Evidence map›Paper›PMID 28675539›Full record

ArticleHealth expectations : an international journal of public participation in health care and health policy2017

The association between patient activation and self-care practices: A cross-sectional study of an Australian population with comorbid diabetes and chronic kidney disease.

Edward Zimbudzi, Clement Lo, Sanjeeva Ranasinha, Peter G Kerr, Kevan R Polkinghorne, Helena Teede, Timothy Usherwood, Rowan G Walker, Greg Johnson, Greg Fulcher and 1 more

Abstract read
In one paragraph

Article in Health expectations : an international journal of public participation in health care and health policy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

34 citing papers in PubMed.

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  10. A codesigned integrated kidney and diabetes model of care improves patient activation among patients from culturally and linguistically diverse backgrounds.Health expectations : an international journal of public participation in health care and health policy · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Edward ZimbudziDepartment of Nephrology, Monash Health, Clayton, Vic, Australia.ORCID 0000-0002-2423-9193
Clement LoMonash Centre for Health Research and Implementation, School of Public Health and Preventive Medicine, Monash University, Clayton, Vic, Australia.
Sanjeeva RanasinhaMonash Centre for Health Research and Implementation, School of Public Health and Preventive Medicine, Monash University, Clayton, Vic, Australia.
Peter G KerrDepartment of Nephrology, Monash Health, Clayton, Vic, Australia.
Kevan R PolkinghorneDepartment of Nephrology, Monash Health, Clayton, Vic, Australia.
Helena TeedeMonash Centre for Health Research and Implementation, School of Public Health and Preventive Medicine, Monash University, Clayton, Vic, Australia.
Timothy UsherwoodDepartment of General Practice, Sydney Medical School Westmead, University of Sydney, Sydney, NSW, Australia.
Rowan G WalkerDepartment of Renal Medicine, Alfred Health, Prahran, Vic, Australia.
Greg JohnsonDiabetes Australia, Canberra, ACT, Australia.
Greg FulcherDepartment of Diabetes and Endocrinology, Royal North Shore Hospital, St Leonards, NSW, Australia.
Sophia ZoungasMonash Centre for Health Research and Implementation, School of Public Health and Preventive Medicine, Monash University, Clayton, Vic, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aimed to examine the association between performance of self-care activities and patient or disease factors as well as patient activation levels in patients with diabetes and chronic kidney disease (CKD) in Australia.

methodsA cross-sectional study was conducted among adults with diabetes and CKD (eGFR <60 mL/min/1.73m

resultsA total of 317 patients (70% men) with a mean age of 66.9 (SD=11.0) years participated. The mean (SD) PAM and composite SDSCA scores were 57.6 (15.5) % (range 0-100) and 37.3 (11.2) (range 0-70), respectively. Younger age, being male, advanced stages of CKD and shorter duration of diabetes were associated with lower scores in one or more self-care components. Patient activation was positively associated with the composite SDSCA score, and in particular the domains of general diet and blood sugar checking (P<.05), but not specific diet, exercising and foot checking.

conclusionIn people with diabetes and CKD, a high level of patient activation was positively associated with a higher overall level of self-care. Our results identify subgroups of people who may benefit from tailored interventions to further improve their health outcomes. Further prospective studies are warranted to confirm present findings.

Indexed as

ComorbiditySelf CareAgedAge FactorsAustraliaCross-Sectional StudiesDiabetes Mellitus, Type 2Disease ManagementFemaleHumansMalePatient ParticipationProspective StudiesQuality of LifeRenal Insufficiency, ChronicSex Factorschronic kidney diseasediabetespatient activationself-careself-management

Identifiers

PMID28675539
PMCPMC5689227

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LicenceCC BY
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Registered trials

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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.