title: Diabetes education on Turkish immigrant diabetics: predictors of compliance.
abstract: A controlled experiment on the effect of ethnic specific diabetes education in Turkish type 2 diabetics revealed substantial problems with compliance. The cost effectiveness of such a programme would improve if patients most likely to dropout or overuse the education facility could be identified. The 45 patients of the intervention group were categorized into three groups: non-compliers, compliers and over-compliers, and we assessed the association between patient characteristics and these three groups. Compared to the compliers, non-compliers had a longer history of diabetes and poorer knowledge of diabetes. Over-compliers were more often younger, female, scored low on attitude or self-efficacy, and experienced more stress. Turkish patients having diabetes for a longer period or with poor knowledge of diabetes are at risk to dropout from the programme, while younger Turkish females scoring low on attitude or self-efficacy as well as those with more stress, are more likely to over-use the education facility.
authors.affiliation: Department of Health Policy and Management, Erasmus Medical Centre Rotterdam, P.O. Box 1738, 3000 DR Rotterdam, The Netherlands. uitewaal@bmg.eur.nl
authors.forename: Paulus
authors.initials: P
authors.lastname: Uitewaal
authors.forename: Arno
authors.initials: A
authors.lastname: Hoes
authors.forename: Siep
authors.initials: S
authors.lastname: Thomas
mesh_terms: D000328:Adult; D003924:Diabetes Mellitus, Type 2 / Q000208:ethnology* / Q000378:metabolism / Q000517:prevention & control; D004641:Emigration and Immigration; D005260:Female; D006442:Glycated Hemoglobin / Q000378:metabolism; D007722:Health Knowledge, Attitudes, Practice; D006301:Health Services Needs and Demand; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D017145:Models, Educational; D008960:Models, Psychological; D009042:Motivation; D009426:Netherlands; D010349:Patient Compliance / Q000208:ethnology* / Q000706:statistics & numerical data; D010352:Patient Dropouts / Q000523:psychology / Q000706:statistics & numerical data; D010353:Patient Education as Topic / Q000458:organization & administration*; D011237:Predictive Value of Tests; D015397:Program Evaluation; D020377:Self Efficacy; D013997:Time Factors; D014421:Turkey / Q000208:ethnology
chemical_list: D006442:Glycated Hemoglobin