View in EDS

Preferences for self-management support: Findings from a survey of diabetes patients in safety-net health systems

Saved in:
Bibliographic Details
Title: Preferences for self-management support: Findings from a survey of diabetes patients in safety-net health systems
Authors: Sarkar, Urmimala1 usarkar@medicine.ucsf.edu, Piette, John D.2,3,4, Gonzales, Ralph1, Lessler, Daniel5, Chew, Lisa D.5, Reilly, Brendan6, Johnson, Jolene7, Brunt, Melanie8, Huang, Jennifer9, Regenstein, Marsha9, Schillinger, Dean1,10
Source: Patient Education & Counseling. Jan2008, Vol. 70 Issue 1, p102-110. 9p.
Subject Terms: Hospital administration, Management science, Diabetes, Surveys
Abstract: Abstract: Objective: We sought to identify interest in different modes of self-management support among diabetes patients cared for in public hospitals, and to assess whether demographic or disease-specific factors were associated with patient preferences. We explored the possible role of a perceived communication need in influencing interest in self-management support. Methods: Telephone survey of a random sample of 796 English and Spanish-speaking diabetes patients (response rate 47%) recruited from four urban US public hospital systems. In multivariate models, we measured the association of race/ethnicity, primary language, self-reported health literacy, self-efficacy, and diabetes-related factors on patients’ interest in three self-management support strategies (telephone support, group medical visits, and Internet-based support). We explored the extent to which patients believed that better communication with providers would improve their diabetes control, and whether this perception altered the relationship between patient factors and self-management support acceptance. Results: Sixty-nine percent of respondents reported interest in telephone support, 55% in group medical visits, and 42% in Internet. Compared to Non-Hispanic Whites, Spanish-speaking Hispanics were more interested in telephone support (OR 3.45, 95% CI 1.97–6.05) and group medical visits (OR 2.45, 95% CI 1.49–4.02), but less interested in Internet self-management support (OR 0.56, 95% CI 0.33–0.93). African–Americans were more interested than Whites in all three self-management support strategies. Patients with limited self-reported health literacy were more likely to be interested in telephone support than those not reporting literacy deficits. Forty percent reported that their diabetes would be better controlled if they communicated better with their health care provider. This perceived communication benefit was independently associated with interest in self-management support (p <0.001), but its inclusion in models did not alter the strengths of the main associations between patient characteristics and self-management support preferences. Conclusion: Many diabetes patients in safety-net settings report an interest in receiving self-management support, but preferences for modes of delivery of self-management support vary by race/ethnicity, language proficiency, and self-reported health literacy. Practice implications: Public health systems should consider offering a range of self-management support services to meet the needs of their diverse patient populations. More broad dissemination and implementation of self-management support may help address the unmet need for better provider communication among diabetes patients in these settings. [Copyright &y& Elsevier]
Copyright of Patient Education & Counseling is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
FullText Text:
  Availability: 0
Header DbId: ehh
DbLabel: Education Research Complete
An: 27943163
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: Preferences for self-management support: Findings from a survey of diabetes patients in safety-net health systems
– Name: Author
  Label: Authors
  Group: Au
  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Sarkar%2C+Urmimala%22&quot;&gt;Sarkar, Urmimala&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt;&lt;i&gt; usarkar@medicine.ucsf.edu&lt;/i&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Piette%2C+John+D%2E%22&quot;&gt;Piette, John D.&lt;/searchLink&gt;&lt;relatesTo&gt;2,3,4&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Gonzales%2C+Ralph%22&quot;&gt;Gonzales, Ralph&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Lessler%2C+Daniel%22&quot;&gt;Lessler, Daniel&lt;/searchLink&gt;&lt;relatesTo&gt;5&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Chew%2C+Lisa+D%2E%22&quot;&gt;Chew, Lisa D.&lt;/searchLink&gt;&lt;relatesTo&gt;5&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Reilly%2C+Brendan%22&quot;&gt;Reilly, Brendan&lt;/searchLink&gt;&lt;relatesTo&gt;6&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Johnson%2C+Jolene%22&quot;&gt;Johnson, Jolene&lt;/searchLink&gt;&lt;relatesTo&gt;7&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Brunt%2C+Melanie%22&quot;&gt;Brunt, Melanie&lt;/searchLink&gt;&lt;relatesTo&gt;8&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Huang%2C+Jennifer%22&quot;&gt;Huang, Jennifer&lt;/searchLink&gt;&lt;relatesTo&gt;9&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Regenstein%2C+Marsha%22&quot;&gt;Regenstein, Marsha&lt;/searchLink&gt;&lt;relatesTo&gt;9&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Schillinger%2C+Dean%22&quot;&gt;Schillinger, Dean&lt;/searchLink&gt;&lt;relatesTo&gt;1,10&lt;/relatesTo&gt;
– Name: TitleSource
  Label: Source
  Group: Src
  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22Patient+Education+%26+Counseling%22&quot;&gt;Patient Education &amp; Counseling&lt;/searchLink&gt;. Jan2008, Vol. 70 Issue 1, p102-110. 9p.
