Patient Knowledge Improves Glycemic Control: Is it Time to Go Back to the Classroom?

Panja, S; Starr, Brian; Colleran, Kathleen

doi:10.2310/6650.2005.53509

Cited by 34 publications

(28 citation statements)

References 14 publications

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“…Therefore, it is very important during these medical contacts that members of the healthcare service assess, correct, and/or expand the mother's knowledge since will impact the risk of short-and long-term biomedical consequences [18]. Additionally, improving glycemic control through patient education may decrease the economic impact of diabetes [14]. In addition, we must not forget to educate the child with type-1 diabetes as well as other members of the family, such as the father, grandparents, others in the household, school teachers, and school nurses.…”

Section: Discussionmentioning

confidence: 99%

Glycemic control in diabetic children: role of mother’s knowledge and socioeconomic status

Tahirović

Toromanović

2010

Eur J Pediatr

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The aim of this study is to investigate the role of mother's knowledge and socioeconomic status (SES) of the family on glycemic control in diabetic children. Our sample was taken from successive admissions to the outpatient's diabetes clinics in Tuzla, Bosnia and Herzegovina. Diabetes knowledge was assessed using the Michigan Diabetes Research and Training Center Diabetes Knowledge Test. Glycemic control was assessed by glycosylated hemoglobin (HbA(1C)). The mother's demographics were obtained by self-report. To categorize families' SES, parents' level of education, and current employment were recorded and analyzed using the Hollingshed two-factor index of social position. As expected, higher mother's knowledge was significantly associated with lower HbA(1C) (r = -0.2861705, p = 0.0442). Also, a significant correlation was found between the families' SES and HbA(1C) levels (r = 0.4401921; p = 0.0015). Mothers with more knowledge have children with better metabolic control, and low SES is significantly associated with higher levels of HbA1c. Improvement of mothers' knowledge and family SES may improve glycemic control and ultimately decrease acute and chronic complications of diabetes in children.

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Section: Discussionmentioning

confidence: 99%

Glycemic control in diabetic children: role of mother’s knowledge and socioeconomic status

Tahirović

Toromanović

2010

Eur J Pediatr

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“…In addition, better control of blood sugar, which may result from this methods of education, can decrease financial terms imposed on families (17).…”

Section: Discussionmentioning

confidence: 99%

The Relationship Between Maternal Awareness, Socioeconomic Situation of Families and Metabolic Control in Children With Type 1 Diabetes Miletus in an Iranian Population

et al. 2015

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Background: Type 1 diabetes mellitus (T1DM) is one of the most common chronic pediatric conditions, with potentially life-threatening sequels. However, good metabolic control can protect the patients against sequels. Objectives: The aim of this study was to examine the relationship between awareness of the mothers about this disease on improving diabetic children metabolic control and also, to examine the relationship between socioeconomic situations of families and control of diabetes in this group of patients. Patients and Methods: This is a cross-sectional descriptive analytic study on 80 diabetic children and their mothers, who were registered in the diabetes association of Iran, for outpatient control of disease. Diabetes knowledge was measured by Michigan diabetes knowledge test and glycemic control was assessed by glycosylated hemoglobin (HbA1c). To assess the socio-economic status of a diabetic child's family, educational level, occupational and marital status of parents were asked and the socioeconomic status (SES) was evaluated with Hollingshed four-factor index of SES. Results: Mothers' mean knowledge score was 17.72, children's mean HbA1c was 7.77 and mean of SES was 27.89. There was no significant correlation between children's HbA1c and mother's SES. Also, there was an inverse linear relationship between mothers' knowledge score and children's HbA1c and there was a direct linear relationship between the mothers' knowledge score and SES. Conclusions: Finally, based on the results obtained in this study, it can be concluded that the awareness of mothers of T1DM children has a good impact on blood sugar control, whereas the SES of families has no direct effect on blood sugar control. Additionally, SES can indirectly impact on the consciousness of mothers and lead to the reduction of HbA1c.

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“…This clearly indicates that disease-specific knowledge is neither the only, nor even the major factor defining glucometabolic control. Other [29], but not all studies [12,30] have also failed to find a relationship between diabetes knowledge and metabolic control. Of note, these studies do not justify negating the use of basic knowledge about diabetes care or the necessity of diabetes education, which are also intended to improve the patient's motivation to comply with treatment regimens.…”

Section: Discussionmentioning

confidence: 99%

Sex-related psychological effects on metabolic control in type 2 diabetes mellitus

et al. 2009

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Aims/hypothesis Women are at higher risk of diabetesrelated cardiovascular complications than men. We tested the hypothesis that there are sex-specific differences in glucometabolic control, and in social and psychological factors. We also examined the influence of these factors on glucometabolic control. Methods We examined 257 (126 men/131 women) consecutive patients (64±9 years, means±SD) of a metropolitan diabetes outpatient service employing clinical testing and standardised psychological questionnaires. Results Mean HbA 1c (7.6±1.2%) was not different between women and men. Women patients on oral hypoglycaemic agents were better informed about diabetes (p=0.012). They employed more strategies for coping with diabetes, including religion (p=0.0001), active coping (p=0.048) and distraction (p=0.007). Women reported lower satisfaction with social support (p=0.034), but not more depression than men. Although no differences were observed in compliance, insulin-treated patients were more satisfied with their therapy (p=0.007). Variables predicting poor metabolic control were different in men (R 2 =0.737, p=0.012) and women (R 2 =0.597, p=0.019). Major predictors of high HbA 1c included depressive coping, lower sexual desire, quality of life and internal locus of control, but high external doctor-related locus of control in women and frequent emotional experiences of hyperglycaemia in men. Conclusions/interpretation Lower quality of life, internal control and socioeconomic status, and higher prevalence of negative emotions probably prevented woman patients from achieving improved glucose control despite their better knowledge of and greater efforts to cope with diabetes. We suggest that women patients would benefit from individualised diabetes care offering social support, whereas men would benefit from knowledge-based diabetes management giving them more informational and instrumental support.

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Patient Knowledge Improves Glycemic Control: Is it Time to Go Back to the Classroom?

Cited by 34 publications

References 14 publications

Glycemic control in diabetic children: role of mother’s knowledge and socioeconomic status

Glycemic control in diabetic children: role of mother’s knowledge and socioeconomic status

The Relationship Between Maternal Awareness, Socioeconomic Situation of Families and Metabolic Control in Children With Type 1 Diabetes Miletus in an Iranian Population

Sex-related psychological effects on metabolic control in type 2 diabetes mellitus

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