Associations between self-management education and comprehensive diabetes clinical care
Open accessAbstract
Abstract Objective. This study examines the relationship between receiving diabetes self-management education (DSME) and having higher levels of comprehensive diabetes clinical care, a summation of up to five clinical services recommended for individuals with type 2 diabetes and those who have had type 1 diabetes for ≥ 5 years. Design. Analysis of data from a population-based, cross-sectional study. Methods. Data for this study were from the 2007 Florida Behavioral Risk Factor Surveillance System (BRFSS), a statewide, random, cross-sectional survey of adults. A dichotomous comprehensive diabetes clinical care variable was constructed based on responses to questions from the BRFSS diabetes module, and a logistic regression model was fitted. Adjusted odds ratios (ORs) are reported. Results. Among Florida adults with diabetes, 51.5% had received DSME. About 51.4% of adults with diabetes who received DSME had a high level of comprehensive care compared to 31.8% of those who did not receive DSME. The OR for having a high level of comprehensive care was statistically significantly higher among adults who received DSME (OR = 2.48) compared to their counterparts who did not receive DSME. Other significant covariates were having health insurance (OR = 3.65), having graduated from high school (OR = 1.55), having a college education (OR = 2.70), being 45-64 years of age (OR = 2.31), and being ≥ 65 years of age (OR = 5.29). Conclusions. These data show that receiving DSME is positively associated with receiving higher levels of comprehensive diabetes clinical care.
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Diabetes self-management education and support is associated with increased use of primary care and preventive services.
“DSMES is associated with an increased use of primary care and preventive services (27,30,31) and less frequent use of acute care and inpatient hospital services (22).”
From 5. Facilitating Positive Health Behaviors and Well-being to Improve Health Outcomes:<i>Standards of Care in Diabetes—2023</i> (2023) · cites this paper as [30]
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References 26 · Cited by 24
Research works printed but not linked: 1
- Nunnally JC, Burnstein IH: Psychometric Theory. 3rd ed. New York, McGraw-Hill, 1994
- Authors
- Johnson, T. M., Murray, M. R., & Huang, Y.
- Affiliations
- Florida Department of Health (US)
- ORCID
- Johnson, Tammie M.
- Venue
- Diabetes Spectrum
- Publisher
- American Diabetes Association
- Published
- 2010-01-01
- Volume
- 23
- Issue
- 1
- Pages
- 41-46
- ISSN
- 1040-9165 (ISSN-L)
- 1944-7353
- OpenAlex
- W2065092142
- Cited by
- 24
- References
- 26
- Citations by year
- 2026: 1 · 2023: 4 · 2022: 3 · 2021: 1 · 2020: 3 · 2019: 1 · 2018: 2 · 2017: 1 · 2016: 2 · 2015: 2 · 2014: 2 · 2013: 1 · 2012: 1
- FWCI
- 0.48
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by
- Locations
- Diabetes Spectrum (publishedVersion, cc-by)
- Funders
- Florida Department of Health
- Centers for Disease Control and Prevention
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Health Sciences › Medicine › Epidemiology › Chronic Disease Management Strategies
- Keywords
- diabetes self-management education, type 2 diabetes, type 1 diabetes, diabetes care quality, health insurance, educational attainment
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