ArticleBMJ open2017
Factors associated with patient activation in an Australian population with comorbid diabetes and chronic kidney disease: a cross-sectional study.
Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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Who cites it
24 citing papers in PubMed.
- A survey on the association between patient activation and quality of life among patients with chronic kidney disease in Japan.Journal of nephrology · 2025Observational
- Investigating the Interplay Between Sleep, Anxiety, and Depression in Chronic Kidney Disease Patients: Implications for Mental Health.Healthcare (Basel, Switzerland) · 2025Article
- Implementing a multisite shared haemodialysis care programme.BMJ open quality · 2024Article
- Factors associated with patient activation among patients with diabetes on hemodialysis: a multicenter cross-sectional study from a developing country.BMC nephrology · 2024Article
- Patient activation in advanced chronic kidney disease: a cross-sectional study.Journal of nephrology · 2024Article
- Patient activation levels and socioeconomic factors among the Amazonas population with diabetes: a cross-sectional study.BMC health services research · 2024Article
- Article
- 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 · 2023Article
- Mental well-being and patient activation during the first eight months of the COVID-19 pandemic in Denmark - a cohort study among 710 Danish adults with chronic conditions.BMC public health · 2023Article
- The role of patient activation in self-care behaviours of Korean older adults with heart failure.Nursing open · 2023Article
- The Patient Activation Measure (PAM) and the pandemic: Predictors of patient activation among Australian health consumers during the COVID-19 pandemic.Health expectations : an international journal of public participation in health care and health policy · 2023Article
- Factors Related to Quality of Life of Hemodialysis Patients during the COVID-19 Pandemic.Healthcare (Basel, Switzerland) · 2023Article
- Multimorbidity and adverse longitudinal outcomes among patients attending chronic outpatient medical care in Bahir Dar, Northwest Ethiopia.Frontiers in medicine · 2023Article
- Patient activation for self-management among adult patients with multimorbidity in primary healthcare settings.Health science reports · 2022Article
- Changes in patient activation in people starting dialysis: A prospective longitudinal, observational study.Hemodialysis international. International Symposium on Home Hemodialysis · 2022Observational
- Profiles of Health-Related Patient Activation and Their Determinants: The Results of a Cluster Analysis of Older Adults-Conclusions for Patient Counselling.International journal of environmental research and public health · 2022Article
- Patient activation and its association with symptom burden and quality of life across the spectrum of chronic kidney disease stages in England.BMC nephrology · 2022Article
- Patient Activation Among Prevalent Hemodialysis Patients: An Observational Cross-Sectional Study.Journal of patient experience · 2022Article
- Patient participation during primary health-care encounters among adult patients with multimorbidity: A cross-sectional study.Health expectations : an international journal of public participation in health care and health policy · 2021Article
- Determinants of patient activation and its association with cardiovascular disease risk in chronic kidney disease: A cross-sectional study.Health expectations : an international journal of public participation in health care and health policy · 2021Article
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Authors and funding
10 authors.
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Abstract
objectiveTo evaluate the extent of patient activation and factors associated with activation in adults with comorbid diabetes and chronic kidney disease (CKD).
designA cross-sectional study.
settingRenal/diabetes clinics of four tertiary hospitals across the two largest states of Australia. STUDY POPULATION: Adult patients (over 18 years) with comorbid diabetes and CKD (estimated glomerular filtration rate <60 mL/min/1.73 m
main outcome measuresPatients completed the Patient Activation Measure, the Kidney Disease Quality of Life and demographic and clinical data survey from January to December 2014. Factors associated with patient activation were examined using χ
resultsThree hundred and five patients with median age of 68 (IQR 14.8) years were studied. They were evenly distributed across socioeconomic groups, stage of kidney disease and duration of diabetes but not gender. Approximately 46% reported low activation. In patients with low activation, the symptom/problem list, burden of kidney disease subscale and mental composite subscale scores were all significantly lower (all p<0.05). On multivariable analysis, factors associated with lower activation for all patients were older age, worse self-reported health in the burden of kidney disease subscale and lower self-care scores. Additionally, in men, worse self-reported health in the mental composite subscale was associated with lower activation and in women, worse self-reported health scores in the symptom problem list and greater renal impairment were associated with lower activation.
conclusionFindings from this study suggest that levels of activation are low in patients with diabetes and CKD. Older age and worse self-reported health were associated with lower activation. This data may serve as the basis for the development of interventions needed to enhance activation and outcomes for patients with diabetes and CKD.
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