Factors associated with patient empowerment in Spanish adults with type 2 diabetes: A cross‐sectional analysis
Abstract Objective The aim of the present study is to identify factors associated with patient empowerment in people living with type 2 diabetes mellitus (T2DM) in the Canary Islands (Spain). Methods Secondary cross‐sectional analysis was carried out of data obtained in the INDICA study: A 24‐month...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2022-12-01
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| Series: | Health Expectations |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/hex.13501 |
| _version_ | 1811304241995710464 |
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| author | Andrea Duarte‐Díaz Himar González‐Pacheco Amado Rivero‐Santana Yolanda Ramallo‐Fariña Lilisbeth Perestelo‐Pérez Wenceslao Peñate Carme Carrion Pedro Serrano‐Aguilar INDICA Team |
| author_facet | Andrea Duarte‐Díaz Himar González‐Pacheco Amado Rivero‐Santana Yolanda Ramallo‐Fariña Lilisbeth Perestelo‐Pérez Wenceslao Peñate Carme Carrion Pedro Serrano‐Aguilar INDICA Team |
| author_sort | Andrea Duarte‐Díaz |
| collection | DOAJ |
| description | Abstract Objective The aim of the present study is to identify factors associated with patient empowerment in people living with type 2 diabetes mellitus (T2DM) in the Canary Islands (Spain). Methods Secondary cross‐sectional analysis was carried out of data obtained in the INDICA study: A 24‐month cluster randomized‐controlled trial evaluating the effectiveness of educational interventions supported by new technology decision tools for T2DM patients. Sociodemographic variables, clinical data (years since diagnosis, glycated haemoglobin level, creatine, triglycerides, waist hip index, body mass index and number of comorbidities), diabetes knowledge (DIATEK), affective outcomes (Beck Depression Inventory‐II, the State subscale of the State‐Trait Anxiety Inventory and The Diabetes Distress Scale) and diabetes‐related quality of life (The Audit of Diabetes‐Dependent Quality of life) were assessed as potential correlates of patient empowerment, assessed using the Diabetes Empowerment Scale‐Short Form. Multilevel mixed linear regression models on patient empowerment were developed. Results The analysis included the baseline data of 2334 patients. Results showed that age (B = −0.14; p < .001), diabetes knowledge (B = 0.61; p < .001) and state‐anxiety (B = −0.09; p < .001) are significantly associated with patient empowerment. Sex, education level, living alone, employment status, country of birth, time since diagnosis, number of comorbidities, glycated haemoglobin level, depression and distress were not independently associated with patient empowerment in the multivariate analyses. Conclusion Younger age, lower state‐anxiety and greater diabetes‐specific knowledge are important correlates of patient empowerment. In line with the results of the INDICA study, interventions based on patient‐centred care might be effective in improving patient empowerment in adults with T2DM. Understanding the factors associated with empowerment may help clinicians and policymakers to identify high‐risk groups, prioritize resources and target evidence‐based interventions to better support people with T2DM to be actively involved in their own care. Patient or Public Contribution Patients with T2DM were actively involved in the design of the INDICA study. Two patient associations were included as part of the research team and actively participated in designing the interventions and selecting outcome measures. |
| first_indexed | 2024-04-13T08:02:24Z |
| format | Article |
| id | doaj.art-68ad45ddfb144edeab537314c7113122 |
| institution | Directory Open Access Journal |
| issn | 1369-6513 1369-7625 |
| language | English |
| last_indexed | 2024-04-13T08:02:24Z |
| publishDate | 2022-12-01 |
| publisher | Wiley |
| record_format | Article |
| series | Health Expectations |
