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BRIEF REPORT: The Burden of Diabetes Therapy
dc.contributor.authorVijan, Sandeepen_US
dc.contributor.authorHayward, Rodney A.en_US
dc.contributor.authorRonis, David L.en_US
dc.contributor.authorHofer, Timothy P.en_US
dc.date.accessioned2010-06-01T21:02:21Z
dc.date.available2010-06-01T21:02:21Z
dc.date.issued2005-05en_US
dc.identifier.citationVijan, Sandeep; Hayward, Rodney A.; Ronis, David L.; Hofer, Timothy P. (2005). "BRIEF REPORT: The Burden of Diabetes Therapy." Journal of General Internal Medicine 20(5): 479-482. <http://hdl.handle.net/2027.42/74130>en_US
dc.identifier.issn0884-8734en_US
dc.identifier.issn1525-1497en_US
dc.identifier.urihttps://hdl.handle.net/2027.42/74130
dc.identifier.urihttp://www.ncbi.nlm.nih.gov/sites/entrez?cmd=retrieve&db=pubmed&list_uids=15963177&dopt=citationen_US
dc.description.abstractManagement of diabetes, and in particular blood glucose, can be complex and burdensome. Objective : To evaluate patient views of the burdens of therapy and its impact on self-management. Patients : Veteran patients with type 2 diabetes. Design : Mailed survey. Measurements : 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. Results : 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. Conclusions : 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.en_US
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dc.format.extent3109 bytes
dc.format.mimetypeapplication/pdf
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dc.publisherBlackwell Science Incen_US
dc.rights© 2005 by the Society of General Internal Medicine. All rights reserveden_US
dc.subject.otherDiabetesen_US
dc.subject.otherSelf-managementen_US
dc.subject.otherPatient Preferencesen_US
dc.titleBRIEF REPORT: The Burden of Diabetes Therapyen_US
dc.typeArticleen_US
dc.subject.hlbsecondlevelInternal Medicine and Specialtiesen_US
dc.subject.hlbtoplevelHealth Sciencesen_US
dc.description.peerreviewedPeer Revieweden_US
dc.contributor.affiliationumMichigan Diabetes Research and Training Center , anden_US
dc.contributor.affiliationumSchool of Nursing, University of Michigan, Ann Arbor, MI, USA .en_US
dc.contributor.affiliationotherVeterans Affairs Center for Practice Management and Outcomes Research, Ann Arbor, MI, USA ;en_US
dc.contributor.affiliationotherDepartment of General Internal Medicine ,en_US
dc.identifier.pmid15963177en_US
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/74130/1/j.1525-1497.2005.0117.x.pdf
dc.identifier.doi10.1111/j.1525-1497.2005.0117.xen_US
dc.identifier.sourceJournal of General Internal Medicineen_US
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dc.owningcollnameInterdisciplinary and Peer-Reviewed


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