Interplay among patient empowerment and clinical and person-centered outcomes in type 2 diabetes. The BENCH-D study

Rossi, Maria Chiara; Lucisano, Giuseppe; Funnell, Martha M.; Pintaudi, Basilio; Bulotta, Angela; Gentile, Sandro; Scardapane, Marco; Skovlund, Søren E.; Vespasiani, G; Nicolucci, Antonio

doi:10.1016/j.pec.2015.05.012

Cited by 49 publications

(59 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…(4,(26)(27)(28) The educational strategy of home visits allowed the problematization (together with users) of the necessary knowledge and skills for adherence to self-care practices.…”

Section: Discussionmentioning

confidence: 99%

“…Empowerment enables users to make healthy behavioral changes, take informed decisions about their treatment, and provides them with willingness to adhere to selfcare practices. (5,8,9) The objective of this study was to evaluate the effect of home visits on the adherence and empowerment of users with type 2 diabetes mellitus for self-care practices.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Avaliação da visita domiciliar para o empoderamento do autocuidado em diabetes

et al. 2017

View full text Add to dashboard Cite

Objective: To evaluate the effect of home visits on adherence and empowerment of self-care practices in type 2 diabetes mellitus. Methods: Cluster randomized clinical trial involving 145 users with type 2 diabetes mellitus, of which 34 in the intervention group and 111 in the control group. The diabetes self-care questionnaire and the Diabetes Empowerment Scale-Short Form were used for comparison between groups at baseline, and intragroup between before and after the study period. The level of significance was set at 0.05. Results: The intervention group presented a statistically significant increase in the median score regarding adherence to diabetes self-care practices (p=0.005) and the empowerment scale (p<0.001). Conclusion: The home visit promoted adherence to self-care practices of type 2 diabetes mellitus. ResumoObjetivo: Avaliar o efeito da visita domiciliar na adesão e empoderamento das práticas de autocuidado em diabetes mellitus tipo 2. Métodos: Ensaio clínico randomizado por clusters, com a participação de 145 usuários com diabetes mellitus tipo 2, sendo 34 do Grupo intervenção e 111 do Grupo controle. Foram utilizados os questionários de Autocuidado com o diabetes e Diabetes Empowerment ScaleShort Form para comparação entre grupos na linha de base, assim como entre o antes e depois intragrupo. O nível de significância foi 0,05. Resultados: O grupo intervenção apresentou aumento estatisticamente significativo do escore mediano referente à adesão às práticas de autocuidado em diabetes (p=0,005) e à escala de empoderamento (p<0,001). Conclusão: A visita domiciliar promoveu à adesão às práticas de autocuidado com diabetes mellitus tipo 2.International Clinical Trials Registration Platform: NCT02132338 Registro Brasileiro de Ensaios Clínicos (ReBEC): RBR-92j38t

show abstract

“…(4,(26)(27)(28) The educational strategy of home visits allowed the problematization (together with users) of the necessary knowledge and skills for adherence to self-care practices.…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Avaliação da visita domiciliar para o empoderamento do autocuidado em diabetes

et al. 2017

View full text Add to dashboard Cite

show abstract

“…Through this process, a baseline health status is established for use in monitoring/evaluating the health outcomes of each patient, and a treatment is specified, based on the recommendations of the International Diabetes Federation (IDF) Clinical Guidelines Task Force (12). The four main outpatient consultations also provide an opportunity to 1) refer patients to other programs or outpatient consultations with other members of the multidisciplinary health team and/or 2) add them to a support group (e.g., Diabetes Club, a Conversation Map 4 group, or a self-care group). The duration of each outpatient consultation is 30 minutes.…”

Section: Mide Modulesmentioning

confidence: 99%

“…As patient empowerment has also been shown to help control microvascular and renal diseases, several studies of those medical conditions have incorporated person-centered medical care (4)(5)(6)(7)(8)(9)(10). These outcomes suggest the need to develop new strategies and health care policies that incorporate multidimensional solutions to complex public health issues (11).…”

mentioning

confidence: 99%

New model for diabetes primary health care based on patient empowerment and the right to preventive health: the MIDE program

