OBJECTIVE: To assess the relationship between decision making and successful diabetes self-management. BACKGROUND: Patients with type II diabetes make routine but critical self-management decisions. METHOD: We conducted cognitive task analysis interviews with 18 patients to examine problem detection, functional relationships, problem-solving strategies, and types of knowledge used to make self-management decisions. We expected that these decision processes would be related to behavioral adherence and glycemic control. RESULTS: Verbal reports displaying problem detection skills, knowledge of functional relationships, and effective problem-solving strategies were all related to better adherence. Problem detection skill was linked to greater glycemic control. Participants differed in declarative and applied knowledge. CONCLUSION: Diabetes self-management draws on the same cognitive skills found in experts from diverse professional domains. Considering diabetes self-management as a form of expertise may support adherence. APPLICATION: Human factors approaches that support professional expertise may be useful for the decision making of patients with diabetes and other chronic diseases.
OBJECTIVE: To assess the relationship between decision making and successful diabetes self-management. BACKGROUND:Patients with type II diabetes make routine but critical self-management decisions. METHOD: We conducted cognitive task analysis interviews with 18 patients to examine problem detection, functional relationships, problem-solving strategies, and types of knowledge used to make self-management decisions. We expected that these decision processes would be related to behavioral adherence and glycemic control. RESULTS: Verbal reports displaying problem detection skills, knowledge of functional relationships, and effective problem-solving strategies were all related to better adherence. Problem detection skill was linked to greater glycemic control. Participants differed in declarative and applied knowledge. CONCLUSION:Diabetes self-management draws on the same cognitive skills found in experts from diverse professional domains. Considering diabetes self-management as a form of expertise may support adherence. APPLICATION: Human factors approaches that support professional expertise may be useful for the decision making of patients with diabetes and other chronic diseases.
Authors: Sara C Keller; Sara E Cosgrove; Alicia I Arbaje; Rachel H Chang; Amanda Krosche; Deborah Williams; Ayse P Gurses Journal: Am J Med Qual Date: 2019-06-04 Impact factor: 1.852
Authors: Richard J Holden; Pascale Carayon; Ayse P Gurses; Peter Hoonakker; Ann Schoofs Hundt; A Ant Ozok; A Joy Rivera-Rodriguez Journal: Ergonomics Date: 2013-10-03 Impact factor: 2.778
Authors: Bryan Gibson; Robin L Marcus; Nancy Staggers; Jason Jones; Matthew Samore; Charlene Weir Journal: J Med Internet Res Date: 2012-05-10 Impact factor: 5.428