ArticlePatient education and counseling2015
Health communication, self-care, and treatment satisfaction among low-income diabetes patients in a public health setting.
Article in Patient education and counseling, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers.
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Who cites it
51 citing papers in PubMed, 132 citations in OpenAlex.
- Feasibility and Short-Term Effects of a Multi-Component Emergency Department Blood Pressure Intervention: A Pilot Randomized Trial.Journal of the American Heart Association · 2022Trial
- Hypoglycemia Communication in Primary Care Visits for Patients with Diabetes.Journal of general internal medicine · 2021Trial
- The Partnership to Improve Diabetes Education Trial: a Cluster Randomized Trial Addressing Health Communication in Diabetes Care.Journal of general internal medicine · 2020Trial
- Testing patient-informed approaches for visually depicting the hemoglobin A1c value to patients with poorly controlled diabetes: a randomized, controlled trial.BMC health services research · 2020Trial
- Group Versus Individual Educational Sessions With aAJR. American journal of roentgenology · 2019Trial
- Reimagining Health Communication: A Noninferiority Randomized Controlled Trial of Crowdsourced Intervention in China.Sexually transmitted diseases · 2019Trial
- Evaluation of the effects of a diabetes educational program: a randomized clinical trial.Revista de saude publica · 2018Trial
- Mediators and Moderators of Improvements in Medication Adherence.Health education & behavior : the official publication of the Society for Public Health Education · 2017Trial
- Perceptions of Provider Communication Among Vulnerable Patients With Diabetes: Influences of Medical Mistrust and Health Literacy.Journal of health communication · 2016Trial
- A Composite Indicator for Primary Diabetes Care: A Cross-Sectional Study in Hungary.Healthcare (Basel, Switzerland) · 2025Article
- The dialogue dilemma: the role of patient-clinician communication for low-income people who smoke and manage multiple conditions.Frontiers in medicine · 2025Article
- Associations between usual source of care characteristics and health outcomes in diabetes mellitus: a focus on medication adherence and healthy behaviors in Korea.Epidemiology and health · 2025Article
- Topic modeling and social network analysis approach to explore diabetes discourse on Twitter in India.Frontiers in artificial intelligence · 2024Article
- 1. Improving Care and Promoting Health in Populations: Standards of Care in Diabetes-2024.Diabetes care · 2024Review
- Patient perspectives of diabetes care in primary care networks in Singapore: a mixed-methods study.BMC health services research · 2023Article
- Exploring facilitators and barriers to patient-provider communication regarding diabetes self-management.PEC innovation · 2023Article
- Creating Patient Context: Empathy and Attitudes Toward Diabetes Following Virtual Immersion.Journal of diabetes science and technology · 2023Article
- Article
- eDECIDE a web-based problem-solving interventions for diabetes self-management: Protocol for a pilot clinical trial.Contemporary clinical trials communications · 2023Article
- 1. Improving Care and Promoting Health in Populations: Standards of Care in Diabetes-2023.Diabetes care · 2023Review
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
Abstract
objectiveDiabetes patients with limited resources often experience suboptimal care. Less is known about the role of effective health communication (HC) in caring for low income diabetes patients.
methodsTen health department clinics in TN participated in a trial evaluating a literacy-sensitive communication intervention. We assessed the quality of baseline HC and measured associations with diabetes outcomes. Assessments included: demographics, measures of HC, health literacy, self-care behaviors, self-efficacy, medication non-adherence, treatment satisfaction, and A1C. Unadjusted and adjusted multivariable regression models were used to test associations.
resultsParticipants (N=411) were 49.7±9.5 years, 61% female, uninsured (96%), with A1C 9.6±2.1. In unadjusted analyses, better communication, was associated with lower medication non-adherence (OR 0.40-0.68, all p<0.05), higher treatment satisfaction (OR 1.76-1.96, all p<0.01), portion size reduction (OR 1.43, p<0.05), diabetes self-efficacy (OR 1.41, p<0.05), and lower A1C (β=-0.06, p<0.01). In adjusted analyses, communication quality remained associated with lower medication non-adherence (AOR 0.39-0.68, all p<0.05), and higher treatment satisfaction (AOR 1.90-2.21, all p<0.001).
conclusionsBetter communication between low-income patients and providers was independently associated with lower medication non-adherence and higher treatment satisfaction. PRACTICE IMPLICATIONS: Communication quality may be an important modifiable approach to improving diabetes care for vulnerable populations.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.