CC BY-NC-ND 4.0 · Journal of Social Health and Diabetes 2014; 02(02): 077-081
DOI: 10.4103/2321-0656.130790
Original Article
NovoNordisk Education Foundation

Assessment of diabetes empowerment amongst patients from India

K.V.S. Hari Kumar
Department of Endocrinology, Command Hospital, Chandimandir, Haryana, India
,
Sandeep Kumar
Department of Endocrinology, Command Hospital, Chandimandir, Haryana, India
,
S Renjith Anish
Department of Endocrinology, Command Hospital, Chandimandir, Haryana, India
,
Shashank Pillarisetti
Department of Endocrinology, Command Hospital, Chandimandir, Haryana, India
› Author Affiliations
Further Information

Publication History

Publication Date:
21 November 2018 (online)

Abstract

Background: Awareness about the disease is essential for all patients of diabetes to be part of patient centred approach. Patient empowerment is the central theme behind this new approach. We conducted this study to assess the psychosocial aspects and patient empowerment amongst patients with diabetes. Materials and Methods: We included 100 patients of diabetes (Type 1 and Type 2 only) with at least 2 years duration (age between 30-75 years, educated beyond graduation in any subject) in this cross-sectional observational study. The patients were divided into two groups: Group 1 (Age <60 yr) and Group 2 (Age >60 yr). Patient empowerment was assessed by Diabetes Empowerment Scale with three subscales reflecting the psychosocial aspects, readiness to change and the setting of diabetes goals. The data were analyzed with appropriate statistical tests using Graphpad Prism Software, version 6. Results: The study participants (42M and 58F) had a mean age of 56.5 ± 13.7 yr, mean duration of the diabetes was 10.1 ± 7.7 yr and body weight of 67.2 ± 11.4 kg. More number of elderly patients attended diabetes education programme, comfortable in posing a question about diabetes and were open to change with regard to their diabetes (P < 0.05). Correlation analyses revealed that the psychosocial aspects of diabetes improved with age and duration of diabetes (<0.0001). Conclusion: Old age and longer duration of diabetes are the major determinants for patient empowerment in diabetes. Patients have the potential to be empowered after more education and awareness about the disease.

 
  • References

  • 1 Joshi SR, Parikh RM. India-diabetes capital of the world: Now heading towards hypertension. J Assoc Physicians India 2007; 55: 323-324
  • 2 Joshi A, Mohan K, Grin G, Perin DM. Burden of healthcare utilization and out-of-pocket costs among individuals with NCDs in an Indian setting. J Community Health 2013; 38: 320-327
  • 3 Greenhalgh T. Barriers to concordance with antidiabetic drugs-cultural differences or human nature?. BMJ 2005; 330: 1250
  • 4 Unger J, Hinnen D, Schreiner B, Parkin C. Putting medications where they belong: Practical advice for managing type 2 diabetes in clinical practice. J Am Assoc Nurse Pract 2013; 25: 65-76
  • 5 Russell AW, Baxter KA, Askew DA, Tsai J, Ware RS, Jackson CL. Model of care for the management of complex Type 2 diabetes managed in the community by primary care physicians with specialist support: An open controlled trial. Diabet Med 2013; 30: 1112-1121
  • 6 Inzucchi SE, Bergenstal RM, Buse JB, Diamant M, Ferrannini E, Nauck M. et al. Management of hyperglycaemia in type 2 diabetes: A patient-centered approach. Position statement of the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD). Diabetologia 2012; 55: 1577-1596
  • 7 Long AF, Gambling T. Enhancing health literacy and behavioural change within a tele-care education and support intervention for people with type 2 diabetes. Health Expect 2012; 15: 267-282
  • 8 Sivagnanam G, Namasivayam K, Rajasekaran M, Thirumalaikolundu subramanianP, Ravindranath C. A comparative study of the knowledge, beliefs, and practices of diabetic patients cared for at a teaching hospital (free service) and those cared for by private practitioners (paid service). Ann N Y Acad Sci 2002; 958: 416-419
  • 9 Kumar D, Bajaj S, Mehrotra R. Knowledge, attitude and practice of complementary and alternative medicines for diabetes. Public Health 2006; 120: 705-711
  • 10 Viklund G, Wikblad K. Teenagers′ perceptions of factors affecting decision-making competence in the management of type 1 diabetes. J Clin Nurs 2009; 18: 3262-3270
  • 11 Ramsay WanC, Vo L, Barnes CS. Conceptualizations of patient empowerment among individuals seeking treatment for diabetes mellitus in an urban, public-sector clinic. Patient Educ Couns 2012; 87: 402-404
  • 12 Anderson RM, Funnell MM, Fitzgerald JT, Marrero DG. The Diabetes Empowerment Scale: a measure of psychosocial self-efficacy. Diabetes Care 2000; 23: 739-743
  • 13 Tol A, Shojaeezadeh D, Sharifirad G, Alhani F, Tehrani MM. Determination of empowerment score in type 2 diabetes patients and its related factors. J Pak Med Assoc 2012; 62: 16-20
  • 14 Eigenmann CA, Colagiuri R, Skinner TC, Trevena L. Are current psychometric tools suitable for measuring outcomes of diabetes education?. Diabet Med 2009; 26: 425-436
  • 15 Ramachandran A, Snehalatha C, Ma RC. Diabetes in South-East Asia: An update for 2013 for the IDF Diabetes Atlas. Diabetes Res Clin Pract 2013 Nov 30.
  • 16 Venkataraman K, Kannan AT, Kalra OP, Gambhir JK, Sharma AK, Sundaram KR. et al. Diabetes self-efficacy strongly influences actual control of diabetes in patients attending a tertiary hospital in India. J Community Health 2012; 37: 653-662
  • 17 Nagpal J, Kumar A, Kakar S, Bhartia A. The development of ′Quality of Life Instrument for Indian Diabetes patients (QOLID): A validation and reliability study in middle and higher income groups. J Assoc Physicians India 2010; 58: 295-304
  • 18 Kalra S, Sridhar GR, Balhara YP, Sahay RK, Bantwal G, Baruah MP. et al. National recommendations: Psychosocial management of diabetes in India. Indian J Endocrinol Metab 2013; 17: 376-395
  • 19 Venkatesh S, Weatherspoon L. Social and health care provider support in diabetes self-management. Am J Health Behav 2013; 37: 112-121
  • 20 Osman A, Curzio J. South Asian cultural concepts in diabetes. Nurs Times 2012; 108: 30-32
  • 21 Sircar AR, Sircar S, Sircar J, Misra S. Patients′ concepts and attitudes about diabetes. J Diabetes Complications 2010; 24: 398-403
  • 22 Lau SL, Debarm R, Thomas N, Asha HS, Vasan KS, Alex RG. et al. Healthcare planning in north-east India: A survey on diabetes awareness, risk factors and health attitudes in a rural community. J Assoc Physicians India 2009; 57: 305-309
  • 23 Ahmad N. Weak laws against acid attacks on women: An Indian perspective. Med Leg J 2012; 80: 110-120
  • 24 Snow R, Humphrey C, Sandall J. What happens when patients know more than their doctors?. Experiences of health interactions after diabetes patient education: A qualitative patient-led study. BMJ Open 2013; 3: e003583
  • 25 Shah SN. Preventing diabetes through community empowerment. J Assoc Physicians India 2008; 56: 493-494