Brief report: the burden of diabetes therapy: implications for the design of effective patient-centered treatment regimens
Management of diabetes, and in particular blood glucose, can be complex and burdensome. To evaluate patient views of the burdens of therapy and its impact on self-management. Veteran patients with type 2 diabetes. Mailed survey. Patients described their views of the burden of diabetes treatments, ad...
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| Veröffentlicht in: | Journal of general internal medicine : JGIM 2005-05, Vol.20 (5), p.479-482 |
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| creator | Vijan, Sandeep Hayward, Rodney A Ronis, David L Hofer, Timothy P |
| description | Management of diabetes, and in particular blood glucose, can be complex and burdensome.
To evaluate patient views of the burdens of therapy and its impact on self-management.
Veteran patients with type 2 diabetes.
Mailed survey.
Patients described their views of the burden of diabetes treatments, adherence, and clinical and demographic status. Factors associated with ratings of burden and adherence to therapy were examined using multivariate regression methods.
The response rate was 67% (n=1,653). Patients viewed pills as the least burdensome treatment and insulin as the most burdensome. Ratings of the burden of insulin were lower if a patient had prior experience with therapy. Adherence to prescribed therapy varied substantially; for example, patients followed medication recommendations more closely than other areas of self-management. Multivariate analyses showed that the main predictor of adherence was patients' ratings of the burden of therapy.
Injected insulin regimens are viewed as highly burdensome by patients, although this burden is attenuated by experience. Adherence to self-management is strongly and independently correlated with views of treatment burden. The burden of diabetes-related treatments may be a source of suboptimal glucose control seen in many care settings. Providers should consider the burden of treatment for a particular patient and its impact on adherence as part of a decision-making process to design effective treatment regimens. |
| doi_str_mv | 10.1111/j.1525-1497.2005.0117.x |
| format | Article |
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To evaluate patient views of the burdens of therapy and its impact on self-management.
Veteran patients with type 2 diabetes.
Mailed survey.
Patients described their views of the burden of diabetes treatments, adherence, and clinical and demographic status. Factors associated with ratings of burden and adherence to therapy were examined using multivariate regression methods.
The response rate was 67% (n=1,653). Patients viewed pills as the least burdensome treatment and insulin as the most burdensome. Ratings of the burden of insulin were lower if a patient had prior experience with therapy. Adherence to prescribed therapy varied substantially; for example, patients followed medication recommendations more closely than other areas of self-management. Multivariate analyses showed that the main predictor of adherence was patients' ratings of the burden of therapy.
Injected insulin regimens are viewed as highly burdensome by patients, although this burden is attenuated by experience. Adherence to self-management is strongly and independently correlated with views of treatment burden. The burden of diabetes-related treatments may be a source of suboptimal glucose control seen in many care settings. Providers should consider the burden of treatment for a particular patient and its impact on adherence as part of a decision-making process to design effective treatment regimens.</description><identifier>ISSN: 0884-8734</identifier><identifier>EISSN: 1525-1497</identifier><identifier>DOI: 10.1111/j.1525-1497.2005.0117.x</identifier><identifier>PMID: 15963177</identifier><language>eng</language><publisher>United States: Springer Nature B.V</publisher><subject>Aged ; Diabetes Mellitus, Type 2 - psychology ; Diabetes Mellitus, Type 2 - therapy ; Drug therapy ; Female ; Health Care Surveys ; Humans ; Internal medicine ; Male ; Middle Aged ; Mini-Symposium on Diabetes: Original ; Multivariate Analysis ; Patient Compliance - statistics & numerical data ; Self Care - statistics & numerical data ; United States ; Veterans</subject><ispartof>Journal of general internal medicine : JGIM, 2005-05, Vol.20 (5), p.479-482</ispartof><rights>Society of General Internal Medicine 2005</rights><rights>2005 by the Society of General Internal Medicine 2005</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c339t-77bfbd9b4dde2249ba51a0a3bb44ad9dcff67834e3270c7616fa89976fad8523</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1490106/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1490106/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15963177$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Vijan, Sandeep</creatorcontrib><creatorcontrib>Hayward, Rodney A</creatorcontrib><creatorcontrib>Ronis, David L</creatorcontrib><creatorcontrib>Hofer, Timothy P</creatorcontrib><title>Brief report: the burden of diabetes therapy: implications for the design of effective patient-centered treatment regimens</title><title>Journal of general internal medicine : JGIM</title><addtitle>J Gen Intern Med</addtitle><description>Management of diabetes, and in particular blood glucose, can be complex and burdensome.
To evaluate patient views of the burdens of therapy and its impact on self-management.
Veteran patients with type 2 diabetes.
Mailed survey.
Patients described their views of the burden of diabetes treatments, adherence, and clinical and demographic status. Factors associated with ratings of burden and adherence to therapy were examined using multivariate regression methods.
The response rate was 67% (n=1,653). Patients viewed pills as the least burdensome treatment and insulin as the most burdensome. Ratings of the burden of insulin were lower if a patient had prior experience with therapy. Adherence to prescribed therapy varied substantially; for example, patients followed medication recommendations more closely than other areas of self-management. Multivariate analyses showed that the main predictor of adherence was patients' ratings of the burden of therapy.
