Does the SDMQ-9 Predict Changes in HbA1c Levels? An Ecuadorian Cohort
<i>Background and Objectives:</i> Diabetes mellitus affects 422 million people around the world, positioning it as a major health problem. According to the WHO(World Health Organization), 90% corresponds to type 2. The shared-decision making (SDM) is a method used to facilitate patient c...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-03-01
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| Series: | Medicina |
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| Online Access: | https://www.mdpi.com/1648-9144/58/3/380 |
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| author | María José Farfán Bajaña Jorge Moncayo-Rizzo Geovanny Alvarado-Villa Victor J. Avila-Quintero |
| author_facet | María José Farfán Bajaña Jorge Moncayo-Rizzo Geovanny Alvarado-Villa Victor J. Avila-Quintero |
| author_sort | María José Farfán Bajaña |
| collection | DOAJ |
| description | <i>Background and Objectives:</i> Diabetes mellitus affects 422 million people around the world, positioning it as a major health problem. According to the WHO(World Health Organization), 90% corresponds to type 2. The shared-decision making (SDM) is a method used to facilitate patient control, medication, maintenance, and assessment of health status according to their priorities and preferences. With the application of SDM in patients with diabetes, it is expected there will be an increase in treatment adherence and a reduction in HbA1c levels. The aim of this study is to determine the predictors of the change in HbA1c. <i>Material and Methods:</i> A sample of 76 participants attending as endocrinology outpatients was obtained. Data collected within the sample included: sex, age, educational level, body mass index, and the level of SDM using the SDMQ-9. In addition, HbA1c levels were measured twice: at baseline and three months after the first measurement. <i>Results:</i> The linear regression indicates that the level of SDM is a significant predictor of the change in HbA1c, specifically in men. However, the direction of the relationship was a somewhat opposite trend than we expected. Higher levels of SDM imply an increase in HbA1c rather than a reduction. <i>Conclusions</i>: Contrary to the literature, our results shows that elevated levels of perceived SDM may be associated with worse diabetic control. However, more investigation is needed as these results are not generalizable, due to the specific population used and the sample size. Furthermore, to better understand the effect of SDM on the change in HbA1c in patients with poorly controlled diabetes. |
| first_indexed | 2024-03-09T13:24:11Z |
| format | Article |
| id | doaj.art-42155973c99c4d3dad4d7915186c8088 |
| institution | Directory Open Access Journal |
| issn | 1010-660X 1648-9144 |
| language | English |
| last_indexed | 2024-03-09T13:24:11Z |
| publishDate | 2022-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Medicina |
| spelling | doaj.art-42155973c99c4d3dad4d7915186c80882023-11-30T21:26:09ZengMDPI AGMedicina1010-660X1648-91442022-03-0158338010.3390/medicina58030380Does the SDMQ-9 Predict Changes in HbA1c Levels? An Ecuadorian CohortMaría José Farfán Bajaña0Jorge Moncayo-Rizzo1Geovanny Alvarado-Villa2Victor J. Avila-Quintero3Department of Health Sciences, Universidad de Especialidades Espíritu Santo, Guayaquil 090101, EcuadorDepartment of Health Sciences, Universidad de Especialidades Espíritu Santo, Guayaquil 090101, EcuadorDepartment of Health Sciences, Universidad de Especialidades Espíritu Santo, Guayaquil 090101, EcuadorSchool of Medicine, Yale University, New Haven, CT 06510, USA<i>Background and Objectives:</i> Diabetes mellitus affects 422 million people around the world, positioning it as a major health problem. According to the WHO(World Health Organization), 90% corresponds to type 2. The shared-decision making (SDM) is a method used to facilitate patient control, medication, maintenance, and assessment of health status according to their priorities and preferences. With the application of SDM in patients with diabetes, it is expected there will be an increase in treatment adherence and a reduction in HbA1c levels. The aim of this study is to determine the predictors of the change in HbA1c. <i>Material and Methods:</i> A sample of 76 participants attending as endocrinology outpatients was obtained. Data collected within the sample included: sex, age, educational level, body mass index, and the level of SDM using the SDMQ-9. In addition, HbA1c levels were measured twice: at baseline and three months after the first measurement. <i>Results:</i> The linear regression indicates that the level of SDM is a significant predictor of the change in HbA1c, specifically in men. However, the direction of the relationship was a somewhat opposite trend than we expected. Higher levels of SDM imply an increase in HbA1c rather than a reduction. <i>Conclusions</i>: Contrary to the literature, our results shows that elevated levels of perceived SDM may be associated with worse diabetic control. However, more investigation is needed as these results are not generalizable, due to the specific population used and the sample size. Furthermore, to better understand the effect of SDM on the change in HbA1c in patients with poorly controlled diabetes.https://www.mdpi.com/1648-9144/58/3/380glycosylated hemoglobindiabetes mellitus type 2shared decision makingSDMQ-9 |
| spellingShingle | María José Farfán Bajaña Jorge Moncayo-Rizzo Geovanny Alvarado-Villa Victor J. Avila-Quintero Does the SDMQ-9 Predict Changes in HbA1c Levels? An Ecuadorian Cohort Medicina glycosylated hemoglobin diabetes mellitus type 2 shared decision making SDMQ-9 |
| title | Does the SDMQ-9 Predict Changes in HbA1c Levels? An Ecuadorian Cohort |
| title_full | Does the SDMQ-9 Predict Changes in HbA1c Levels? An Ecuadorian Cohort |
| title_fullStr | Does the SDMQ-9 Predict Changes in HbA1c Levels? An Ecuadorian Cohort |
| title_full_unstemmed | Does the SDMQ-9 Predict Changes in HbA1c Levels? An Ecuadorian Cohort |
| title_short | Does the SDMQ-9 Predict Changes in HbA1c Levels? An Ecuadorian Cohort |
| title_sort | does the sdmq 9 predict changes in hba1c levels an ecuadorian cohort |
| topic | glycosylated hemoglobin diabetes mellitus type 2 shared decision making SDMQ-9 |
| url | https://www.mdpi.com/1648-9144/58/3/380 |
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