title: A High Level of Patient Activation Is Observed But Unrelated to Glycemic Control Among Adults With Type 2 Diabetes.
abstract: OBJECTIVE
  To measure patient activation and its relationship to glycemic control among adults with type 2 diabetes who had not participated in a formal diabetes self-management education program as a baseline assessment for tailoring diabetes education in a primary care setting.
  
  
  METHODS
  Patient activation was assessed in a stratified, cross-sectional study of adults with controlled (n= 21) and uncontrolled (n= 27) type 2 diabetes, who were receiving primary care at a unique family practice center of Baylor Health Care System in Dallas, Tex.
  
  
  RESULTS
  The mean patient activation was 66.0 (95% confidence interval [CI] 60.8-71.2) among patients with uncontrolled diabetes and 63.7 (55.9-71.5) among those with controlled diabetes (P= 0.607). A significant association was observed between the self-management behavior score and activation among patients whose glycemia was under control (ρ = 0.73,P= 0.01) as well as among patients with uncontrolled glycemia (ρ = 0.48,P< 0.001).
  
  
  CONCLUSIONS
  Although activation is correlated with self-management and may be important in tailored patient-centered approaches to improving diabetes care outcomes, the highest stage of activation may be necessary to achieve glycemic control. These findings reinforce the importance of conducting prerequisite needs assessments so diabetes educators are able to tailor their educational interventions to individual patients' needs and readiness to take action.
authors.affiliation: The authors were all from the Baylor Health Care System Institute for Health Care Research and Improvement in Dallas, Tex. Robert Mayberry, MS, MPH, PhD, was director of Health Equity Research, Robina Josiah Willock, MPH, PhD, was a health services researcher, Leslie Boone, MPH, was associate director for research administration, and Patricia Lopez, MS, was a research associate in the institute's Equity Research Group. Huanying Qin, MS, is a biostatistician, and David Nicewander, MS, is director and biostatistician of Analytical Tools and Programming in the institute's Quantitative Services Group.
authors.forename: Robert
authors.initials: R
authors.lastname: Mayberry
authors.affiliation: The authors were all from the Baylor Health Care System Institute for Health Care Research and Improvement in Dallas, Tex. Robert Mayberry, MS, MPH, PhD, was director of Health Equity Research, Robina Josiah Willock, MPH, PhD, was a health services researcher, Leslie Boone, MPH, was associate director for research administration, and Patricia Lopez, MS, was a research associate in the institute's Equity Research Group. Huanying Qin, MS, is a biostatistician, and David Nicewander, MS, is director and biostatistician of Analytical Tools and Programming in the institute's Quantitative Services Group.
authors.forename: Robina Josiah
authors.initials: RJ
authors.lastname: Willock
authors.affiliation: The authors were all from the Baylor Health Care System Institute for Health Care Research and Improvement in Dallas, Tex. Robert Mayberry, MS, MPH, PhD, was director of Health Equity Research, Robina Josiah Willock, MPH, PhD, was a health services researcher, Leslie Boone, MPH, was associate director for research administration, and Patricia Lopez, MS, was a research associate in the institute's Equity Research Group. Huanying Qin, MS, is a biostatistician, and David Nicewander, MS, is director and biostatistician of Analytical Tools and Programming in the institute's Quantitative Services Group.
authors.forename: Leslie
authors.initials: L
authors.lastname: Boone
authors.affiliation: The authors were all from the Baylor Health Care System Institute for Health Care Research and Improvement in Dallas, Tex. Robert Mayberry, MS, MPH, PhD, was director of Health Equity Research, Robina Josiah Willock, MPH, PhD, was a health services researcher, Leslie Boone, MPH, was associate director for research administration, and Patricia Lopez, MS, was a research associate in the institute's Equity Research Group. Huanying Qin, MS, is a biostatistician, and David Nicewander, MS, is director and biostatistician of Analytical Tools and Programming in the institute's Quantitative Services Group.
authors.forename: Patricia
authors.initials: P
authors.lastname: Lopez
authors.affiliation: The authors were all from the Baylor Health Care System Institute for Health Care Research and Improvement in Dallas, Tex. Robert Mayberry, MS, MPH, PhD, was director of Health Equity Research, Robina Josiah Willock, MPH, PhD, was a health services researcher, Leslie Boone, MPH, was associate director for research administration, and Patricia Lopez, MS, was a research associate in the institute's Equity Research Group. Huanying Qin, MS, is a biostatistician, and David Nicewander, MS, is director and biostatistician of Analytical Tools and Programming in the institute's Quantitative Services Group.
authors.forename: Huanying
authors.initials: H
authors.lastname: Qin
authors.affiliation: The authors were all from the Baylor Health Care System Institute for Health Care Research and Improvement in Dallas, Tex. Robert Mayberry, MS, MPH, PhD, was director of Health Equity Research, Robina Josiah Willock, MPH, PhD, was a health services researcher, Leslie Boone, MPH, was associate director for research administration, and Patricia Lopez, MS, was a research associate in the institute's Equity Research Group. Huanying Qin, MS, is a biostatistician, and David Nicewander, MS, is director and biostatistician of Analytical Tools and Programming in the institute's Quantitative Services Group.
authors.forename: David
authors.initials: D
authors.lastname: Nicewander