The individual contribution and relative importance of self-management and quality of care on glycaemic control in type 2 diabetes

Yolanda Martinez, Stephen Campbell, Mark Hann, Peter Bower

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Objective: To evaluate the relative importance of selfmanagement (SM) and quality of care (QoC) inpredicting glycaemic control in patients with type 2 diabetes. Materials and methods: A longitudinal cohort study was conducted in 204 adults diagnosed with type 2 diabetes. Self-management and quality of care were measured at baseline. HbA1c was measured at baseline and at six-month follow-up. Results: None of the measures of self-management were significantly associated with HbA1c. Treatment intensification (TI) (a proxy for quality of care) resulted in lower HbA1c at follow-up. Other variables were associated with HbA1c at follow-up: HbA1c at baseline, age, diabetes duration, and combination of oral glucose-lowering medications. An exploratory analysis showed that patients who did not receive treatment intensification but performed more self-management behaviours had lower HbA1c levels at follow-up. Conclusion: Treatment intensification might be more important for glycaemic control than self-management but the interaction between treatment intensification and self-management needs further research.

Original languageEnglish
Pages (from-to)404-411
Number of pages8
JournalSalud Publica de Mexico
Volume58
Issue number4
DOIs
Publication statusPublished - 2016
Externally publishedYes

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Quality of Health Care
Self Care
Type 2 Diabetes Mellitus
Proxy
Therapeutics
Longitudinal Studies
Cohort Studies
Glucose
Research

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Martinez, Yolanda ; Campbell, Stephen ; Hann, Mark ; Bower, Peter. / The individual contribution and relative importance of self-management and quality of care on glycaemic control in type 2 diabetes. In: Salud Publica de Mexico. 2016 ; Vol. 58, No. 4. pp. 404-411.
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The individual contribution and relative importance of self-management and quality of care on glycaemic control in type 2 diabetes. / Martinez, Yolanda; Campbell, Stephen; Hann, Mark; Bower, Peter.

In: Salud Publica de Mexico, Vol. 58, No. 4, 2016, p. 404-411.

Research output: Contribution to journalArticle

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AU - Bower, Peter

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