Patient Education and Counseling
Volume 70, Issue 1 , Pages 102-110 , January 2008

Preferences for self-management support: Findings from a survey of diabetes patients in safety-net health systems

  • Urmimala Sarkar

      Affiliations

    • Department of Medicine, Division of General Internal Medicine, University of California, San Francisco, United States
    • Corresponding Author InformationCorresponding author at: Division of General Internal Medicine, UCSF Box 1732, San Francisco, CA 94143-1732, United States. Tel.: +1 415 476 1108; fax: +1 415 814 5770.
  • ,
  • John D. Piette

      Affiliations

    • Health Services Research and Development, VA Ann Arbor Healthcare System, United States
    • Department of Internal Medicine, University of Michigan, Ann Arbor, United States
    • Michigan Diabetes Research and Training Center, Ann Arbor, United States
  • ,
  • Ralph Gonzales

      Affiliations

    • Department of Medicine, Division of General Internal Medicine, University of California, San Francisco, United States
  • ,
  • Daniel Lessler

      Affiliations

    • Department of Medicine, University of Washington, Seattle, United States
  • ,
  • Lisa D. Chew

      Affiliations

    • Department of Medicine, University of Washington, Seattle, United States
  • ,
  • Brendan Reilly

      Affiliations

    • Cook County Bureau of Health Services, Chicago, United States
  • ,
  • Jolene Johnson

      Affiliations

    • Earl K. Long Medical Center, Louisiana State University, New Orleans, United States
  • ,
  • Melanie Brunt

      Affiliations

    • Cambridge Health Alliance, Cambridge, United States
  • ,
  • Jennifer Huang

      Affiliations

    • George Washington University, Washington, United States
  • ,
  • Marsha Regenstein

      Affiliations

    • George Washington University, Washington, United States
  • ,
  • Dean Schillinger

      Affiliations

    • Department of Medicine, Division of General Internal Medicine, University of California, San Francisco, United States
    • University of California San Francisco, Center for Vulnerable Populations, San Francisco General Hospital, United States

Received 18 February 2007 ,Revised 3 September 2007 ,Accepted 16 September 2007.

