Leslie C M Johnson1, Nancy J Thompson2, Mohammed K Ali3, Nikhil Tandon4, Lydia Chwastiak5, Viswanathan Mohan6. 1. Rollins School of Public Health, Emory University, 1518 Clifton Rd, Atlanta, GA, 30322, USA; Emory School of Medicine, Emory University, 201 Dowman Drive, GA, 30322, USA. Electronic address: lmunoz@emory.edu. 2. Rollins School of Public Health, Emory University, 1518 Clifton Rd, Atlanta, GA, 30322, USA. Electronic address: nthomps@emory.edu. 3. Rollins School of Public Health, Emory University, 1518 Clifton Rd, Atlanta, GA, 30322, USA; Emory School of Medicine, Emory University, 201 Dowman Drive, GA, 30322, USA. Electronic address: mkali@emory.edu. 4. All India Institute of Medical Sciences, Sri Aurobindo Marg, Ansari Nagar East, New Delhi, Delhi, 110029, India. Electronic address: nikhil_tandon@hotmail.com. 5. Department of Psychiatry and Behavioral Sciences, University of Washington, 325 Ninth Ave, Box 359911, Seattle, WA, 98104, USA. Electronic address: lchwast@uw.edu. 6. Madras Diabetes Research Foundation, No 4, Conran Smith Road, Gopalapuram, Chennai, 600 086, India. Electronic address: drmohans@diabetes.ind.in.
Abstract
BACKGROUND: The aim of this study was to identify factors that influence patients' motivation and ability to self-manage their diabetes and depressive symptoms. METHODS: From 2016 to 17, in-depth interviews were conducted with 62 patients receiving the INDEPENDENT care model across two clinics in India. Using a realist evaluation approach, a hypothesized program theory for patient activation was tested and refined. FINDINGS: The refined theory demonstrates that motivation, education, and engagement cumulatively contribute to patient activation. CONCLUSION: The results indicate that positive and sustained patient-provider relationships drive patient motivation and enhance implementation of the care model.
BACKGROUND: The aim of this study was to identify factors that influence patients' motivation and ability to self-manage their diabetes and depressive symptoms. METHODS: From 2016 to 17, in-depth interviews were conducted with 62 patients receiving the INDEPENDENT care model across two clinics in India. Using a realist evaluation approach, a hypothesized program theory for patient activation was tested and refined. FINDINGS: The refined theory demonstrates that motivation, education, and engagement cumulatively contribute to patient activation. CONCLUSION: The results indicate that positive and sustained patient-provider relationships drive patient motivation and enhance implementation of the care model.
Authors: Mohammed K Ali; Kavita Singh; Dimple Kondal; Raji Devarajan; Shivani A Patel; Roopa Shivashankar; Vamadevan S Ajay; A G Unnikrishnan; V Usha Menon; Premlata K Varthakavi; Vijay Viswanathan; Mala Dharmalingam; Ganapati Bantwal; Rakesh Kumar Sahay; Muhammad Qamar Masood; Rajesh Khadgawat; Ankush Desai; Bipin Sethi; Dorairaj Prabhakaran; K M Venkat Narayan; Nikhil Tandon Journal: Ann Intern Med Date: 2016-07-12 Impact factor: 25.391
Authors: Edward Zimbudzi; Clement Lo; Sanjeeva Ranasinha; Peter G Kerr; Kevan R Polkinghorne; Helena Teede; Timothy Usherwood; Rowan G Walker; Greg Johnson; Greg Fulcher; Sophia Zoungas Journal: Health Expect Date: 2017-07-04 Impact factor: 3.377