TY - JOUR
T1 - Personal impact of type 2 diabetes decreased over 5 years : implications for motivating patients
AU - Kenealy, Tim
AU - Kyle, Campbell
AU - Simmons, David
PY - 2008
Y1 - 2008
N2 - Aim: To investigate the change in personal impact of diabetes, in the same patients, over 5 years. Methods: Subjects were 144 Europeans and 63 Polynesians. Personal impact was measured by closed questions asking if diabetes affected work, interests, home life, social life and home relationships. Results: After 5 years participants had deteriorated metabolic measures and more frequent and severe complications. Nevertheless, the personal impact from having any problem caused by diabetes reduced by 60%. Knowledge of diabetes and self-blood glucose monitoring had improved. People were more likely to accept their diagnosis and were less concerned if others knew. They wanted to know more about diabetes, they felt more in control of the condition and found food restrictions less onerous, but were more worried by their diabetes. Conclusion: Personal impact of diabetes decreased over 5 years. This and associated attitudinal changes, probably explained by 'response shift', produce both challenges and opportunities for clinicians seeking to educate and motivate patients. We need to ask patients directly rather than presume how diabetes is impacting on their life. Only then can we construct joint knowledge with our patients in ways that are personalized to their current attitudes and concerns.
AB - Aim: To investigate the change in personal impact of diabetes, in the same patients, over 5 years. Methods: Subjects were 144 Europeans and 63 Polynesians. Personal impact was measured by closed questions asking if diabetes affected work, interests, home life, social life and home relationships. Results: After 5 years participants had deteriorated metabolic measures and more frequent and severe complications. Nevertheless, the personal impact from having any problem caused by diabetes reduced by 60%. Knowledge of diabetes and self-blood glucose monitoring had improved. People were more likely to accept their diagnosis and were less concerned if others knew. They wanted to know more about diabetes, they felt more in control of the condition and found food restrictions less onerous, but were more worried by their diabetes. Conclusion: Personal impact of diabetes decreased over 5 years. This and associated attitudinal changes, probably explained by 'response shift', produce both challenges and opportunities for clinicians seeking to educate and motivate patients. We need to ask patients directly rather than presume how diabetes is impacting on their life. Only then can we construct joint knowledge with our patients in ways that are personalized to their current attitudes and concerns.
KW - non-insulin-dependent diabetes
KW - quality of life
UR - http://handle.uws.edu.au:8081/1959.7/uws:31069
U2 - 10.1016/j.pcd.2007.10.045
DO - 10.1016/j.pcd.2007.10.045
M3 - Article
SN - 1751-9918
VL - 2
SP - 17
EP - 23
JO - Primary Care Diabetes
JF - Primary Care Diabetes
IS - 1
ER -