References 

  1. Fisher EB, Brownson CA, O’Toole ML, Shetty G, Anwuri VV, Glasgow RE. Ecological approaches to self-management: the case of diabetes. Am J Public Health. 2005;95:1523–1535
  2. Institute of Medicine. Crossing the quality chasm: a new health system for the 21st century. National Academy Press, Institute of Medicine Committee on Quality of Health Care in America; 2001.
  3. Mensing C, Boucher J, Cypress M, Weinger K, Mulcahy K, Barta P, et al. National standards for diabetes self-management education task force to review and revise the National Standards for Diabetes Self-Management Education Programs. Diabetes Care. 2000;23:682–689
  4. Schillinger D, Bindman A, Wang F, Stewart A, Piette J. Functional health literacy and the quality of physician-patient communication among diabetes patients. Patient Educ Couns. 2004;52:315–323
  5. Heisler M, Bouknight RR, Hayward RA, Smith DM, Kerr EA. The relative importance of physician communication, participatory decision making, and patient understanding in diabetes self-management. J Gen Intern Med. 2002;17:243–252
  6. Holman H, Lorig K. Patient self-management: a key to effectiveness and efficiency in care of chronic disease. Public Health Rep. 2004;119:239–243
  7. Chumbler NR, Neugaard B, Ryan P, Qin H, Joo Y. An observational study of veterans with diabetes receiving weekly or daily home telehealth monitoring. J Telemed Telecare. 2005;11:150–156
  8. Piette JD, Weinberger M, Kraemer FB, McPhee SJ. Impact of automated calls with nurse follow-up on diabetes treatment outcomes in a Department of Veterans Affairs Health Care System: a randomized controlled trial. Diabetes Care. 2001;24:202–208
  9. Aubert RE, Herman WH, Waters J, Moore W, Sutton D, Peterson BL, et al. Nurse case management to improve glycemic control in diabetic patients in a health maintenance organization. A randomized, controlled trial. Ann Intern Med. 1998;129:605–612
  10. Piette JD. Interactive voice response systems in the diagnosis and management of chronic disease. Am J Manag Care. 2000;6:817–827
  11. Weinberger M, Kirkman MS, Samsa GP, Shortliffe EA, Landsman PB, Cowper PA, et al. A nurse-coordinated intervention for primary care patients with non-insulin-dependent diabetes mellitus: impact on glycemic control and health-related quality of life. J Gen Intern Med. 1995;10:59–66
  12. Piette JD, McPhee SJ, Weinberger M, Mah CA, Kraemer FB. Use of automated telephone disease management calls in an ethnically diverse sample of low-income patients with diabetes. Diabetes Care. 1999;22:1302–1309
  13. Lorig K, Holman H. Self-management education: history, definition, outcomes, and mechanisms. Ann Behav Med. 2003;26:1–7
  14. Lorig K, Ritter P, Stewart A, Sobel D, Brown B, Bandura A, et al. Chronic Disease Self-Management Program: 2-year health status and health utilization outcomes. Med Care. 2001;39:1217–1223
  15. Kim S, Love F, Questberg D, Shea JA. Association of health literacy with self-management behavior in patients with diabetes. Diabetes Care. 2004;27:2980–2982
  16. Culhane-Pera K, Peterson KA, Crain AL, Center BA, Lee M, Her B, et al. Group visits for Hmong adults with type 2 diabetes mellitus: a pre-post analysis. J Health Care Poor U. 2005;16:315–327
  17. Lorig K, Ritter P, Jacquez A. Outcomes of border health spanish/english chronic disease self-management programs. Diabetes Educator. 2005;31:401–409
  18. Roter DL, Stashefsky-Margalit R, Rudd R. Current perspectives on patient education in the US. Patient Educ Couns. 2001;44:79–86
  19. Clancy DE, Cope DW, Magruder KM, Huang P, Salter KH, Fields AW. Evaluating group visits in an uninsured or inadequately insured patient population with uncontrolled type 2 diabetes. Diabetes Educator. 2003;29:292–302
  20. Sadur CN, Moline N, Costa M, Michalik D, Mendlowitz D, Roller S, et al. Diabetes management in a health maintenance organization. Efficacy of care management using cluster visits. Diabetes Care. 1999;22:2011–2017
  21. Trento M, Passera P, Tomalino M, Bajardi M, Pomero F, Allione A, et al. Group visits improve metabolic control in type 2 diabetes: a 2-year follow-up. Diabetes Care. 2001;24:995–1000
  22. Fiscella K, Geiger HJ. Health information technology and quality improvement for community health centers. Health Affairs (Millwood). 2006;25:405–412
  23. Glasgow R, Bull S. Making a difference with interactive technology: considerations in using and evaluating computerized aids for diabetes self-management education. Diabetes Spectrum. 2001;14:99–106
  24. Glasgow RE, Bull SS, Piette JD, Steiner JF. Interactive behavior change technology. A partial solution to the competing demands of primary care. Am J Prev Med. 2004;27:80–87
  25. Glasgow RE, Nutting PA, King DK, Nelson CC, Cutter G, Gaglio B, et al. Randomized effectiveness trial of a computer-assisted intervention to improve diabetes care. Diabetes Care. 2005;28:33–39
  26. Bodenheimer T, Grumbach K. Electronic technology: a spark to revitalize primary care?. J Am Med Assoc. 2003;290:259–264
