1821-LB: Differences on Clinical Experiences with Health Care Providers and Disease Perceptions in Early-Onset vs. Later-Onset Koreans with Type 2 Diabetes
Objective: To examine clinical experiences with healthcare providers and illness perceptions in Koreans with type 2 diabetes (T2D) categorized by age at diagnosis. Methods: A cross-sectional research design was employed. Of 315 contacts, 165 participants were recruited, comprising 60% men, mean age...
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| Veröffentlicht in: | Diabetes (New York, N.Y.) N.Y.), 2024-06, Vol.73 (Supplement_1), p.1 |
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| container_title | Diabetes (New York, N.Y.) |
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| creator | SUNG, GOWOON GWON, SO-HYEON JANG, HYESUN FAULKNER, MELISSA S. CHA, EUNSEOK |
| description | Objective: To examine clinical experiences with healthcare providers and illness perceptions in Koreans with type 2 diabetes (T2D) categorized by age at diagnosis.
Methods: A cross-sectional research design was employed. Of 315 contacts, 165 participants were recruited, comprising 60% men, mean age 46.9 ±12.3 years (range: 20 to 76 years) and mean HbA1c 7.3 ±1.5 %. Participants were divided into two groups based on their age at diagnosis: early-onset ( |
| doi_str_mv | 10.2337/db24-1821-LB |
| format | Article |
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Methods: A cross-sectional research design was employed. Of 315 contacts, 165 participants were recruited, comprising 60% men, mean age 46.9 ±12.3 years (range: 20 to 76 years) and mean HbA1c 7.3 ±1.5 %. Participants were divided into two groups based on their age at diagnosis: early-onset (<40 years) or later-onset ( ≥ 40 years). Clinical experiences with healthcare providers and illness perceptions were assessed using self-reported Patient Assessment of Chronic Illness Care survey (PACIC), rated on a scale of 1 to 5, and the Brief Illness Perception Questionnaire, rated on a scale of 0 to 10, respectively. Statistical analyses were conducted using SAS for Windows (version 9.2). The significance level was set at α = .05 (two-tailed).
Findings: Overall, patients were well-informed about treatment plans and options (mean ±SD: 3.8± 0.8), but there was less counseling on goal setting and action plans by healthcare providers, particularly for the later-onset group (mean± SD: 3.0±.8 vs. 2.7±.9, p = .04). Compared to the later-onset group, early-onset group reported that T2D significantly affected their life (6.1±2.5 vs.4.9±2.7, p=.003), experienced more severe symptoms (4.9±2.6 vs.3.9±2.6, p=.02), and had a greater negative impact of emotional well-being (5.5±2.6 vs.4.5±2.9, p=.02). Conclusions: Substantial evidence supports the effectiveness of behavioral goals in promoting behavior change. Individualized behavioral goal-setting and personalized counseling should be provided in clinical practice, especially for those with early-onset T2D who often require strategies to enhance their self-efficacy, mitigate negative perceptions of their health, and bolster empowerment in diabetes management.</description><identifier>ISSN: 0012-1797</identifier><identifier>EISSN: 1939-327X</identifier><identifier>DOI: 10.2337/db24-1821-LB</identifier><language>eng</language><publisher>New York: American Diabetes Association</publisher><subject>Age ; Diabetes ; Diabetes mellitus (non-insulin dependent) ; Diagnosis ; Disease management ; Health care ; Illnesses ; Patients ; Perceptions ; Statistical analysis ; Well being</subject><ispartof>Diabetes (New York, N.Y.), 2024-06, Vol.73 (Supplement_1), p.1</ispartof><rights>Copyright American Diabetes Association Jun 2024</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids></links><search><creatorcontrib>SUNG, GOWOON</creatorcontrib><creatorcontrib>GWON, SO-HYEON</creatorcontrib><creatorcontrib>JANG, HYESUN</creatorcontrib><creatorcontrib>FAULKNER, MELISSA S.</creatorcontrib><creatorcontrib>CHA, EUNSEOK</creatorcontrib><title>1821-LB: Differences on Clinical Experiences with Health Care Providers and Disease Perceptions in Early-Onset vs. Later-Onset Koreans with Type 2 Diabetes</title><title>Diabetes (New York, N.Y.)</title><description>Objective: To examine clinical experiences with healthcare providers and illness perceptions in Koreans with type 2 diabetes (T2D) categorized by age at diagnosis.
