Do Persons With Diabetes Know Their (AIC) Number?

Harwell, Todd S.; Dettori, Nancy; McDowall, Janet M.; Quesenberry, Kim; Priest, Linda; Butcher, Marcene K.; Flook, Benjamin N.; Helgerson, Steven D.; Gohdes, Dorothy

doi:10.1177/014572170202800111

Cited by 55 publications

(49 citation statements)

References 12 publications

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“…These low rates are similar to those of earlier studies (24 -26 (26). The correlates of HbA 1c knowledge in our study corresponded to factors associated with key aspects of diabetes care understanding and self-care in prior studies (34 -37).…”

Section: Hba 1c and Diabetes Caresupporting

confidence: 91%

The Relationship Between Knowledge of Recent HbA1c Values and Diabetes Care Understanding and Self-Management

et al. 2005

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OBJECTIVE -Knowledge of one's actual and target health outcomes (such as HbA 1c values) is hypothesized to be a prerequisite for effective patient involvement in managing chronic diseases such as diabetes. We examined 1) the frequency and correlates of knowing one's most recent HbA 1c test result and 2) whether knowing one's HbA 1c value is associated with a more accurate assessment of diabetes control and better diabetes self-care understanding, self-efficacy, and behaviors related to glycemic control. RESULTS -Of the respondents, 66% reported that they did not know their last HbA 1c value and only 25% accurately reported that value. In multivariate analyses, more years of formal education and high evaluations of provider thoroughness of communication were independently associated with HbA 1c knowledge. Respondents who knew their last HbA 1c value had higher odds of accurately assessing their diabetes control (adjusted odds ratio 1.59, 95% CI 1.05-2.42) and better reported understanding of their diabetes care (P Ͻ 0.001). HbA 1c knowledge was not associated with respondents' diabetes care self-efficacy or reported self-management behaviors. RESEARCH DESIGN AND METHODS CONCLUSIONS -Respondents who knew theirHbA 1c values reported better diabetes care understanding and assessment of their glycemic control than those who did not. Knowledge of one's HbA 1c level alone, however, was not sufficient to translate increased understanding of diabetes care into the increased confidence and motivation necessary to improve patients' diabetes self-management. Strategies to provide information to patients must be combined with other behavioral strategies to motivate and help patients effectively manage their diabetes. Diabetes Care 28:816 -822, 2005A growing body of evidence suggests that patients with chronic diseases who are engaged and active participants in their health care have better health outcomes (1-4). For example, patients who have completed chronic disease self-management training programs have improved self-efficacy and physical functioning and less acute care use than nonparticipants (2,5-8). Chronic illness care self-efficacy is positively associated with health outcomes (9 -15). Similarly, collaborating with health care providers and engaging in shared clinical decision making are associated with better selfcare behaviors and disease outcomes (1,6,14,16 -20).Less is known, however, about the specific skills, knowledge, beliefs, and motivations that patients need to most effectively participate in their chronic disease management. Patient knowledge of actual and target disease management outcomes (e.g., HbA 1c test results) is hypothesized to be an important prerequisite for effective patient "activation." Providing immediate feedback of HbA 1c values to insulin-taking diabetic adults and their providers (21) and graphical information to patients on their HbA 1c and other laboratory values has been found to improve glycemic control and other diabetes outcomes (22). Organizations such as the American Diabetes A...

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Section: Hba 1c and Diabetes Caresupporting

confidence: 91%

The Relationship Between Knowledge of Recent HbA1c Values and Diabetes Care Understanding and Self-Management

et al. 2005

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“…Lack of patients' knowledge of the targets of diabetes care might be one of the reasons for the low level of control of risk factors. Some studies showed that only 23-25% of individuals with diabetes know what the target A1C level is (Ͻ7%), and about the same percent of patients know how to interpret A1C values in relation to their own glycemic control (13,14). Improving patients' knowledge might help attain the goals of diabetes management, but the supporting studies are limited (14 -18).…”

mentioning

confidence: 99%

Gain in Patients' Knowledge of Diabetes Management Targets Is Associated With Better Glycemic Control

Berikai

Meyer²,

Kazlauskaite³

et al. 2007

Diabetes Care

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“…This research examined both administrative medical claims and self-reports to determine A1c testing adherence. Although select studies have indicated that persons with diabetes can accurately report whether or not they have received an A1c test in the past year, 12 other studies indicate that self-reports of A1c tests overstate reality. 13 Future studies might investigate the accuracy of self-reports by following A1c adherence in a group of members with administrative claims data for their ability to accurately report the performance of an A1c test.…”

Section: Limitationsmentioning

confidence: 99%

“…• Randomizing the population into a focused intervention DM group and a standard DM control group for comparison • Constructing analyses that examine the relationship between adherence to testing and outcomes (ie, clinical values, disease control, and costs) • Lengthening the intervention duration to 12 or more months…”

Section: Future Researchmentioning

confidence: 99%

A Focused Telephonic Nursing Intervention Delivers Improved Adherence to A1c Testing

et al. 2006

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Do Persons With Diabetes Know Their (AIC) Number?

Cited by 55 publications

References 12 publications

The Relationship Between Knowledge of Recent HbA1c Values and Diabetes Care Understanding and Self-Management

The Relationship Between Knowledge of Recent HbA1c Values and Diabetes Care Understanding and Self-Management

Gain in Patients' Knowledge of Diabetes Management Targets Is Associated With Better Glycemic Control

A Focused Telephonic Nursing Intervention Delivers Improved Adherence to A1c Testing

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