The effects of diabetes shared care on patients' glycated hemoglobin, health beliefs, and health behaviors
糖尿病共同照護對病患糖化血色素、健康信念與健康行為之影響
Journal
Taiwan Journal of Public Health
Journal Volume
32
Journal Issue
6
Pages
537-550
Date Issued
2013
Author(s)
Wu S.-C.
Abstract
The aims of this study were to determine if patients in a diabetes shared care group had better glycated hemoglobin (HbAlc) control and changes in health behaviors than did their regular care counterparts, and to explore which changes in health beliefs contributed to changes in health behaviors in these two groups. Methods: A quasi-experiment, this study recruited 208 and 421 patients with type II diabetes in the shared care and regular care groups, respectively, at a 1:2 ratio, matched by gender and age. HbAlc levels were measured and survey data about diabetes-related health behaviors and health beliefs were collected at both pre-test and 6-month post-test. Results: Multivariate linear autoregression analysis indicated that patients in the shared care group had significantly lower HbAlc levels (?=-0.18) than did those in the regular care group at post-test. Similarly, patients in the shared care group had significantly higher health behavior scores (?=0.13) than did their regular care counterparts at post-test. In the shared care group, increased health behavior scores at post-test were directly related to elevated levels of perceived benefits (?=0.29) and cues to action (?=0.15). By contrast, in the regular care group, increased health behavior scores at post-test were positively associated with increased levels of perceived susceptibility (?=0.13) and perceived benefits (?=0.19), as well as decreased levels of perceived barriers (?=-0.16) and cues to action (?=-0.12). Conclusions: Compared with diabetic patients in the regular care group, those in the shared care group had better HbAlc control and changes in health behaviors. The diabetes-related health behavior changes could be attributed to different changes in health beliefs in the two groups. These findings could inform future interventions to improve diabetes care.
Subjects
Diabetes shared care; Glycated hemoglobin (Hbalc); Health behaviors; Health beliefs; Quasi-experiment
SDGs
Publisher
Taiwan Public Health Association
Type
journal article