Journal article
Influence of Patient Characteristics on Assessment of Diabetes Self-Management Support
Nursing research (New York), Vol.62(2), pp.106-114
03/2013
DOI: 10.1097/NNR.0b013e3182843b77
PMCID: PMC3641001
PMID: 23458908
Abstract
Background: Factors contributing to patient-reported experiences of diabetes self-management support are not understood well, particularly over time.
Objectives: The aim of the study was to identify the contribution of patient characteristics to patient-reported quality of SMS.
Methods: Using secondary data from a prospective clinical trial (n = 339) comparing three approaches of providing diabetes self-management support (Group Medical Visits, Automated Telephone Support, and Usual Care) in a diverse, underserved population, the influence of patient characteristics (e.g., age, gender, income, and health status) was examined on Patient Assessment of Chronic Illness Care ratings.
Results: At baseline, older age (p = .014), being female (p = .038), and having lower income (p = .001) were associated with lower ratings. Income and interactions involving income combined explained 12% of the variance in baseline ratings. Compared with White patients, African American and Asian patients tended to have higher baseline ratings (p = .076 and p = .045, respectively). Race or ethnicity influenced perceptions throughout the trial, explaining 5% of the variance at baseline and 2% of the variance in 1-year changes in Patient Assessment of Chronic Illness Care ratings. As expected, over 1 year, ratings increased more for patients in both intervention groups compared with the control group (p < .001).
Discussion: Ratings of healthcare quality are influenced by patient characteristics independent of the nature of the care provided. Understanding more precisely how these differences are associated with differences in clinical processes will be particularly important for efforts aiming to integrate patient-reported measures into assessments of healthcare quality during routine clinical care and clinical trials.
Details
- Title: Subtitle
- Influence of Patient Characteristics on Assessment of Diabetes Self-Management Support
- Creators
- Andrea Wallace - The University of Iowa College of Nursing, Iowa City, IowaYelena Perkhounkova - The University of Iowa College of Nursing, Iowa City, IowaHuichen Tseng - The University of Utah College of Nursing, Salt Lake City, UtahDean Schillinger - University of California at San Francisco School of Medicine Center for Populations, San Francisco General Hospital, San Francisco, California
- Resource Type
- Journal article
- Publication Details
- Nursing research (New York), Vol.62(2), pp.106-114
- DOI
- 10.1097/NNR.0b013e3182843b77
- PMID
- 23458908
- PMCID
- PMC3641001
- NLM abbreviation
- Nurs Res
- ISSN
- 0029-6562
- eISSN
- 1538-9847
- Grant note
- T32 NR008856 || NR / National Institute of Nursing Research : NINR
- Language
- English
- Date published
- 03/2013
- Academic Unit
- Nursing
- Record Identifier
- 9984083278702771
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