Identification of diabetes self-management profiles in adults : a cluster analysis using selected self-reported outcomes

Alexandre, Kétia (HESAV School of Health Sciences, HES-SO University of Applied Sciences and Arts Western Switzerland ; Center for Primary Care and Public Health (Unisanté), University of Lausanne, Lausanne, Switzerland) ; Vallet, Fanny (Faculté de Psychologie et des Sciences de l’Education, University of Geneva, Geneva, Switzerland) ; Peytremann-Bridevaux, Isabelle (Center for Primary Care and Public Health (Unisanté), University of Lausanne, Lausanne, Switzerland) ; Desrichard, Olivier (Faculté de Psychologie et des Sciences de l’Education, University of Geneva, Geneva, Switzerland)

The present study describes adult diabetes self-management (DSM) profiles using self-reported outcomes associated with the engagement in diabetes care activities and psychological adjustment to the disease. We used self-reported data from a community-based cohort of adults with diabetes (N = 316) and conducted a cluster analysis of selected self-reported DSM outcomes (i.e., DSM behaviors, self-efficacy and perceived empowerment, diabetes distress and quality of life). We tested whether clusters differed according to sociodemographic, clinical, and care delivery processes variables. Cluster analysis revealed four distinct DSM profiles that combined high/low levels of engagement in diabetes care activities and good/poor psychological adjustment to the disease. The profiles were differently associated with the variables of perceived financial insecurity, taking insulin treatment, having depression, and the congruence of the care received with the Chronic Care Model. The results could help health professionals gain a better understanding of the different realities facing people living with diabetes, identify patients at risk of poor outcomes related to their DSM, and lead to the development of profile-specific DSM interventions.


Article Type:
scientifique
Faculty:
Santé
School:
HESAV
Institute:
Unité de recherche en santé, HESAV
Date:
2021-01
Pagination:
17 p.
Published in:
PLoS ONE
Numeration (vol. no.):
2021, vol. 16, no. 1, art. e0245721
DOI:
ISSN:
1932-6203
Appears in Collection:



 Record created 2021-01-28, last modified 2021-02-18

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