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- Title
The association between patient activation and self-care practices: A cross-sectional study of an Australian population with comorbid diabetes and chronic kidney disease.
- Authors
Zimbudzi, Edward; Lo, Clement; Ranasinha, Sanjeeva; Kerr, Peter G; Polkinghorne, Kevan R; Teede, Helena; Usherwood, Timothy; Walker, Rowan G; Johnson, Greg; Fulcher, Greg; Zoungas, Sophia
- Abstract
Objective This study aimed to examine the association between performance of self-care activities and patient or disease factors as well as patient activation levels in patients with diabetes and chronic kidney disease ( CKD) in Australia. Methods A cross-sectional study was conducted among adults with diabetes and CKD ( eGFR <60 mL/min/1.73m2) who were recruited from renal and diabetes clinics of four tertiary hospitals in Australia. Demographic and clinical data were collected, as well as responses to the Patient Activation Measure ( PAM) and the Summary of Diabetes Self-Care Activities ( SDSCA) scale. Regression analyses were performed to determine the relationship between activation and performance of self-care activities. Results A total of 317 patients (70% men) with a mean age of 66.9 ( SD=11.0) years participated. The mean ( SD) PAM and composite SDSCA scores were 57.6 (15.5) % (range 0-100) and 37.3 (11.2) (range 0-70), respectively. Younger age, being male, advanced stages of CKD and shorter duration of diabetes were associated with lower scores in one or more self-care components. Patient activation was positively associated with the composite SDSCA score, and in particular the domains of general diet and blood sugar checking ( P<.05), but not specific diet, exercising and foot checking. Conclusion In people with diabetes and CKD, a high level of patient activation was positively associated with a higher overall level of self-care. Our results identify subgroups of people who may benefit from tailored interventions to further improve their health outcomes. Further prospective studies are warranted to confirm present findings.
- Subjects
AUSTRALIA; CHRONIC kidney failure; DEMOGRAPHY; DIABETES; HEALTH self-care; COMORBIDITY; CROSS-sectional method
- Publication
Health Expectations, 2017, Vol 20, Issue 6, p1375
- ISSN
1369-6513
- Publication type
Article
- DOI
10.1111/hex.12577