The role of education in type 2 diabetes treatment

Świątoniowska, Natalia; Sarzyńska, Kathie; Szymańska–Chabowska, Anna; Jankowska‐Polańska, Beata

doi:10.1016/j.diabres.2019.04.004

Cited by 58 publications

(44 citation statements)

References 26 publications

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“…In addition to diagnosis and treatment, patients expect their primary care physicians to be competent in contact and communication. Patients appreciate the value of talking to their physician, and some even consider it therapeutic in itself [ 21 ]. In our study, patients were satisfied with the clarity of communication, the ability to speak without interruption, and the amount of attention they received.…”

Section: Discussionmentioning

confidence: 99%

“…Patients value physicians who are good listeners. A physician-patient communication style requires including the patient in treatment planning [ 21 , 38 ]. In their relationship with the primary care physician, patients may prefer a “partnership” model of care, and some physicians do demonstrate this kind of attitude.…”

Section: Discussionmentioning

confidence: 99%

“…In their relationship with the primary care physician, patients may prefer a “partnership” model of care, and some physicians do demonstrate this kind of attitude. However, not all physicians approve of the patient’s active participation in consultations [ 21 ]. The patients in our study complained of not being included in decision-making (29.2%).…”

Section: Discussionmentioning

confidence: 99%

“…The process of mutual communication aims to stimulate or strengthen the sense of control over health, the ability to recognize symptoms and self-care. It is important to note that communication should produce or strengthen a sense of control over the illness, and an ability to identify symptoms and changes in one’s condition [ 21 ].…”

Section: Introductionmentioning

confidence: 99%

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Impact of satisfaction with physician–patient communication on self-care and adherence in patients with hypertension: cross-sectional study

Świątoniowska-Lonc

Polański

Tański³

et al. 2020

BMC Health Serv Res

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Background Hypertension (HT) requires patients to continuously monitor their blood pressure, strictly adhere to therapeutic recommendations, and self-manage their illness. A few studies indicate that physician–patient communication and the patient’s satisfaction with the therapeutic relationship may affect the course and outcomes of the treatment process. Research is still lacking on the association between satisfaction with physician–patient communication and adherence to treatment or self-care in chronically ill patients. The aim of the study was to evaluate the relationship between satisfaction with physician–patient communication and self-care and adherence in patients with HT undergoing chronic treatment. Methods The following instruments were used: the Adherence to Refills and Medication Scale (ARMS) for evaluating adherence (12–48 points), the Self-Care of Hypertension Inventory (SCHI) for self-care level (0–100 points), and the Communication Assessment Tool (CAT) for evaluating satisfaction with physician–patient communication. Socio-demographic and clinical data were obtained from patients’ medical records. The research has a cross-sectional and observational study design. Inclusion criteria were as follows: age > 18 years, hypertension diagnosed per European Society of Hypertension (ESH) guidelines, treatment with at least one antihypertensive drug for the past 6 months, and informed consent. Cognitively impaired patients unable to complete the surveys without assistance were excluded (MMSE ≤18). Correlations between quantitative variables were analyzed using Pearson’s or Spearman’s correlation coefficient. Linear regression was performed. Variable distribution normality was verified using the Shapiro-Wilk test. Results The study included 250 patients (110 male, mean age 61.23 ± 14.34) with HT, treated at a hypertension clinic. In the CAT questionnaire individual questions pertaining to satisfaction with physician communication (on the CAT) were rated “excellent” 28.4–50.4% of the time. The best-rated aspects of communication included: letting the patient talk without interruptions (50.4% “excellent” ratings), speaking in a way the patient can understand (47.6%), and paying attention to the patient (47.2%). According to patient reports, physicians most commonly omitted such aspects as encouraging the patient to ask questions (28.4%), involving them in decisions (29.2%), and discussing the next steps (35.2%). The respondents had a low level of adherence to pharmaceutical treatment (16.63 ± 4.6). In terms of self-care, they scored highest in self-care management (64.17 ± 21.18), and lowest in self-care maintenance (56.73 ± 18.57). In correlation analysis, satisfaction with physician–patient communication (total CAT score) was positively correlated with all SCHI domains (self-care maintenance β = 0.276, self-care management β = 0.208, self-care confidence β = 0.286, p < 0.05), and negatively correlated with ARMS scores (indicating better adherence). Conclusions Satisfaction with physician–patient communication has a significant impact on self-care and pharmaceutical adherence in patients with hypertension. The more satisfied the patient is with communication, the better their adherence and self-care. Trial registration SIMPLE: RID.Z501.19.016.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Impact of satisfaction with physician–patient communication on self-care and adherence in patients with hypertension: cross-sectional study

