title: The influence of participant's self-perceived role on metabolic outcomes in a diabetes group education program.
abstract: We investigated the demographic, biomedical, and perceptional factors influencing HbA(1c) 2 years after baseline in an educational program for persons with type 2 diabetes. Patients (N = 259) participated in a year-long group educational program led by specially trained pharmacists. There was a significant reduction of HbA(1c) (-0.15% unit; p < 0.05) on the group level after 24 months. Answers to open-ended questions on self-perceived role in diabetes management and occasions for testing blood glucose were analyzed qualitatively and used in a regression equation. Belonging to the "active" category of self-perceived role in diabetes management was associated with better outcomes compared to having a "passive" role. In addition, testing blood glucose levels for different purposes identified by the respondents was better than not to test blood glucose levels at all. The influence of these variables was striking; of the range of demographic and biomedical factors tested, only initial HbA(1c) and treatment entered the model.
authors: Department of Public Health and Caring Sciences, Uppsala University, Uppsala Science Park, Sweden. anna.sarkadi@pubcare.uu.se
authors: Anna
authors: A
authors: Sarkadi
authors: Anikó
authors: A
authors: Vég
authors: Urban
authors: U
authors: Rosenqvist
mesh_terms: D003924:Diabetes Mellitus, Type 2 / Q000523:psychology / Q000628:therapy*; D005260:Female; D006442:Glycated Hemoglobin / Q000378:metabolism*; D006801:Humans; D016014:Linear Models; D008297:Male; D010353:Patient Education as Topic; D012648:Self Care / Q000523:psychology*; D012649:Self Concept; D013548:Sweden
chemical_list: D006442:Glycated Hemoglobin