Which patients with Type 2 diabetes will have greater compliance to participation in the Diabetes Conversation Map™ program? A retrospective cohort study.
Diabetes Res Clin Pract
; 143: 337-347, 2018 Sep.
Article
em En
| MEDLINE
| ID: mdl-30081107
ABSTRACT
AIM:
To investigate the characteristics of participants in the Diabetes Conversation Map™ (Map™) program who had higher vs. lower compliance to the program, to determine if program tailoring and monitoring is needed among these groups.METHODS:
This was a retrospective cohort study of 8990 patients enrolled in the Map™ program (low compliance [attending 0-1 sessions, nâ¯=â¯2759] and high compliance [attending ≥2 sessions, nâ¯=â¯6231]). Socio-demographic, clinical, health behaviors, and healthcare utilization characteristics were extracted. Multivariable stepwise logistic regression was used as the analysis strategy.RESULTS:
Those who were of higher socio-economic status (ORâ¯=â¯1.567, 95%CI1.317-1.865), who lived in urban area (ORâ¯=â¯1.501, 95%CI1.254-1.798), with greater frequency of primary care visits (ORâ¯=â¯1.012, 95%CI1.002-1.021), with medium (ORâ¯=â¯1.176, 95%CI1.013-1.365) or high oral medication adherence (ORâ¯=â¯1.198, 95%CI1.059-1.356), and with a greater frequency of blood glucose tests (ORâ¯=â¯1.102, 95%CI1.033-1.175) had greater odds of being in the high compliance group. Conversely, those aged 35-44 (ORâ¯=â¯0.538, 95%CI0.402-0.721) and 45-54â¯years (ORâ¯=â¯0.763, 95%CI0.622-0.937), with longer Type 2 diabetes duration (ORâ¯=â¯0.980, 95%CI0.967-0.993), with higher blood glucose levels (ORâ¯=â¯0.999, 95%CI0.998-1.000), and current (ORâ¯=â¯0.659, 95%CI0.569-0.762) or former smokers (ORâ¯=â¯0.831, 95%CI0.737-0.938) had reduced odds for being in the higher compliance group.CONCLUSIONS:
Instructors in advance can target sub-groups to increase their attendance rates, and consequently improve their outcomes.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Contexto em Saúde:
11_ODS3_cobertura_universal
Base de dados:
MEDLINE
Assunto principal:
Diabetes Mellitus Tipo 2
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Adesão à Medicação
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Autogestão
Tipo de estudo:
Etiology_studies
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Incidence_studies
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Observational_studies
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Risk_factors_studies
Aspecto:
Implementation_research
Limite:
Adult
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Aged
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
Diabetes Res Clin Pract
Ano de publicação:
2018
Tipo de documento:
Article