Knowledge, attitude, and practice of urban Gujarati type 2 diabetics: Prevalence and impact on disease control

Abstract

CONTEXT:Type 2 diabetes is the modern epidemic wherein patient care needs multiple approaches, education, and self-awareness being one of them. There are some knowledge, attitude, and practice (KAP) studies from India but very few relating it with disease control.AIMS:We tried to study KAP of treated type 2 diabetics and its correlation with glycemic control.SETTINGS AND DESIGN:Cross-sectional KAP study.SUBJECTS AND METHODS:We formulated KAP questionnaires in the form of KAP - 10 points for each and total 30. We recruited 200 type 2 diabetics (96 males, 104 females) treated by MD physicians with known current glycemic status. They were asked KAP questionnaires one to one by a direct interview in local language and results were associated with various factors and glycemic control.RESULTS:KAP score on was average 19 out of 30 in type 2 diabetics having mean age 58 years, mean duration 9 years. KAP score was unaffected by gender, occupation, duration of disease but significantly affected by current age, and education level. Only 40% patients had good glycemic control who scored better KAP than poor glycemic. There was positive correlation between KAP score and glycemic control, with significance for only glycosylated hemoglobin and not fasting blood sugar, postprandial blood sugar.CONCLUSIONS:Physician treated type 2 diabetics of our region had moderate KAP score, affected by age, education which suggested to affect glycemic control. Lacunae in knowledge regarding incurability of disease, attitudes toward complication, self-care, and good practices like walking, enriching knowledge need improvement so as an optimum glycemic control.

The Misconceptions and Determinants of Diabetes Knowledge in Patients with Diabetes in Taiwan

“…We found that the determinants of better diabetes knowledge were higher education levels, younger age, and higher monthly income. Similar findings were reported by other studies in China, India, Kuwait, Jordan, and Costa Rica [13,15,17,20,31]. The elderly and less-educated patients may have had lower knowledge test scores because of deep-rooted misconceptions about diabetes ingrained years ago or perhaps because of difficulty understanding health education materials or newer information.…”

“…Indeed, lack of awareness and insufficient understanding of diabetes could lead to adverse consequences. In recent years, a few studies have investigated patients' knowledge about their diabetes [7][8][9][10] or examined the association between diabetesrelated self-care knowledge and glycemic control [10][11][12][13]. For example, a study conducted by Mann et al demonstrated that certain misconceptions about diabetes and its treatment were associated with poor glycemic control [10].…”

“…For example, a study conducted by Mann et al demonstrated that certain misconceptions about diabetes and its treatment were associated with poor glycemic control [10]. Moreover, a knowledge, attitude, and practice (KAP) study demonstrated that patients' knowledge scores positively correlated with their glycemic control [13]. Furthermore, a recent qualitative study [14] found that patients who highly adhered to their antidiabetic medications may still have insufficient knowledge about their daily self-management practices.…”

Information, Motivation and Behavioural Factors in Influencing Diabetes Self-Care: A Conceptual Paper

“…Results related to the level of a patient's knowledge on diabetes were varies. A study by Solanki, Sheth, Shah, & Mehta (2017) revealed that the patients were unaware of their insulin level, which may have led to misinterpretation the insulin as harmful. The authors further found that patients believed diabetes can be cured, and more than half of the patients considered diabetes to be curable by consuming bitter food.…”

Evaluación de conocimientos sobre su enfermedad en pacientes con diabetes tipo 2 de un hospital de Lima, Perú y su asociación con la adherencia al tratamiento

“…La desinformación representaría un predictor de complicaciones y de mortalidad por DM2 al asociarse a una adherencia deficiente [4] ; así es como se ha reconocido en diversos estudios que la educación para el autocuidado es un pilar fundamental dentro del manejo del paciente que padece de esta enfermedad [5] y, dado que de la misma se derivan actitudes y prácticas que influyen de manera positiva en la evolución de la enfermedad, se hace indispensable evaluar si medidas que pueden generar intervenciones educativas, como el conocimiento de la enfermedad, pueden influir en mejorar la adherencia, controlar la enfermedad y disminuir la carga que se produce. En nuestro país, un estudio que evaluó los conocimientos que tiene los diabéticos sobre su padecimiento [6] mostró cifras y datos alarmantes que plantean la necesidad de desarrollar y fortalecer medidas educativas.…”