.22(3), pp.280-290

05/2009

DOI: 10.3122/jabfm.2009.03.080114

PMID: 19429734

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Abstract

Patient self-care behaviors, including taking medication, following a meal plan, exercising regularly, and testing blood glucose, influence diabetes control. The purpose of this research was to identify (1) which barriers to diabetes management are associated with problem behaviors and (2) which patient behaviors and barriers are associated with diabetes control. This was a cross-sectional study of linked medical record and self-reported information from patients with type 2 diabetes. A randomly selected sample of 800 clinic patients was mailed an investigator-developed survey. The study sample consisted of 253 (55%) individuals who had measured glycosylated hemoglobin (HbA1c) within 3 months of the survey date. The barriers to each diabetes self-care behavior differed. Cost was the most common barrier to the 4 self-care behaviors. In a multivariable regression model, the belief that type 2 diabetes is a serious problem and depression were strongly associated with higher HbA1c levels. Lower HbA1c levels were significantly associated with being married and greater self-reported adherence-satisfaction with taking medication and testing blood glucose. This study expanded earlier research by focusing on 4 specific self-care behaviors, their barriers, and their association with HbA1c. Barriers that were significantly associated with HbA1c were specific to the behavior and varied across behaviors.

Humans

Middle Aged

Diabetes Mellitus, Type 2 - economics

Male

Diabetes Mellitus, Type 2 - epidemiology

Exercise

Diabetes Mellitus, Type 2 - therapy

Glycated Hemoglobin A

Aged, 80 and over

Adult

Female

Surveys and Questionnaires

Monitoring, Physiologic - economics

Self Care - methods

Blood Glucose Self-Monitoring - economics

Hypoglycemic Agents - therapeutic use

Depression - epidemiology

Cross-Sectional Studies

Comorbidity

Logistic Models

Treatment Outcome

Health Knowledge, Attitudes, Practice

Diabetes Mellitus, Type 2 - diagnosis

Diabetes Mellitus, Type 2 - blood

Diet, Diabetic

Monitoring, Physiologic - methods

Aged

Patient Compliance

Population Surveillance

Details

Title: Subtitle: An assessment of attitudes, behaviors, and outcomes of patients with type 2 diabetes
Creators: Jeanette M Daly - Department of Family Medicine, University of Iowa, Iowa, USA. jeanette-daly@uiowa.edu
Arthur J Hartz
Yinghui Xu
Barcey T Levy
Paul A James
Mary L Merchant
Robert E Garrett
Resource Type: Journal article
Publication Details: Journal of the American Board of Family Medicine, Vol.22(3), pp.280-290
Publisher: United States
DOI: 10.3122/jabfm.2009.03.080114
PMID: 19429734
ISSN: 1557-2625
eISSN: 1558-7118
Grant note: 5 RO3 HS014410 / AHRQ HHS
Language: English
Date published: 05/2009
Academic Unit: Epidemiology; Family and Community Medicine
Record Identifier: 9984025283402771

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