| spelling | doaj.art-68ad45ddfb144edeab537314c71131222022-12-22T02:55:15ZengWileyHealth Expectations1369-65131369-76252022-12-012562762277410.1111/hex.13501Factors associated with patient empowerment in Spanish adults with type 2 diabetes: A cross‐sectional analysisAndrea Duarte‐Díaz0Himar González‐Pacheco1Amado Rivero‐Santana2Yolanda Ramallo‐Fariña3Lilisbeth Perestelo‐Pérez4Wenceslao Peñate5Carme Carrion6Pedro Serrano‐Aguilar7INDICA TeamCanary Islands Health Research Institute Foundation (FIISC) Tenerife SpainCanary Islands Health Research Institute Foundation (FIISC) Tenerife SpainCanary Islands Health Research Institute Foundation (FIISC) Tenerife SpainCanary Islands Health Research Institute Foundation (FIISC) Tenerife SpainResearch Network on Health Services in Chronic Diseases (REDISSEC) Tenerife SpainDepartment of Clinical Psychology, Psychobiology and Methodology University of La Laguna (ULL) Tenerife SpainEvaluation Unit (SESCS) Canary Islands Health Service (SCS) Tenerife SpainResearch Network on Health Services in Chronic Diseases (REDISSEC) Tenerife SpainAbstract Objective The aim of the present study is to identify factors associated with patient empowerment in people living with type 2 diabetes mellitus (T2DM) in the Canary Islands (Spain). Methods Secondary cross‐sectional analysis was carried out of data obtained in the INDICA study: A 24‐month cluster randomized‐controlled trial evaluating the effectiveness of educational interventions supported by new technology decision tools for T2DM patients. Sociodemographic variables, clinical data (years since diagnosis, glycated haemoglobin level, creatine, triglycerides, waist hip index, body mass index and number of comorbidities), diabetes knowledge (DIATEK), affective outcomes (Beck Depression Inventory‐II, the State subscale of the State‐Trait Anxiety Inventory and The Diabetes Distress Scale) and diabetes‐related quality of life (The Audit of Diabetes‐Dependent Quality of life) were assessed as potential correlates of patient empowerment, assessed using the Diabetes Empowerment Scale‐Short Form. Multilevel mixed linear regression models on patient empowerment were developed. Results The analysis included the baseline data of 2334 patients. Results showed that age (B = −0.14; p < .001), diabetes knowledge (B = 0.61; p < .001) and state‐anxiety (B = −0.09; p < .001) are significantly associated with patient empowerment. Sex, education level, living alone, employment status, country of birth, time since diagnosis, number of comorbidities, glycated haemoglobin level, depression and distress were not independently associated with patient empowerment in the multivariate analyses. Conclusion Younger age, lower state‐anxiety and greater diabetes‐specific knowledge are important correlates of patient empowerment. In line with the results of the INDICA study, interventions based on patient‐centred care might be effective in improving patient empowerment in adults with T2DM. Understanding the factors associated with empowerment may help clinicians and policymakers to identify high‐risk groups, prioritize resources and target evidence‐based interventions to better support people with T2DM to be actively involved in their own care. Patient or Public Contribution Patients with T2DM were actively involved in the design of the INDICA study. Two patient associations were included as part of the research team and actively participated in designing the interventions and selecting outcome measures.https://doi.org/10.1111/hex.13501correlatespatient empowermentSpaintype 2 diabetes mellitus |
| spellingShingle | Andrea Duarte‐Díaz Himar González‐Pacheco Amado Rivero‐Santana Yolanda Ramallo‐Fariña Lilisbeth Perestelo‐Pérez Wenceslao Peñate Carme Carrion Pedro Serrano‐Aguilar INDICA Team Factors associated with patient empowerment in Spanish adults with type 2 diabetes: A cross‐sectional analysis Health Expectations correlates patient empowerment Spain type 2 diabetes mellitus |
| title | Factors associated with patient empowerment in Spanish adults with type 2 diabetes: A cross‐sectional analysis |
| title_full | Factors associated with patient empowerment in Spanish adults with type 2 diabetes: A cross‐sectional analysis |
| title_fullStr | Factors associated with patient empowerment in Spanish adults with type 2 diabetes: A cross‐sectional analysis |
| title_full_unstemmed | Factors associated with patient empowerment in Spanish adults with type 2 diabetes: A cross‐sectional analysis |
| title_short | Factors associated with patient empowerment in Spanish adults with type 2 diabetes: A cross‐sectional analysis |
| title_sort | factors associated with patient empowerment in spanish adults with type 2 diabetes a cross sectional analysis |
| topic | correlates patient empowerment Spain type 2 diabetes mellitus |
| url | https://doi.org/10.1111/hex.13501 |
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