– Name: Subject
  Label: Subject Terms
  Group: Su
  Data: &lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Hospital+administration%22&quot;&gt;Hospital administration&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Management+science%22&quot;&gt;Management science&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Diabetes%22&quot;&gt;Diabetes&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Surveys%22&quot;&gt;Surveys&lt;/searchLink&gt;
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Abstract: Objective: We sought to identify interest in different modes of self-management support among diabetes patients cared for in public hospitals, and to assess whether demographic or disease-specific factors were associated with patient preferences. We explored the possible role of a perceived communication need in influencing interest in self-management support. Methods: Telephone survey of a random sample of 796 English and Spanish-speaking diabetes patients (response rate 47%) recruited from four urban US public hospital systems. In multivariate models, we measured the association of race/ethnicity, primary language, self-reported health literacy, self-efficacy, and diabetes-related factors on patients’ interest in three self-management support strategies (telephone support, group medical visits, and Internet-based support). We explored the extent to which patients believed that better communication with providers would improve their diabetes control, and whether this perception altered the relationship between patient factors and self-management support acceptance. Results: Sixty-nine percent of respondents reported interest in telephone support, 55% in group medical visits, and 42% in Internet. Compared to Non-Hispanic Whites, Spanish-speaking Hispanics were more interested in telephone support (OR 3.45, 95% CI 1.97–6.05) and group medical visits (OR 2.45, 95% CI 1.49–4.02), but less interested in Internet self-management support (OR 0.56, 95% CI 0.33–0.93). African–Americans were more interested than Whites in all three self-management support strategies. Patients with limited self-reported health literacy were more likely to be interested in telephone support than those not reporting literacy deficits. Forty percent reported that their diabetes would be better controlled if they communicated better with their health care provider. This perceived communication benefit was independently associated with interest in self-management support (p &lt;0.001), but its inclusion in models did not alter the strengths of the main associations between patient characteristics and self-management support preferences. Conclusion: Many diabetes patients in safety-net settings report an interest in receiving self-management support, but preferences for modes of delivery of self-management support vary by race/ethnicity, language proficiency, and self-reported health literacy. Practice implications: Public health systems should consider offering a range of self-management support services to meet the needs of their diverse patient populations. More broad dissemination and implementation of self-management support may help address the unmet need for better provider communication among diabetes patients in these settings. [Copyright &amp;y&amp; Elsevier]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: &lt;i&gt;Copyright of Patient Education &amp; Counseling is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ehh&AN=27943163
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1016/j.pec.2007.09.008
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 9
        StartPage: 102
    Subjects:
      – SubjectFull: Hospital administration
        Type: general
      – SubjectFull: Management science
        Type: general
      – SubjectFull: Diabetes
        Type: general
      – SubjectFull: Surveys
        Type: general
    Titles:
      – TitleFull: Preferences for self-management support: Findings from a survey of diabetes patients in safety-net health systems
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Sarkar, Urmimala
      – PersonEntity:
          Name:
            NameFull: Piette, John D.
      – PersonEntity:
          Name:
            NameFull: Gonzales, Ralph
      – PersonEntity:
          Name:
            NameFull: Lessler, Daniel
      – PersonEntity:
          Name:
            NameFull: Chew, Lisa D.
      – PersonEntity:
          Name:
            NameFull: Reilly, Brendan
      – PersonEntity:
          Name:
            NameFull: Johnson, Jolene
      – PersonEntity:
          Name:
            NameFull: Brunt, Melanie
      – PersonEntity:
          Name:
            NameFull: Huang, Jennifer
      – PersonEntity:
          Name:
            NameFull: Regenstein, Marsha
      – PersonEntity:
          Name:
            NameFull: Schillinger, Dean
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 01
              Text: Jan2008
              Type: published
              Y: 2008
          Identifiers:
            – Type: issn-print
              Value: 07383991
          Numbering:
            – Type: volume
              Value: 70
            – Type: issue
              Value: 1
          Titles:
            – TitleFull: Patient Education & Counseling
              Type: main
ResultId 1