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Patient Educ Couns. 2011 Jul;84(1):56-61. doi: 10.1016/j.pec.2010.06.019. Epub 2010 Jul 23.

Opinions of patients with type 2 diabetes about responsibility, setting targets and willingness to take medication. A cross-sectional survey.

Author information

  • 1Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, The Netherlands. K.J.Gorter@umcutrecht.nl

Abstract

OBJECTIVE:

To assess opinions and their determinants of patients with type 2 diabetes about responsibility for managing their diabetes, setting treatment targets and willingness taking medication.

METHODS:

Questionnaire survey carried out in general practices and outpatient clinics across the Netherlands. Outcomes: opinions about responsibility, targets and medication. Multinomial logistic regression analysis.

RESULTS:

Data of 994 consecutive persons were analysed (mean age 65 years; 54% males). Of these 62% agreed to take responsibility for their diabetes. In the opinion of 89% the setting of targets should be by or in cooperation with their physician or nurse and 40% were willing to take tablets until all targets were attained. Patients who perceived dysfunction by barriers to activity did not agree to take responsibility (OR 3.68; 1.65-8.19). Patients with complications preferred to set targets in cooperation with their physician or nurse (OR 1.98; 1.03-3.80). Males were more willing to take tablets until all targets were attained (OR 1.62; 1.17-2.25).

CONCLUSION:

Not all patients want to take responsibility for their diabetes or taking all necessary tablets, especially those with barriers to activity or complications.

PRACTICE IMPLICATIONS:

Doctors and nurses should ask for patients' opinions about responsibility and treatment goals before starting education.

Copyright © 2010. Published by Elsevier Ireland Ltd.

PMID:
20655164
[PubMed - indexed for MEDLINE]
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