Does patient activation predict the course of type 2 diabetes? A longitudinal study
Rebecca M Sacks1, Jessica Greene2, Judith Hibbard3
1School of Nursing, George Washington University, 1919 Pennsylvania Avenue, NW Suite 500, Washington, District Of Columbia 20006, United States.
Patient Education and Counseling
|February 5, 2017
Summary
Patient activation, a measure of health engagement, predicts better diabetes management and lower hospitalization rates. Higher patient activation also reduces the risk of developing pre-diabetes.
Area of Science:
- Health Services Research
- Chronic Disease Management
- Patient Engagement
Background:
- Patient activation is increasingly recognized as a key factor in health outcomes.
- Understanding its role in diabetes management is crucial for public health strategies.
Purpose of the Study:
- To investigate if patient activation predicts the three-year course of diabetes.
- To analyze this association in patients with diabetes, pre-diabetes, and neither condition.
Main Methods:
- Longitudinal analysis of electronic health record data from 2011-2014.
- Examined the Patient Activation Measure (PAM) in relation to clinical indicators, healthcare utilization, and disease progression.
- Included over 57,000 patients across three groups: diabetes, pre-diabetes, and no diabetes/pre-diabetes.
Main Results:
- Higher PAM levels correlated with better clinical indicator control (blood pressure, cholesterol) in patients with diabetes.
- In pre-diabetes patients, higher PAM predicted better clinical control and reduced hospitalization risk.
- Among those without diabetes or pre-diabetes, higher PAM was linked to a lower likelihood of developing pre-diabetes.
Conclusions:
- Increased patient activation is associated with improved health outcomes in individuals with diabetes and pre-diabetes.
- Higher patient activation may serve as a protective factor against pre-diabetes development.
- Interventions aimed at enhancing patient activation could be valuable in combating the diabetes epidemic.
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