Injected insulin regimens are viewed as highly burdensome by patients, although this burden is attenuated by experience. Adherence to self-management is strongly and independently correlated with views of treatment burden. The burden of diabetes-related treatments may be a source of suboptimal glucose control seen in many care settings. Providers should consider the burden of treatment for a particular patient and its impact on adherence as part of a decision-making process to design effective treatment regimens.</description><subject>Aged</subject><subject>Diabetes Mellitus, Type 2 - psychology</subject><subject>Diabetes Mellitus, Type 2 - therapy</subject><subject>Drug therapy</subject><subject>Female</subject><subject>Health Care Surveys</subject><subject>Humans</subject><subject>Internal medicine</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Mini-Symposium on Diabetes: Original</subject><subject>Multivariate Analysis</subject><subject>Patient Compliance - statistics & numerical data</subject><subject>Self Care - statistics & numerical data</subject><subject>United States</subject><subject>Veterans</subject><issn>0884-8734</issn><issn>1525-1497</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNpdUctu3SAQRVWr5jbtL7RWF93Z5WVjsqjURulDitRN9gjMcMOVbVzAUdKvD06u0gcLBoZzzsxwEHpHcEPK-nhoSEvbmnApGopx22BCRHP7DO2e8s_RDvc9r3vB-Al6ldIBY8Io7V-iE9LKjhEhduj3l-jBVRGWEPNZla-hMmu0MFfBVdZrAxnSlo56uTur_LSMftDZhzlVLsQHgoXk9w8EcA6G7G-gWgoG5lwPZYMItsoRdJ7KrdTa-3JIr9ELp8cEb47xFF19vbg6_15f_vz24_zzZT0wJnMthHHGSsOtBUq5NLolGmtmDOfaSjs414mecWBU4EF0pHO6l1KUYPuWslP06VF2Wc0Edmso6lEt0U863qmgvfr3ZfbXah9uVPlETHBXBD4cBWL4tULKavJpgHHUM4Q1qU5I3nKxAd__BzyENc5lNkVxTzrMhSgg8QgaYkgpgnvqhGC1easOavNwKy_U5q3avFW3hfn270H-8I5msnuNL6RK</recordid><startdate>200505</startdate><enddate>200505</enddate><creator>Vijan, Sandeep</creator><creator>Hayward, Rodney A</creator><creator>Ronis, David L</creator><creator>Hofer, Timothy P</creator><general>Springer Nature B.V</general><general>Blackwell Science Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7RV</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2O</scope><scope>M7N</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>200505</creationdate><title>Brief report: the burden of diabetes therapy: implications for the design of effective patient-centered treatment regimens</title><author>Vijan, Sandeep ; Hayward, Rodney A ; Ronis, David L ; Hofer, Timothy P</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c339t-77bfbd9b4dde2249ba51a0a3bb44ad9dcff67834e3270c7616fa89976fad8523</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Aged</topic><topic>Diabetes Mellitus, Type 2 - psychology</topic><topic>Diabetes Mellitus, Type 2 - therapy</topic><topic>Drug therapy</topic><topic>Female</topic><topic>Health Care Surveys</topic><topic>Humans</topic><topic>Internal medicine</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Mini-Symposium on Diabetes: Original</topic><topic>Multivariate Analysis</topic><topic>Patient Compliance - statistics & numerical data</topic><topic>Self Care - statistics & numerical data</topic><topic>United States</topic><topic>Veterans</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Vijan, Sandeep</creatorcontrib><creatorcontrib>Hayward, Rodney A</creatorcontrib><creatorcontrib>Ronis, David L</creatorcontrib><creatorcontrib>Hofer, Timothy P</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Nursing & Allied Health Database</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of general internal medicine : JGIM</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Vijan, Sandeep</au><au>Hayward, Rodney A</au><au>Ronis, David L</au><au>Hofer, Timothy P</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Brief report: the burden of diabetes therapy: implications for the design of effective patient-centered treatment regimens</atitle><jtitle>Journal of general internal medicine : JGIM</jtitle><addtitle>J Gen Intern Med</addtitle><date>2005-05</date><risdate>2005</risdate><volume>20</volume><issue>5</issue><spage>479</spage><epage>482</epage><pages>479-482</pages><issn>0884-8734</issn><eissn>1525-1497</eissn><abstract>Management of diabetes, and in particular blood glucose, can be complex and burdensome.
To evaluate patient views of the burdens of therapy and its impact on self-management.
Veteran patients with type 2 diabetes.
Mailed survey.
Patients described their views of the burden of diabetes treatments, adherence, and clinical and demographic status. Factors associated with ratings of burden and adherence to therapy were examined using multivariate regression methods.
The response rate was 67% (n=1,653). Patients viewed pills as the least burdensome treatment and insulin as the most burdensome. Ratings of the burden of insulin were lower if a patient had prior experience with therapy. Adherence to prescribed therapy varied substantially; for example, patients followed medication recommendations more closely than other areas of self-management. Multivariate analyses showed that the main predictor of adherence was patients' ratings of the burden of therapy.
Injected insulin regimens are viewed as highly burdensome by patients, although this burden is attenuated by experience. Adherence to self-management is strongly and independently correlated with views of treatment burden. The burden of diabetes-related treatments may be a source of suboptimal glucose control seen in many care settings. Providers should consider the burden of treatment for a particular patient and its impact on adherence as part of a decision-making process to design effective treatment regimens.</abstract><cop>United States</cop><pub>Springer Nature B.V</pub><pmid>15963177</pmid><doi>10.1111/j.1525-1497.2005.0117.x</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of general internal medicine : JGIM, 2005-05, Vol.20 (5), p.479-482 |
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| subjects | Aged Diabetes Mellitus, Type 2 - psychology Diabetes Mellitus, Type 2 - therapy Drug therapy Female Health Care Surveys Humans Internal medicine Male Middle Aged Mini-Symposium on Diabetes: Original Multivariate Analysis Patient Compliance - statistics & numerical data Self Care - statistics & numerical data United States Veterans |
| title | Brief report: the burden of diabetes therapy: implications for the design of effective patient-centered treatment regimens |
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