  27. McKay HG, King D, Eakin EG, Seeley JR, Glasgow RE. The diabetes network Internet-based physical activity intervention: a randomized pilot study. Diabetes Care. 2001;24:1328–1334
  28. Dang S, Ma F, Nedd N, Aguilar EJ, Roos BA. Differential resource utilization benefits with Internet-based care coordination in elderly veterans with chronic diseases associated with high resource utilization. Telemed J E Health. 2006;12:14–23
  29. Shea S, Starren J, Weinstock RS, Knudson PE, Teresi J, Holmes D, et al. Columbia University's Informatics for Diabetes Education and Telemedicine (IDEATel) Project: rationale and design. J Am Med Inform Assoc. 2002;9:49–62
  30. Shea S, Weinstock RS, Starren J, Teresi J, Palmas W, Field L, et al. A randomized trial comparing telemedicine case management with usual care in older, ethnically diverse, medically underserved patients with diabetes mellitus. J Am Med Inform Assn. 2006;13:40–51
  31. Chodosh J, Morton SC, Mojica W, Maglione M, Suttorp MJ, Hilton L, et al. Meta-analysis: chronic disease self-management programs for older adults. Ann Intern Med. 2005;143:427–438
  32. Norris SL, Engelgau MM, Narayan KM. Effectiveness of self-management training in type 2 diabetes: a systematic review of randomized controlled trials. Diabetes Care. 2001;24:561–587
  33. Tsai AC, Morton SC, Mangione CM, Keeler EB. A meta-analysis of interventions to improve care for chronic illnesses. Am J Manag Care. 2005;11:478–488
  34. Li R, Simon J, Bodenheimer T, Gillies RR, Casalino L, Schmittdiel J, et al. Organizational factors affecting the adoption of diabetes care management processes in physician organizations. Diabetes Care. 2004;27:2312–2316
  35. Rittenhouse DR, Robinson JC. Improving quality in Medicaid: the use of care management processes for chronic illness and preventive care. Med Care. 2006;44:47–54
  36. In:  Lea N-B editors. Health literacy: a prescription to end confusion. Washington, DC: The National Academies Press; 2004;
  37. Shojania KG, Grimshaw JM. Still no magic bullets: pursuing more rigorous research in quality improvement. Am J Med. 2004;116:778–780
  38. National healthcare disparities report, December 2005. Report no.: AHRQ publication no. 06-0017. Agency for Healthcare Research and Quality. U.S. Department of Health and Human Services, Agency for Healthcare Research and Quality; 2005.
  39. Schillinger D, Barton LR, Karter AJ, Wang F, Adler N. Does literacy mediate the relationship between education and health outcomes? A study of a low-income population with diabetes. Public Health Rep. 2006;121:245–254
  40. Yach D, Hawkes C, Gould CL, Hofman KJ. The global burden of chronic diseases: overcoming impediments to prevention and control. J Am Med Assoc. 2004;291:2616–2622
  41. Eakin EG, Bull SS, Glasgow RE, Mason M. Reaching those most in need: a review of diabetes self-management interventions in disadvantaged populations. Diabetes Metab Res Rev. 2002;18:26–35
  42. Regenstein M, Huang J, Cummings L, Lessler D, Reilly B, Schillinger D. Caring for patients with diabetes in safety net hospitals and health systems. Report no.: Commonwealth fund pub. 826. The Commonwealth Fund; 2005.
  43. Healthy People 2010. Health communication. http://www.healthypeople.gov/document/html/volume1/11healthcom.htm [Accessed August 6, 2006].
  44. Freimuth VS. The chronically uninformed: closing the knowledge gap in health. In:  Ray EB,  Donohew L editor. Communication and health: systems and applications. Hillsdale, NJ: Lawrence Erlbaum Associates; 1990;
  45. Eng TR, Maxfield A, Patrick K, Deering MJ, Ratzan SC, Gustafson DH. Access to health information and support: a public highway or a private road?. J Am Med Assoc. 1998;280:1371–1375
  46. Stewart AL, Napoles-Springer A, Perez-Stable EJ. Interpersonal processes of care in diverse populations. Milbank Q. 1999;77:274
  47. Roter DL, Stewart M, Putnam SM, Lipkin M, Stiles W, Inui TS. Communication patterns of primary care physicians. J Am Med Assoc. 1997;277:350–356
  48. Johnson RL, Roter D, Powe NR, Cooper LA. Patient race/ethnicity and quality of patient–physician communication during medical visits. Am J Public Health. 2004;94:2084–2090
  49. Fernandez A, Schillinger D, Grumbach K, Rosenthal A, Stewart AL, Wang F, et al. Physician language ability and cultural competence. An exploratory study of communication with Spanish-speaking patients. J Gen Intern Med. 2004;19:167–174
  50. Morales LS, Cunningham WE, Brown JA, Liu H, Hays RD. Are Latinos less satisfied with communication by health care providers?. J Gen Intern Med. 1999;14:409–417
  51. Cooper L, Roter D. Patient–provider communication: the effect of race and ethnicity on process and outcomes of healthcare. In:  Smedley B,  Stith A,  Nelson A editor. Unequal treatment: confronting racial and ethnic disparities in healthcare. Washington, DC: The National Academies Press; 2002;p. 552–593
