Does Physician Communication Influence Older Patients' Diabetes Self-Management and Glycemic Control? Results From the Health and Retirement Study (HRS)

Abstract

Among these older adults, both their diabetes providers' provision of information and efforts to actively involve them in treatment decision-making were associated with better overall diabetes self-management. Involving older patients in setting chronic disease goals and decision-making, however, appears to be especially important for self-care areas that demand more behaviorally complex lifestyle adjustments such as exercise, diet, and blood glucose monitoring.

Mediation by illness perceptions of the association between the doctor–patient relationship and diabetes-related distress

“…The implication of this finding is that diabetes-related distress is significantly reduced when the doctor-patient relationship provides the patient with a greater perceived capacity to self-manage their condition. It has been suggested that such communication techniques as i) encouraging patients to repeat back in their own words the information provided by a practitioner, ii) tailoring information provision to the patients' own health concerns and previous experiences, and iii) explaining the impact of recommended self-care behaviours on future health outcomes, can all positively impact upon diabetes self-care (Heisler et al, 2007). Further, Ha and Longnecker (2010) Our findings support previous studies which suggest that the doctor-patient relationship is associated with psychological wellbeing in diabetes patients (Beverly et al, 2012;Rose et al, 2002).…”

Parent Health Literacy and Communication With Diabetes Educators in a Pediatric Diabetes Clinic: A Mixed Methods Approach

“…Diabetes educators work within a culture of medicine that has its own medical jargon and focus on pathophysiology that is different than the lay culture of patients and families. (Anderson et al, 2007;Swedlund et al, 2012), self-care (Heisler, Cole, Weir, Kerr, & Hayward, 2007), adherence to treatment (Zolnierek & DiMatteo, 2009), and health outcomes (Aikens, et al, 2005 (Castro, Wilson, Wang, & Schillinger, 2007;Katz, Jacobson, Veledar, & Kripalani, 2007;Sudore et al, 2009) …”

Effect of Medical Advice for Diet on Diabetes Self-Management and Glycemic Control for Haitian and African Americans with Type 2 Diabetes

“…Heisler, Cole, Weir, Kerr and Hayward [21] using two validated scales to access medical advice found that when providers communicated information and allowed * Models 1 and 2 are adjusting for diabetes medications, perceived stress score, age, gender, body mass index, years with diabetes, self-rated health, health insurance, depression, marital status, ducation, smoking, and physical activity. In addition, Model 1 is adjusted for A1C.…”