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Patient Activation and Glycemic Control Among Filipino Americans

Bibliographic Data

ID19578103
AuthorsRazel Bacuetes Milo (0000-0002-9891-5369, University of San Diego, corresponding author), Arlin Ramira (Southwestern College - California), Patricia Calero (0000-0002-5253-3357, University of San Diego), Jane M Georges (0000-0003-2358-032X, University of San Diego), Alexa Pérez (University of San Diego), Cynthia D Connelly (0000-0001-5726-5905, University of San Diego)
Year2021
Volume5
Issue1
Pages151-159
Publication date2021-04-01
Open AccessYes
TypeARTICLE
VenueHealth Equity (JOURNAL)
Journal identifiersISSN: 2473-1242 • E-ISSN: 2473-1242
PublisherSAGE Publications (PUBLISHER • US)
DOI10.1089/heq.2020.0075
PMID33937600
OpenAlexW3144592109
LanguageEN
Citations received3
References cited40

Purpose: Increasing patient activation facilitates self-management of health, improves health outcomes, and lowers health care expenditures. Extant research notes mixed findings in patient activation by race/ethnicity. The purpose of the study was to examine the relationships among patient activation, select patient characteristics, and glycemic control among Filipino Americans. Methods: A cross-sectional study was conducted with a convenience sample of Filipino Americans (n=191), with a diagnosis of diabetes mellitus type 1 or type 2, recruited from a southern California adult primary care clinic between December 2017 and March 2018. Patient activation, select characteristics, and hemoglobin A1c (HbA1c) levels were assessed. Bivariate and logistic regression analyses were used to identify correlates of glycemic control. The Strengthening the Reporting of Observational studies in Epidemiology (STROBE) checklist was used to develop the study. Results: Participants with HgbA1C≤7.0% reported statistically higher patient activation measure (13 items) (PAM-13) natural log score (mean [M]=60.32, standard deviation [SD]=13.50) compared to those with an HgbA1C>7.0%, M=52.58, SD=10.19, F(1)=11.05, p 7.0, −2 LogLikehood=1183.23, χ2(3)=15.44, p<0.001. Conclusions: Patient activation is an important factor in supporting glycemic control. Findings support interventions to target patient activation. Providers are encouraged to use racial/ethnic-centered engagement strategies in resolving health disparity with racial and ethnic minorities to facilitate patient activation and improve health outcomes in patients with diabetes

Checklist · Cross-sectional study · Diabetes mellitus · Ethnic group · Family medicine · Glycemic · Logistic regression · Observational study · Pathology · Psychological intervention · Type 2 diabetes · Chronic Disease Management Strategies · Demography · Diabetes Management and Education · Diabetes Management and Research · Medicine · Nursing · Psychology · Endocrinology · Gerontology · Internal Medicine

  • Relationship between patient activation and utilisation of health care and harm reduction services among people who inject drugs in Baltimore, Maryland

    Open Access•Pieter Baker, B L Genberg et al.•Drug and Alcohol Review•2024

  • Filipino Americans’ Social and Cultural Experiences of Type 2 Diabetes Management

    Open Access•Dante Anthony Tolentino, Mary E Brynes•Journal of Transcultural Nursing•2024

  • Ativação para o autogerenciamento de pessoas que vivem com o diabetes

    Open Access•Patrícia Pereira de Almeida, Gabriela Amorim Pereira Sol et al.•Cuadernos de Educación y Desarrollo•2024

  • What The Evidence Shows About Patient Activation

    Judith H Hibbard, Jessica Greene•Health Affairs•2013

  • Development and Testing of a Short Form of the Patient Activation Measure

    Open Access•Judith H Hibbard, Eldon R Mahoney et al.•Health Services Research•2005

  • The development and testing of a measure assessing clinician beliefs about patient self‐management

    Open Access•Judith H Hibbard, Peter Alf Collins et al.•Health Expectations•2010

  • The association between patient activation and self‐care practices

    Open Access•Edward Zimbudzi, Clement Lo et al.•Health Expectations•2017

  • Measuring patient activation in the Netherlands

    Open Access•Jany Rademakers, Jessica Nijman et al.•BMC Public Health•2012

  • Psychometric properties of the Patient Activation Measure among individuals presenting for elective lumbar spine surgery

    Open Access•Richard L Skolasky, Ellen J Mackenzie et al.•Quality of Life Research•2009

Citations per year1.5
Citation span2024 - 2024 (1)
Highly citedNo

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