Methods: A cross-sectional research design was employed. Of 315 contacts, 165 participants were recruited, comprising 60% men, mean age 46.9 ±12.3 years (range: 20 to 76 years) and mean HbA1c 7.3 ±1.5 %. Participants were divided into two groups based on their age at diagnosis: early-onset (<40 years) or later-onset ( ≥ 40 years). Clinical experiences with healthcare providers and illness perceptions were assessed using self-reported Patient Assessment of Chronic Illness Care survey (PACIC), rated on a scale of 1 to 5, and the Brief Illness Perception Questionnaire, rated on a scale of 0 to 10, respectively. Statistical analyses were conducted using SAS for Windows (version 9.2). The significance level was set at α = .05 (two-tailed).
Findings: Overall, patients were well-informed about treatment plans and options (mean ±SD: 3.8± 0.8), but there was less counseling on goal setting and action plans by healthcare providers, particularly for the later-onset group (mean± SD: 3.0±.8 vs. 2.7±.9, p = .04). Compared to the later-onset group, early-onset group reported that T2D significantly affected their life (6.1±2.5 vs.4.9±2.7, p=.003), experienced more severe symptoms (4.9±2.6 vs.3.9±2.6, p=.02), and had a greater negative impact of emotional well-being (5.5±2.6 vs.4.5±2.9, p=.02). Conclusions: Substantial evidence supports the effectiveness of behavioral goals in promoting behavior change. Individualized behavioral goal-setting and personalized counseling should be provided in clinical practice, especially for those with early-onset T2D who often require strategies to enhance their self-efficacy, mitigate negative perceptions of their health, and bolster empowerment in diabetes management.</description><subject>Age</subject><subject>Diabetes</subject><subject>Diabetes mellitus (non-insulin dependent)</subject><subject>Diagnosis</subject><subject>Disease management</subject><subject>Health care</subject><subject>Illnesses</subject><subject>Patients</subject><subject>Perceptions</subject><subject>Statistical analysis</subject><subject>Well being</subject><issn>0012-1797</issn><issn>1939-327X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNotkM1OwzAQhC0EEqVw4wEsccXFP0mdcKOhUESkcuiBm2UnG-EqOMEOhT4LL4urRnsY7Wj0jTQIXTM640LIu9rwhLCMM1IuTtCE5SIngsv3UzShlHHCZC7P0UUIW0rpPN4E_Y3xe_xomwY8uAoC7hwuWutspVu8_O3B26P_Y4cPvALdRim0B_zmu52twQesXR0RAXSILvgK-sF2LmDr8FL7dk_WLsCAd2GGSz2AH__XzoN2I3mz7wHziNEGBgiX6KzRbYCrUado87TcFCtSrp9fioeSVPOUESMralIt0pSnLNdcJ1KAYSAzynKTgqxpDk3FaxONVEipKU-YpCJhGYi5EVN0c8T2vvv6hjCobfftXWxUglHK8zwTLKZuj6nKdyF4aFTv7af2e8WoOqyvDuurw5yqXIh_QEJ21w</recordid><startdate>20240614</startdate><enddate>20240614</enddate><creator>SUNG, GOWOON</creator><creator>GWON, SO-HYEON</creator><creator>JANG, HYESUN</creator><creator>FAULKNER, MELISSA S.</creator><creator>CHA, EUNSEOK</creator><general>American Diabetes Association</general><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope></search><sort><creationdate>20240614</creationdate><title>1821-LB: Differences on Clinical Experiences with Health Care Providers and Disease Perceptions in Early-Onset vs. Later-Onset Koreans with Type 2 Diabetes</title><author>SUNG, GOWOON ; GWON, SO-HYEON ; JANG, HYESUN ; FAULKNER, MELISSA S. ; CHA, EUNSEOK</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c651-b7c0b5a3552519a2a473eb1e78019b5e7d09efc2db8015377a0241703418e36b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Age</topic><topic>Diabetes</topic><topic>Diabetes mellitus (non-insulin dependent)</topic><topic>Diagnosis</topic><topic>Disease management</topic><topic>Health care</topic><topic>Illnesses</topic><topic>Patients</topic><topic>Perceptions</topic><topic>Statistical analysis</topic><topic>Well being</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>SUNG, GOWOON</creatorcontrib><creatorcontrib>GWON, SO-HYEON</creatorcontrib><creatorcontrib>JANG, HYESUN</creatorcontrib><creatorcontrib>FAULKNER, MELISSA S.