  52. Cooper LA, Beach MC, Johnson RL, Inui TS. Delving below the surface. Understanding how race and ethnicity influence relationships in health care. J Gen Intern Med. 2006;21:S21–S27
  53. Grubbs V, Chen AH, Bindman AB, Vittinghoff E, Fernandez A. Effect of awareness of language law on language access in the health care setting. J Gen Intern Med. 2006;21:683–688
  54. Baker DW, Williams MV, Parker RM, Gazmararian JA, Nurss J. Development of a brief test to measure functional health literacy. Patient Educ Couns. 1999;38:33–42
  55. Parker RM, Baker DW, Williams MV, Nurss JR. The test of functional health literacy in adults: a new instrument for measuring patients’ literacy skills. J Gen Intern Med. 1995;10:537–541
  56. Chew LD, Bradley KA, Boyko EJ. Brief questions to identify patients with inadequate health literacy. Fam Med. 2004;36:588–594
  57. FACCT. Diabetes Care Survey. http://www.markle.org/resources/facct/doclibFiles/documentFile_311.pdf [Accessed July 12, 2006].
  58. Sarkar U, Fisher L, Schillinger D. Is self-efficacy associated with diabetes self-management across race/ethnicity and health literacy?. Diabetes Care. 2006;29:823–829
  59. Heisler M, Smith D, Hayward R, Krein S, Kerr E. How well do patients’ assessments of their diabetes self-management correlate with actual glycemic control and receipt of recommended diabetes services?. Diabetes Care. 2003;26:738–743
  60. Corbett KK, Gonzales R, Leeman-Castillo BA, Flores E, Maselli J, Kafadar K. Appropriate antibiotic use: variation in knowledge and awareness by Hispanic ethnicity and language. Prev Med. 2005;40:162–169
  61. McCulloch C, Searle S. Generalized, linear, and mixed models, vol. Section 1.6b. New York: Wiley & Sons; 2001;p. 17
  62. Goldman LE, Handley M, Rundall TG, Schillinger D. Current and future directions in Medi-Cal chronic disease care management: a view from the top. Am J Manag Care. 2007;13:263–268
  63. Piette JD. Patient education via automated calls: a study of English and Spanish speakers with diabetes. Am J Prev Med. 1999;17:138–141
  64. Hahn EA, Cellal D, Dobrez DG, Shiomoto G, Taylor SG, Galvez AG, et al. Quality of life assessment for low literacy Latinos: a new multimedia program for self-administration. J Oncol Manag. 2003;12:9–12
  65. Leeman-Castillo BA, Corbett KK, Aagaard EM, Maselli JH, Gonzales R, Mackenzie TD. Acceptability of a bilingual interactive computerized educational module in a poor, medically underserved patient population. J Health Commun. 2007;12:77–94
  66. Saha S, Arbelaez JJ, Cooper LA. Patient–physician relationships and racial disparities in the quality of health care. Am J Public Health. 2003;93:1713–1719
  67. Murray E, Lo B, Pollack L, Donelan K, Catania J, White M, et al. The impact of health information on the Internet on the physician–patient relationship: patient perceptions. Arch Intern Med. 2003;163:1727–1734
  68. The Translating Research Into Action for Diabetes (TRIAD) study: a multicenter study of diabetes in managed care. Diabetes Care 2002;25:386–9.
  69. Eisenberg DM, Davis RB, Ettner SL, Appel S, Wilkey S, Van Rompay M, et al. Trends in alternative medicine use in the United States 1990–1997: results of a follow-up national survey. J Am Med Assoc. 1998;280:1569–1575
  70. Prevalence of current cigarette smoking among adults and changes in prevalence of current and some day smoking—United States, 1996–2001. MMWR Morb Mortal Wkly Rep 2003;52:303–4, 306–7.
  71. Biemer P. Nonresponse bias and measurement bias in a comparison of face to face and telephone interviewing. J Off Stat. 2003;17:295–320
  72. Blumberg SJ, Luke JV, Cynamon ML. Telephone coverage and health survey estimates: evaluating the need for concern about wireless substitution. Am J Public Health. 2006;96:926–931
  73. Schillinger D, Hammer H, Wang F, Palacios J, McLean I, Tang A, et al. Seeing in 3D: examining the reach of diabetes self-management support strategies in a public health care system. Health Educ Behav. 2007;
  74. Paasche-Orlow MK, Parker RM, Gazmararian JA, Nielsen-Bohlman LT, Rudd RR. The prevalence of limited health literacy. J Gen Intern Med. 2005;20:175–184
  75. Hunt LM, Arar NH, Larme AC. Contrasting patient and practitioner perspectives in type 2 diabetes management. West J Nurs Res. 1998;20:656–676discussion; 677-82
  76. Hunt LM, Pugh J, Valenzuela M. How patients adapt diabetes self-care recommendations in everyday life. J Fam Pract. 1998;46:207–215
  77. Farmer A, Gibson OJ, Tarassenko L, Neil A. A systematic review of telemedicine interventions to support blood glucose self-monitoring in diabetes. Diabet Med. 2005;22:1372–1378
  78. Piette JD, Weinberger M, McPhee SJ. The effect of automated calls with telephone nurse follow-up on patient-centered outcomes of diabetes care: a randomized, controlled trial. Med Care. 2000;38:218–230

PII: S0738-3991(07)00348-5

doi: 10.1016/j.pec.2007.09.008

Patient Education and Counseling
Volume 70, Issue 1 , Pages 102-110 , January 2008