Blanco-Cornejo

Riva-Palacio-Chiang-Sam

Sánchez-Díaz

et al. 2017

Rev Panam Salud Publica

View full text Add to dashboard Cite

Objective. To evaluate Mexico’s national Integrated Management of Diabetes in Stages ( Manejo Integral de la Diabetes por Etapas, MIDE) program using three types of indicators: process, structure, and impact . Methods. A cross-sectional study was conducted using data for 97 452 people with diabetes (PWD) who participated in the MIDE patient empowerment program (PEP) at “MIDE modules” (standardized diabetes health care units) at Mexico’s Institute for Social Security and Services for State Workers (Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado, ISSSTE) hospital clinics and family medical clinics nationwide between 2007 and 2014. The program promotes diabetes patient empowerment and self-care through outpatient consultations with a multidisciplinary health care team supported by continuous training. Baseline data were compared with results post-program for the following indicators: process (metabolic control (MetC), based on glycated hemoglobin (HbA1c), triglyceride (TG), and total cholesterol (TC) levels); structure (number of MIDE modules installed at ISSSTE clinics and number of patients/health personnel accredited as diabetes experts/awarded diplomas); and impact (average number of patient illness days (IDs) and hospitalization episodes (HEs) per PWD over a 12-month period) . Results. Over the seven-year study period, the proportion of patients with MetC (HbA1c < 7.0%, TG < 150 mg/dL, and TC < 200 mg/dL) increased significantly (from 35.4% to 60% (with a peak level of 62% in 2013); P < 0.001); average HbA1c, triglycerides, and total cholesterol per PWD dropped by 25%, 31%, and 11% respectively; average number of IDs and HEs per PWD over a 12-month period dropped by 38% and 41% respectively; a total of 140 MIDE modules were installed at ISSSTE clinics; and a total of 1 117 diplomas were awarded to 826 health professionals, and 2 613 PWD were accredited as “patient experts in diabetes .” Conclusions. The MIDE PEP is feasible, usable, and acceptable to PWD. The program improves MetC; reduces the frequency of IDs and HEs; and facilitates patient participation, the involvement of health personnel, and shared decision-making .

show abstract

“…[1][2][3][4][5][6][7][8] Numerous studies have recognized empowerment as an effective intervention domain in diverse settings, including prison, 9 schools, 10,11 general work environment, 12,13 and care centers for chronic illness. 14,15 In the context of childhood obesity, parental empowerment can be defined as the ability to perceive and control children's exposure to obesity risk factors within socioecological realities governing their families. 1 implemented an empowerment program targeting parents from low-income families to promote healthy dietary and physical activity habits of their children and other family members.…”

Section: Introductionmentioning

confidence: 99%

Correlates of Resource Empowerment among Parents of Children with Overweight or Obesity

et al. 2017

View full text Add to dashboard Cite

Background: Few studies have examined correlates of resource empowerment among parents of children with overweight or obesity. Methods: We studied baseline data of 721 parent-child pairs participating in the Connect for Health randomized trial being conducted at six pediatric practices in Massachusetts. Parents completed the child weight management subscale (n = 5 items; 4-point response scale) of the Parent Resource Empowerment Scale; items were averaged to create a summary empowerment score. We used linear regression to examine the independent effects of child (age, sex, and race/ethnicity), parent/household characteristics (age, education, annual household income, BMI category, perceived stress, and their ratings of their healthcare quality), and neighborhood median household income, on parental resource empowerment.Results: Mean (SD) child age was 7.7 years (2.9) and mean (SD) BMI z-score was 1.9 (0.5); 34% of children were white, 32% black, 22% Hispanic, 5% Asian, and 6% multiracial/other. The mean parental empowerment score was 2.95 (SD = 0.56; range = 1-4). In adjusted models, parents of older children Conclusions: Parental resource empowerment is influenced by parent and child characteristics as well as the quality of their obesity-related care. These findings could help inform equitable, family-centered approaches to improve parental resource empowerment.

show abstract

Interplay among patient empowerment and clinical and person-centered outcomes in type 2 diabetes. The BENCH-D study

Cited by 49 publications

References 35 publications

Avaliação da visita domiciliar para o empoderamento do autocuidado em diabetes

Avaliação da visita domiciliar para o empoderamento do autocuidado em diabetes

New model for diabetes primary health care based on patient empowerment and the right to preventive health: the MIDE program

Correlates of Resource Empowerment among Parents of Children with Overweight or Obesity

Contact Info

Product

Resources

About