| Are patients' initial experiences at the diagnosis of type 2 diabetes associated with attitudes and self-management over time? | |
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MedLine Citation:
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PMID: 20729511 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Objective The purpose of this study was to investigate patients' experiences when diagnosed with type 2 diabetes and diabetes-related distress and self-management years later. Method One hundred seventy-nine adults with type 2 diabetes, 1 to 5 years after diagnosis, completed a questionnaire assessing what they were told and what was recommended at diagnosis as well as current diet, physical activity, and diabetes distress. RESULTS: Most patients (60%) expressed confidence in their health care provider (HCP) at diagnosis, but 30% reported that a clear action plan was not communicated. Current diabetes distress was significantly lower among those who reported being reassured at diagnosis that diabetes could be managed successfully and had developed a clearer action plan with their HCP. Patients' current dietary behaviors were significantly better among those receiving a clearer action plan at diagnosis. CONCLUSION: Patients' retrospective reports of reassuring HCP messages when diagnosed, along with the presentation of a clear action plan, are associated with less diabetes distress and better self-management at 1 to 5 years after diagnosis. Practical implications Findings suggest a long-lasting impact on patients' attitudes and behaviors when the diagnosis of type 2 diabetes is delivered clearly, a sense of hope is provided, and a specific care plan is put forward. |
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Authors:
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William H Polonsky; Lawrence Fisher; Susan Guzman; William J Sieber; Athena Philis-Tsimikas; Steven V Edelman |
Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2010-08-20 |
Journal Detail:
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Title: The Diabetes educator Volume: 36 ISSN: 1554-6063 ISO Abbreviation: Diabetes Educ Publication Date: 2010 Sep-Oct |
Date Detail:
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Created Date: 2010-09-29 Completed Date: 2011-02-02 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7701401 Medline TA: Diabetes Educ Country: United States |
Other Details:
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Languages: eng Pagination: 828-34 Citation Subset: N |
Affiliation:
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Department of Psychiatry, University of California, San Diego, USA. whp@behavioraldiabetes.org |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Attitude to Health* Diabetes Mellitus, Type 2 / diagnosis*, psychology* Educational Status Ethnic Groups Female Humans Male Middle Aged Patient Education as Topic Professional-Patient Relations Questionnaires Self Care* Trust |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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