Świątoniowska-Lonc

Polański

Tański³

et al. 2020

BMC Health Serv Res

Self Cite

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“…In recent years, an increased number of diabetic patients has become a major problem [ 22 ]. Based on the specific expression of SGLT2 in the kidney, SGLT2 inhibitors have been demonstrated to be effective for the treatment of patients with type 2 diabetes.…”

Section: Introductionmentioning

confidence: 99%

Mutation in Sodium-Glucose Cotransporter 2 Results in Down-Regulation of Amyloid Beta (A4) Precursor-Like Protein 1 in Young Age, Which May Lead to Poor Memory Retention in Old Age

Unno

Takagi²,

Konishi

et al. 2020

IJMS

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Senescence-accelerated mouse prone 10 (SAMP10) exhibits cerebral atrophy and depression-like behavior. A line of SAMP10 with spontaneous mutation in the Slc5a2 gene encoding the sodium-glucose cotransporter (SGLT) 2 was named SAMP10/TaSlc-Slc5a2slc (SAMP10-ΔSglt2) and was identified as a renal diabetes model. In contrast, a line of SAMP10 with no mutation in SGLT2 (SAMP10/TaIdrSlc, SAMP10(+)) was recently established under a specific pathogen-free condition. Here, we examined the mutation effect in SGLT2 on brain function and longevity. No differences were found in the survival curve, depression-like behavior, and age-related brain atrophy between SAMP10-ΔSglt2 and SAMP10(+). However, memory retention was lower in SAMP10-ΔSglt2 mice than SAMP10(+). Amyloid beta (A4) precursor-like protein 1 (Aplp1) expression was significantly lower in the hippocampus of SAMP10-ΔSGLT2 than in SAMP10(+) at 2 months of age, but was similar at 12 months of age. CaM kinase-like vesicle association (Camkv) expression was remarkably lower in SAMP10(+). These genes have been reported to be involved in dendrite function. Amyloid precursor proteins have been reported to involve in maintaining homeostasis of glucose and insulin. These results suggest that mutation in SGLT2 results in down-regulation of Aplp1 in young age, which can lead to poor memory retention in old age.

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Patient-Provider Communication Training Models for Interactive Speech Devices

Ngantcha

Amith

Tao

et al. 2021

Digital Human Modeling and Applications in Health, Safety, Ergonomics and Risk Management. Human Body, Motion and Behavior

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Patient-provider communication plays a major role in healthcare with its main goal being to improve the patient's health and build a trustworthy relationship between the patient and the doctor. Provider's efficiency and effectiveness in communication can be improved through training in order to meet the essential elements of communication that are relevant during medical encounters. We surmised that speech-enabled conversational agents could be used as a training tool. In this study, we propose designing an ontology-based interaction model that can direct software agents to train dental and medical students. We transformed sample scenario scripts into a formalized ontology training model that links utterances of the user and the machine that expresses patient-provider communication. We created two instance-based models from the ontology to test the operational execution of the model using a prototype software engine. The assessment revealed that the dialogue engine was able to handle about 62% of the dialogue links. Future direction of this work will focus on further enhancing and capturing the features of patient-provider communication, and eventual deployment for pilot testing.

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The role of education in type 2 diabetes treatment

Cited by 58 publications

References 26 publications

Impact of satisfaction with physician–patient communication on self-care and adherence in patients with hypertension: cross-sectional study

Impact of satisfaction with physician–patient communication on self-care and adherence in patients with hypertension: cross-sectional study

Mutation in Sodium-Glucose Cotransporter 2 Results in Down-Regulation of Amyloid Beta (A4) Precursor-Like Protein 1 in Young Age, Which May Lead to Poor Memory Retention in Old Age

Patient-Provider Communication Training Models for Interactive Speech Devices

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