</creatorcontrib><creatorcontrib>CHA, EUNSEOK</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><jtitle>Diabetes (New York, N.Y.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>SUNG, GOWOON</au><au>GWON, SO-HYEON</au><au>JANG, HYESUN</au><au>FAULKNER, MELISSA S.</au><au>CHA, EUNSEOK</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>1821-LB: Differences on Clinical Experiences with Health Care Providers and Disease Perceptions in Early-Onset vs. Later-Onset Koreans with Type 2 Diabetes</atitle><jtitle>Diabetes (New York, N.Y.)</jtitle><date>2024-06-14</date><risdate>2024</risdate><volume>73</volume><issue>Supplement_1</issue><spage>1</spage><pages>1-</pages><issn>0012-1797</issn><eissn>1939-327X</eissn><abstract>Objective: To examine clinical experiences with healthcare providers and illness perceptions in Koreans with type 2 diabetes (T2D) categorized by age at diagnosis.
Methods: A cross-sectional research design was employed. Of 315 contacts, 165 participants were recruited, comprising 60% men, mean age 46.9 ±12.3 years (range: 20 to 76 years) and mean HbA1c 7.3 ±1.5 %. Participants were divided into two groups based on their age at diagnosis: early-onset (<40 years) or later-onset ( ≥ 40 years). Clinical experiences with healthcare providers and illness perceptions were assessed using self-reported Patient Assessment of Chronic Illness Care survey (PACIC), rated on a scale of 1 to 5, and the Brief Illness Perception Questionnaire, rated on a scale of 0 to 10, respectively. Statistical analyses were conducted using SAS for Windows (version 9.2). The significance level was set at α = .05 (two-tailed).
Findings: Overall, patients were well-informed about treatment plans and options (mean ±SD: 3.8± 0.8), but there was less counseling on goal setting and action plans by healthcare providers, particularly for the later-onset group (mean± SD: 3.0±.8 vs. 2.7±.9, p = .04). Compared to the later-onset group, early-onset group reported that T2D significantly affected their life (6.1±2.5 vs.4.9±2.7, p=.003), experienced more severe symptoms (4.9±2.6 vs.3.9±2.6, p=.02), and had a greater negative impact of emotional well-being (5.5±2.6 vs.4.5±2.9, p=.02). Conclusions: Substantial evidence supports the effectiveness of behavioral goals in promoting behavior change. Individualized behavioral goal-setting and personalized counseling should be provided in clinical practice, especially for those with early-onset T2D who often require strategies to enhance their self-efficacy, mitigate negative perceptions of their health, and bolster empowerment in diabetes management.</abstract><cop>New York</cop><pub>American Diabetes Association</pub><doi>10.2337/db24-1821-LB</doi></addata></record> |
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| identifier | ISSN: 0012-1797 |
| ispartof | Diabetes (New York, N.Y.), 2024-06, Vol.73 (Supplement_1), p.1 |
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| source | EZB-FREE-00999 freely available EZB journals |
| subjects | Age Diabetes Diabetes mellitus (non-insulin dependent) Diagnosis Disease management Health care Illnesses Patients Perceptions Statistical analysis Well being |
| title | 1821-LB: Differences on Clinical Experiences with Health Care Providers and Disease Perceptions in Early-Onset vs. Later-Onset Koreans with Type 2 Diabetes |
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