OBJECTIVE: : To assess differences between women and men in developing an action plan for the management of their type 2 diabetes mellitus (DM). METHODS: : We chose a convenience sample of the first 153 patients who participated in a four-part educational class focused on the management of type 2 DM. The classes are run by a certified diabetes educator and have a specific format. We use a decision wheel to assist in the development of a patient-generated action plan to address a specific health behavior change. For each patient we documented age, gender, and glycosylated hemoglobin (HbA1c) level. RESULTS: : There was a difference in choice of action plan based on gender (p = 0.014). For women the distribution of action plans was exercise 38%, nutrition 22%, medication 20%, no action plan 13%, and monitoring 7%. For men the distribution of action plans was exercise 26%, nutrition 26%, medication 6%, no action plan 26%, and monitoring 16%. Age did not affect the choice of an action plan (p = 0.964); however, patients with a lower HbA1c level chose exercise more frequently (p < 0.002). CONCLUSIONS: : The results of this study suggest there may be gender-based differences affecting the selection of an action plan for patients with type 2 DM. Further research is needed to determine the relative weight of other important factors on the decision for a particular action plan; e.g. sociodemographic factors, stage of readiness to change, and comorbid conditions.
OBJECTIVE: : To assess differences between women and men in developing an action plan for the management of their type 2 diabetes mellitus (DM). METHODS: : We chose a convenience sample of the first 153 patients who participated in a four-part educational class focused on the management of type 2 DM. The classes are run by a certified diabetes educator and have a specific format. We use a decision wheel to assist in the development of a patient-generated action plan to address a specific health behavior change. For each patient we documented age, gender, and glycosylated hemoglobin (HbA1c) level. RESULTS: : There was a difference in choice of action plan based on gender (p = 0.014). For women the distribution of action plans was exercise 38%, nutrition 22%, medication 20%, no action plan 13%, and monitoring 7%. For men the distribution of action plans was exercise 26%, nutrition 26%, medication 6%, no action plan 26%, and monitoring 16%. Age did not affect the choice of an action plan (p = 0.964); however, patients with a lower HbA1c level chose exercise more frequently (p < 0.002). CONCLUSIONS: : The results of this study suggest there may be gender-based differences affecting the selection of an action plan for patients with type 2 DM. Further research is needed to determine the relative weight of other important factors on the decision for a particular action plan; e.g. sociodemographic factors, stage of readiness to change, and comorbid conditions.
Authors: Paul A Nutting; W Perry Dickinson; L Miriam Dickinson; Candace C Nelson; Diane K King; Benjamin F Crabtree; Russell E Glasgow Journal: Ann Fam Med Date: 2007 Jan-Feb Impact factor: 5.166
Authors: Bruce E Landon; LeRoi S Hicks; A James O'Malley; Tracy A Lieu; Thomas Keegan; Barbara J McNeil; Edward Guadagnoli Journal: N Engl J Med Date: 2007-03-01 Impact factor: 91.245
Authors: Margaret Handley; Kate MacGregor; Dean Schillinger; Claire Sharifi; Sharon Wong; Thomas Bodenheimer Journal: J Am Board Fam Med Date: 2006 May-Jun Impact factor: 2.657
Authors: Michael Vallis; Laurie Ruggiero; Geoffrey Greene; Helen Jones; Bernard Zinman; Susan Rossi; Lynn Edwards; Joseph S Rossi; James O Prochaska Journal: Diabetes Care Date: 2003-05 Impact factor: 19.112
Authors: Assiamira Ferrara; Carol M Mangione; Catherine Kim; David G Marrero; David Curb; Mark Stevens; Joseph V Selby Journal: Diabetes Care Date: 2007-10-12 Impact factor: 19.112
Authors: Stephanie Anna Lenzen; Ramon Daniëls; Marloes Amantia van Bokhoven; Trudy van der Weijden; Anna Beurskens Journal: PLoS One Date: 2017-11-27 Impact factor: 3.240