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Factors affecting diabetes knowledge in Type 2 diabetic veterans.

G H Murata1, J H Shah, K D Adam

  • 1New Mexico VA Health Care System, Albuquerque, New Mexico 87108, USA. glen.murata@med.va.gov

Diabetologia
|July 12, 2003
PubMed
Summary

Veterans with Type 2 diabetes often have poor knowledge of managing their condition. Factors like age, education, and depression significantly impact diabetes knowledge, highlighting the need for tailored education strategies.

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Area of Science:

  • Endocrinology
  • Geriatrics
  • Public Health

Background:

  • Type 2 diabetes is a prevalent chronic condition requiring significant self-management.
  • Veterans represent a unique population with specific health challenges and needs.
  • Adequate diabetes knowledge is crucial for effective self-care and disease management.

Purpose of the Study:

  • To identify clinical, psychological, and social factors influencing diabetes knowledge in veterans with Type 2 diabetes.
  • To develop a predictive model for identifying veterans with limited diabetes knowledge.

Main Methods:

  • An observational study involving 284 insulin-treated veterans with stable Type 2 diabetes.
  • Utilized validated instruments including the University of Michigan Diabetes Research and Training Centre Knowledge Test, Diabetes Care Profile, Mini-Mental State Examination, Geriatric Depression Scale, and Diabetes Family Behaviour Checklist.

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  • Employed stepwise multiple linear regression for multivariate analysis to determine independent predictors of diabetes knowledge.

    • Main Results:

    • Veterans demonstrated poor performance on the diabetes knowledge test (mean 64.9% correct).
    • Multivariate analysis identified age, education level, duration of diabetes treatment, cognitive function, sex, and depression severity as independent determinants of knowledge scores.
    • A predictive model derived from demographic and psychosocial variables showed strong correlation in a validation set (r=0.537, p<0.001).

    Conclusions:

    • Stable, insulin-treated veterans exhibit significant deficits in diabetes knowledge, potentially compromising self-care.
    • A multivariate model incorporating demographic and psychosocial factors can effectively identify individuals with limited diabetes knowledge.
    • This model can guide the assessment of barriers and the personalization of diabetes education for veterans.