ArticlePatient education and counseling2017
Does patient activation predict the course of type 2 diabetes? A longitudinal study.
Article in Patient education and counseling, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 48 papers, 3 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Effect of Remote Patient Monitoring and Patient Education on Patient Activation and Glycemic Control in Individuals With Type 2 Diabetes
Can Diabetes Distress be Reduced by Improving Entry to Care for People With Type 2 Diabetes Mellitus: A Cluster-randomized Trial
Who cites it
48 citing papers in PubMed, 3 syntheses or guidelines pooled it, 97 citations in OpenAlex.
- Pooled it
- Patients' Use of Social Media for Diabetes Self-Care: Systematic Review.Journal of medical Internet research · 2020Pooled it
- Development of type 2 diabetes mellitus in people with intermediate hyperglycaemia.The Cochrane database of systematic reviews · 2018Pooled it
- mHealth Intervention to Improve Hypertension Care in High-Risk Patients.Hypertension (Dallas, Tex. : 1979) · 2026Trial
- Feasibility, acceptability and preliminary impact on diet quality of the Healthy Weight for Life™ + medical nutrition therapy; a randomised controlled pilot study.The international journal of behavioral nutrition and physical activity · 2026Trial
- Diabetes status modifies the efficacy of home-based kidney care for Zuni Indians in a randomized controlled trial.Journal of diabetes and its complications · 2021Trial
- Impact of a community-based approach to patient engagement in rural, low-income adults with type 2 diabetes.Public health nursing (Boston, Mass.) · 2020Trial
- Encouraging Self-Management in Cardiovascular Disease Prevention.Deutsches Arzteblatt international · 2018Trial
- Patient Activation After New Diabetes Diagnosis: Interpreting Early Adaptation in Diabetes Care.Research in nursing & health · 2026Article
- Patient Activation and Diabetes Outcomes Among Jordanian Patients With Type 2 Diabetes: Longitudinal Evidence on Adherence and Glycemic Control With Linear Mixed Model Analysis.Research in nursing & health · 2026Article
- Rasch analysis on the patient activation measure among people with spinal cord injury in China.Spinal cord · 2026Article
- The relationships between patient activation, patient-physician relationship, and patient engagement and medication adherence: model research on the mediating role.BMC psychology · 2026Article
- Exploring user perspectives on SMART: qualitative study of novel digital intervention targeting metabolic care in schizophrenia and related disorders.BJPsych open · 2026Article
- Article
- Experiences With a Novel Micro-Choice-Based Concentrated Group Intervention for People With Type 2 Diabetes: A Qualitative Study.The science of diabetes self-management and care · 2025Article
- Latent Profile Analysis for Patient Activation in Patients with Essential Hypertension.Patient preference and adherence · 2025Article
- Association of Behavioral Factors with Activation in Patients with Age-Related Macular Degeneration or Diabetic Retinopathy.Clinical ophthalmology (Auckland, N.Z.) · 2025Article
- Socio-Clinical factors associated with Parkinson's disease-related specific self-management behaviours.Chronic illness · 2024Article
- Article
- Associations of cognitive appraisal and patient activation on disability and mental health outcomes: a prospective cohort study of patients undergoing spine surgery.BMC musculoskeletal disorders · 2024Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo examine whether patient activation is predictive of the course of diabetes over a three year period among patients with and without diabetes.
methodsLongitudinal analyses utilized electronic health record data from 2011 to 2014. We examined how the patient activation measure (PAM) was predictive of 2014 diabetes-related outcomes among patients with diabetes (n=10,071); pre-diabetes (n=1804); and neither diabetes nor pre-diabetes (n=46,402). Outcomes were clinical indicators (blood pressure, cholesterol, and trigylcerides), costly utilization, and progression from no diabetes to pre-diabetes or diabetes.
resultsHigher PAM level predicted better clinical indicator control in patients with diabetes. In patients with pre-diabetes, PAM level predicted better clinical indicator control, and those in the highest level of PAM in 2011 had lower odds of having a hospitalization compared to those in the lowest level. In patients without diabetes or pre-diabetes in 2011, higher PAM level was associated with lower odds of developing pre-diabetes.
conclusionsMore activated patients with diabetes and pre-diabetes had better outcomes than less activated patients. More activated patients without diabetes or pre-diabetes were less likely to develop pre-diabetes over a three year period. PRACTICE IMPLICATIONS: Strategies to improve patient activation may be useful to help curb the diabetes epidemic.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.