title: The association between educational resource utilization and knowledge/self-management among patients with Type 2 Diabetes in Pune, India.
abstract: OBJECTIVE
  Patients utilize a variety of sources to learn about their condition. This study assessed the association of these resources with patient knowledge, adherence, and physiologic outcomes.
  
  
  METHODS
  Adults with Type 2 diabetes recruited at an outpatient clinic in Pune, India provided IRB-approved consent and completed surveys measuring diabetes knowledge, self-management, and educational resource utilization. Lab values were obtained from the patient's medical record. Statistical analysis was conducted in SPSS to determine the association between educational resources and outcomes.
  
  
  RESULTS
  We enrolled 82 patients with a mean age of 58.3 years. The most commonly used resource was books/pamphlets. The use of television and books/pamphlets as sources of information was significantly associated with greater knowledge and self-management. Use of books and pamphlets and peers with diabetes was associated with lower fasting and postprandial blood glucose. Regression analyses controlling for age, gender, and years with diabetes revealed that use of newspapers and magazines, books and pamphlets, and television were predictors of overall diabetes knowledge and nutrition knowledge. The use of television as a source of information was a predictor of the hours exercised per week.
  
  
  CONCLUSIONS
  Resources such as books and pamphlets, newspapers and magazines, and television are common ways that people with diabetes learn about their medical conditions. The use of television as a source of information predicted the greatest number of positive outcomes among patients, followed by use of books and pamphlets. These methods should be further explored in order to understand how their benefit may be maximized for patients.
authors.affiliation: The University of North Carolina, Chapel Hill, NC, United States. Electronic address: karina_javalkar@med.unc.edu.
authors.forename: Karina
authors.initials: K
authors.lastname: Javalkar
authors.affiliation: Tampa General Hospital, Tampa, FL, United States.
authors.forename: Nicole
authors.initials: N
authors.lastname: Williamson
authors.affiliation: B.J. Medical College, Pune, India.
authors.forename: Saleena
authors.initials: S
authors.lastname: Vaidya
authors.affiliation: Sanjeevani Cardiac Care Centre, Pune, India.
authors.forename: Abhijit
authors.initials: A
authors.lastname: Vaidya
authors.affiliation: The University of North Carolina, Chapel Hill, NC, United States.
authors.forename: Maria
authors.initials: M
authors.lastname: Ferris
mesh_terms: D000328:Adult; D000368:Aged; D001294:Attitude to Health; D003924:Diabetes Mellitus, Type 2 / Q000517:prevention & control*; D005260:Female; D005500:Follow-Up Studies; D015438:Health Behavior; D007722:Health Knowledge, Attitudes, Practice; D006301:Health Services Needs and Demand; D006801:Humans; D007255:Information Services / Q000706:statistics & numerical data*; D020407:Internet; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic; D011379:Prognosis; D012648:Self Care
keywords: Diabetes; Education; India; Knowledge; Self-management