Time spent on self‐management by people with diabetes: results from the population‐based KORA survey in Germany

Abstract

Aims Time needed for health‐related activities in people with diabetes is assumed to be substantial, yet available data are limited. Time spent on self‐management and associated factors was analysed using cross‐sectional data from people with diagnosed diabetes enrolled in a population‐based study. Methods Mean total time spent on self‐management activities was estimated using a questionnaire for all participants with diagnosed diabetes in the KORA FF4 study (n = 227, 57% men, mean age 69.7, sd 9.9 years). Multiple two‐part regression models were fitted to evaluate associated factors. Multiple imputation was performed to adjust for bias due to missing values. Results Some 86% of participants reported spending time on self‐management activities during the past week. Over the entire sample, a mean of 149 (sd 241) min/week were spent on self‐management‐activities. People with insulin or oral anti‐hyperglycaemic drug treatment, better diabetes education, HbA1c 48 to < 58 mmol/mol (6.5% to < 7.5%) or lower quality of life, spent more time on self‐management activities. For example, people without anti‐hyperglycaemic medication invested 66 min/week in self‐management, whereas those taking insulin and oral anti‐hyperglycaemic drugs invested 269 min/week (adjusted ratio 4.34, 95% confidence interval 1.85–10.18). Conclusions Time spent on self‐management activities by people with diabetes was substantial and varied with an individual's characteristics. Because of the small sample size and missing values, the results should be interpreted in an explorative manner. Nevertheless, time needed for self‐management activities should be routinely considered because it may affect diabetes self‐care and quality of life.

Different information needs in subgroups of people with diabetes mellitus: a latent class analysis

“…2 Institute for Health Services Research and Health Economics, Centre for Health and Society, Faculty of Medicine, Heinrich Heine University Düsseldorf, Düsseldorf, Germany. 3 German Center for Diabetes Research (DZD), Munich-Neuherberg, Germany. 4 Institute of Health Economics and Health Care Management, Helmholtz Zentrum München, German Research Center for Environmental Health, Munich-Neuherberg, Germany.…”

“…Diabetes mellitus (DM) is a chronic disease with a high prevalence [1,2], requiring intensive patient selfmanagement [3]. DM is associated with a complex health care situation in which sharing knowledge and providing tailored information that considers patients' information needs play a key role in patient-centred health care [4].…”

Self-care time and rating of health state in persons with diabetes: results from the population-based KORA survey in Germany

“…Study design and population have been described in detail elsewhere [ 16 ]. Briefly, our cross-sectional study was performed within the KORA FF4 study, the second follow-up of the KORA S4 study (KORA: Cooperative Health Research in the Region of Augsburg).…”

Prävention des Typ-2-Diabetes

“…Die Zeitinvestitionen unterschieden sich je nach Diabetesbehandlung, Diabetesschulung, HbA 1c und Lebensqualität [10]. Die entsprechenden Zeitkosten der Patienten summierten sich auf etwa 2000 Euro pro Jahr und überstiegen damit die direkten medizinischen Kosten [11]. Der Zeitaufwand für Selbstmanagement-Aktivitäten sollte routinemäßig berücksichtigt werden, da er erheblich ist und sowohl die Adhärenz in der Diabetesversorgung als auch die Lebensqualität beeinflussen kann.…”