The individual contribution and relative importance of self-management and quality of care on glycaemic control in type 2 diabetes
Objective. To evaluate the relative importance of self-management (SM) and quality of care (QoC) inpredicting glycaemic control in patients with type 2 diabetes. Materials and methods. A longitudinal cohort study was conducted in 204 adults diagnosed with type 2 diabetes. Self-management and quality...
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| Format: | Article |
| Language: | English |
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Instituto Nacional de Salud Pública
2016-07-01
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| Series: | Salud Pública de México |
| Subjects: | |
| Online Access: | http://www.saludpublica.mx/index.php/spm/article/view/8020 |
| _version_ | 1819074643147882496 |
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| author | Yolanda V. Martínez Stephen M. Campbell Mark Hann Peter Bower |
| author_facet | Yolanda V. Martínez Stephen M. Campbell Mark Hann Peter Bower |
| author_sort | Yolanda V. Martínez |
| collection | DOAJ |
| description | Objective. To evaluate the relative importance of self-management (SM) and quality of care (QoC) inpredicting glycaemic control in patients with type 2 diabetes. Materials and methods. A longitudinal cohort study was conducted in 204 adults diagnosed with type 2 diabetes. Self-management and quality of care were measured at baseline. HbA1c was measured at baseline and at six-month follow-up. Results. None of the measures of self-management were significantly associated with HbA1c. Treatment intensification (TI) (a proxy for quality of care) resulted in lower HbA1c at follow-up. Other variables were associated with HbA1c at follow-up: HbA1c at baseline, age, diabetes duration, and combination of oral glucose-lowering medications. An exploratory analysis showed that patients who did not receive treatment intensification but performed more self-management behaviours had lower HbA1c levels at follow-up. Conclusion. Treatment intensification might be more important for glycaemic control than self-management but the interaction between treatment intensification and self-management needs further research.
DOI: http://dx.doi.org/10.21149/spm.v58i4.8020 |
| first_indexed | 2024-12-21T18:12:46Z |
| format | Article |
| id | doaj.art-3e82c88f52d74c47af639c5cc0526208 |
| institution | Directory Open Access Journal |
| issn | 0036-3634 1606-7916 |
| language | English |
| last_indexed | 2024-12-21T18:12:46Z |
| publishDate | 2016-07-01 |
| publisher | Instituto Nacional de Salud Pública |
| record_format | Article |
| series | Salud Pública de México |
| spelling | doaj.art-3e82c88f52d74c47af639c5cc05262082022-12-21T18:54:44ZengInstituto Nacional de Salud PúblicaSalud Pública de México0036-36341606-79162016-07-0158440441110.21149/spm.v58i4.802016196The individual contribution and relative importance of self-management and quality of care on glycaemic control in type 2 diabetesYolanda V. Martínez0Stephen M. Campbell1Mark Hann2Peter Bower3NIHR School for Primary Care Research, University of Manchester. Manchester, UK.NIHR School for Primary Care Research, University of Manchester. Manchester, UK.NIHR School for Primary Care Research, University of Manchester. Manchester, UK.NIHR School for Primary Care Research, University of Manchester. Manchester, UK.Objective. To evaluate the relative importance of self-management (SM) and quality of care (QoC) inpredicting glycaemic control in patients with type 2 diabetes. Materials and methods. A longitudinal cohort study was conducted in 204 adults diagnosed with type 2 diabetes. Self-management and quality of care were measured at baseline. HbA1c was measured at baseline and at six-month follow-up. Results. None of the measures of self-management were significantly associated with HbA1c. Treatment intensification (TI) (a proxy for quality of care) resulted in lower HbA1c at follow-up. Other variables were associated with HbA1c at follow-up: HbA1c at baseline, age, diabetes duration, and combination of oral glucose-lowering medications. An exploratory analysis showed that patients who did not receive treatment intensification but performed more self-management behaviours had lower HbA1c levels at follow-up. Conclusion. Treatment intensification might be more important for glycaemic control than self-management but the interaction between treatment intensification and self-management needs further research. DOI: http://dx.doi.org/10.21149/spm.v58i4.8020http://www.saludpublica.mx/index.php/spm/article/view/8020diabetes mellitus, type 2hemoglobin A, glycosylatedfamily practiceself carequality of health careMexico |
| spellingShingle | Yolanda V. Martínez Stephen M. Campbell Mark Hann Peter Bower The individual contribution and relative importance of self-management and quality of care on glycaemic control in type 2 diabetes Salud Pública de México diabetes mellitus, type 2 hemoglobin A, glycosylated family practice self care quality of health care Mexico |
| title | The individual contribution and relative importance of self-management and quality of care on glycaemic control in type 2 diabetes |
| title_full | The individual contribution and relative importance of self-management and quality of care on glycaemic control in type 2 diabetes |
| title_fullStr | The individual contribution and relative importance of self-management and quality of care on glycaemic control in type 2 diabetes |
| title_full_unstemmed | The individual contribution and relative importance of self-management and quality of care on glycaemic control in type 2 diabetes |
| title_short | The individual contribution and relative importance of self-management and quality of care on glycaemic control in type 2 diabetes |
| title_sort | individual contribution and relative importance of self management and quality of care on glycaemic control in type 2 diabetes |
| topic | diabetes mellitus, type 2 hemoglobin A, glycosylated family practice self care quality of health care Mexico |
| url | http://www.saludpublica.mx/index.php/spm/article/view/8020 |
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