INTRODUCTION: Little is reported about how much time patients spend on self-management, a cornerstone of diabetes care. METHODS: We studied a cross-section of 1482 diabetic patients enrolled in 3 northeastern United States managed care plans. Patients were surveyed about how much time they spent on foot care, exercise, and food shopping/preparation (7/00 to 9/01). Logistic regressions modeled which types of patients were likely to spend time, and linear regressions modeled characteristics associated with spending more/less time. RESULTS: Patients (57.9% > or = 55 years; 51.6% women; 36.2% African American; 31.1% on insulin) spent 58 (mean) minutes/day on self-care (interquartile range 19, 84). Many patients skipped individual self-care elements: 37.9% reported no foot care, 37.7% no exercise, and 54.4% no time on food shopping/preparation. One fourth of patients with severe foot neuropathy symptoms spent no time on foot care. Never self-testers were less likely than others to engage in foot care (odds ratio (OR) 0.4 (95% CI 0.3, 0.6), exercise (OR 0.4 (95% CI 0.3, 0.6)), and food shopping/preparation (OR 0.7 (95% CI 0.5, 1.0)), and were likely to spend 30 minutes less total self-care time than frequent self-testers (P <.01). DISCUSSION: Most people spent considerable time engaged in self-care, but many skipped individual tasks, offering clinicians opportunities for collaborative decision making.
INTRODUCTION: Little is reported about how much time patients spend on self-management, a cornerstone of diabetes care. METHODS: We studied a cross-section of 1482 diabeticpatients enrolled in 3 northeastern United States managed care plans. Patients were surveyed about how much time they spent on foot care, exercise, and food shopping/preparation (7/00 to 9/01). Logistic regressions modeled which types of patients were likely to spend time, and linear regressions modeled characteristics associated with spending more/less time. RESULTS:Patients (57.9% > or = 55 years; 51.6% women; 36.2% African American; 31.1% on insulin) spent 58 (mean) minutes/day on self-care (interquartile range 19, 84). Many patients skipped individual self-care elements: 37.9% reported no foot care, 37.7% no exercise, and 54.4% no time on food shopping/preparation. One fourth of patients with severe foot neuropathy symptoms spent no time on foot care. Never self-testers were less likely than others to engage in foot care (odds ratio (OR) 0.4 (95% CI 0.3, 0.6), exercise (OR 0.4 (95% CI 0.3, 0.6)), and food shopping/preparation (OR 0.7 (95% CI 0.5, 1.0)), and were likely to spend 30 minutes less total self-care time than frequent self-testers (P <.01). DISCUSSION: Most people spent considerable time engaged in self-care, but many skipped individual tasks, offering clinicians opportunities for collaborative decision making.
Authors: Ryan J Shaw; Dori M Steinberg; Jonathan Bonnet; Farhad Modarai; Aaron George; Traven Cunningham; Markedia Mason; Mohammad Shahsahebi; Steven C Grambow; Gary G Bennett; Hayden B Bosworth Journal: J Am Med Inform Assoc Date: 2016-01-17 Impact factor: 4.497
Authors: Susan L Ettner; Betsy L Cadwell; Louise B Russell; Arleen Brown; Andrew J Karter; Monika Safford; Carol Mangione; Gloria Beckles; William H Herman; Theodore J Thompson Journal: Health Econ Date: 2009-06 Impact factor: 3.046