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Recall of HbA 1c and self‐management behaviours, patient activation, perception of care and diabetes distress in Type 2 diabetes
Author(s) -
Willaing I.,
á Rogvi S.,
Bøgelund M.,
Almdal T.,
Schiøtz M.
Publication year - 2013
Publication title -
diabetic medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.474
H-Index - 145
eISSN - 1464-5491
pISSN - 0742-3071
DOI - 10.1111/dme.12121
Subject(s) - medicine , recall , diabetes mellitus , type 2 diabetes , distress , logistic regression , diabetes management , clinical psychology , gerontology , endocrinology , psychology , cognitive psychology
Abstract Aims The aim of this study was to investigate associations between HbA 1c recall by patients with Type 2 diabetes and self‐management behaviours, patient activation, perception of care and diabetes distress. Methods In a cross‐sectional survey, 993 patients with Type 2 diabetes reported their latest HbA 1c . Validated scales measured self‐management behaviours, patient activation, perception of care and diabetes distress. Self‐reported HbA 1c was compared with latest measured HbA 1c . Using logistic regressions, associations between HbA 1c recall and the variables of interest were investigated. Results Sixty‐four per cent of patients recalled their latest HbA 1c . Poor HbA 1c recall was significantly associated with unhealthy eating behaviour, low level of exercise, low level of patient activation, poor glycaemic control, not knowing target HbA 1c level, low educational level and being female. There were no associations between recall of HbA 1c and diabetes distress or perceived care. Conclusions Recall of HbA 1c level may increase patient activation and health‐promoting behaviours. However, low educational level may be a barrier for using HbA 1c as a motivator for health‐promoting behaviours. This study indicates a need for studies of causal relationships, as well as mechanisms and challenges in using patient awareness of HbA 1c as a driver for health‐promoting behaviours.