Coping with diabetes: Provider attributes that influence type 2 diabetes adherence.

Diabetes, a chronic disease affecting over 29 million people in the United States, requires the integration of complex medical tasks into a person's daily life. Patient-centered care and compassion are recognized as essential dimensions of the quality care experience. This research examined pro...

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Main Authors: Yolonda Freeman-Hildreth, David Aron, Philip A Cola, Yunmei Wang
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2019-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0214713
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author Yolonda Freeman-Hildreth
David Aron
Philip A Cola
Yunmei Wang
author_facet Yolonda Freeman-Hildreth
David Aron
Philip A Cola
Yunmei Wang
author_sort Yolonda Freeman-Hildreth
collection DOAJ
description Diabetes, a chronic disease affecting over 29 million people in the United States, requires the integration of complex medical tasks into a person's daily life. Patient-centered care and compassion are recognized as essential dimensions of the quality care experience. This research examined provider attributes that influence adherence to type 2 diabetes mellitus (T2DM) regimens and sought to understand the phenomena of provider attributes, treatment adherence, and their relationship to coping ability and treatment outcomes. This quantitative study sampled 474 people with T2DM using a 62-item online survey administered to three different groups. The sample population included people over age 18 diagnosed with T2DM. The first group included 91 persons with T2DM identified through a Facebook group and personal social media connections, the second group included 120 Amazon Mechanical Turk participants with T2DM, and the third group included 263 respondents from a Qualtrics panel who had T2DM. Results indicated that perceived provider compassion (β = .41, ρ < .001) and optimism (β = .48, ρ < .001) positively affected coping ability. Additionally, full mediation effects for self-management were revealed, with coping ability positively mediating the effect of compassion on self-management and the effects of optimism on self-management. Furthermore, full mediation effects were found for treatment satisfaction, with coping ability positively mediating the effect of compassion on treatment satisfaction and the effects of optimism on treatment satisfaction. This research has implications for patients, healthcare professionals, and leaders suggesting that providers who communicate with optimism and compassion positively affect coping ability. As a result, healthcare providers and professionals have an opportunity to enhance self-management adherence by helping their patients cope with the burdens of diabetes. In addition, this study has implications for developing provider communication tools aimed at assessing patients' coping capacity and increasing compassionate communication.
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spelling doaj.art-7ac8575a5735401c938d95c430c31d302022-12-21T19:56:32ZengPublic Library of Science (PLoS)PLoS ONE1932-62032019-01-01144e021471310.1371/journal.pone.0214713Coping with diabetes: Provider attributes that influence type 2 diabetes adherence.Yolonda Freeman-HildrethDavid AronPhilip A ColaYunmei WangDiabetes, a chronic disease affecting over 29 million people in the United States, requires the integration of complex medical tasks into a person's daily life. Patient-centered care and compassion are recognized as essential dimensions of the quality care experience. This research examined provider attributes that influence adherence to type 2 diabetes mellitus (T2DM) regimens and sought to understand the phenomena of provider attributes, treatment adherence, and their relationship to coping ability and treatment outcomes. This quantitative study sampled 474 people with T2DM using a 62-item online survey administered to three different groups. The sample population included people over age 18 diagnosed with T2DM. The first group included 91 persons with T2DM identified through a Facebook group and personal social media connections, the second group included 120 Amazon Mechanical Turk participants with T2DM, and the third group included 263 respondents from a Qualtrics panel who had T2DM. Results indicated that perceived provider compassion (β = .41, ρ < .001) and optimism (β = .48, ρ < .001) positively affected coping ability. Additionally, full mediation effects for self-management were revealed, with coping ability positively mediating the effect of compassion on self-management and the effects of optimism on self-management. Furthermore, full mediation effects were found for treatment satisfaction, with coping ability positively mediating the effect of compassion on treatment satisfaction and the effects of optimism on treatment satisfaction. This research has implications for patients, healthcare professionals, and leaders suggesting that providers who communicate with optimism and compassion positively affect coping ability. As a result, healthcare providers and professionals have an opportunity to enhance self-management adherence by helping their patients cope with the burdens of diabetes. In addition, this study has implications for developing provider communication tools aimed at assessing patients' coping capacity and increasing compassionate communication.https://doi.org/10.1371/journal.pone.0214713
spellingShingle Yolonda Freeman-Hildreth
David Aron
Philip A Cola
Yunmei Wang
Coping with diabetes: Provider attributes that influence type 2 diabetes adherence.
PLoS ONE
title Coping with diabetes: Provider attributes that influence type 2 diabetes adherence.
title_full Coping with diabetes: Provider attributes that influence type 2 diabetes adherence.
title_fullStr Coping with diabetes: Provider attributes that influence type 2 diabetes adherence.
title_full_unstemmed Coping with diabetes: Provider attributes that influence type 2 diabetes adherence.
title_short Coping with diabetes: Provider attributes that influence type 2 diabetes adherence.
title_sort coping with diabetes provider attributes that influence type 2 diabetes adherence
url https://doi.org/10.1371/journal.pone.0214713
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