ArticleDiabetes, metabolic syndrome and obesity : targets and therapy2025
Knowledge, Attitudes, and Practices of Elderly Diabetic Patients and Their Families Regarding Comorbid Non-Alcoholic Fatty Liver Disease: A Structural Equation Modeling Analysis.
Article in Diabetes, metabolic syndrome and obesity : targets and therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Abstract
Background: To explore the knowledge, attitudes, and practices (KAP) concerning non-alcoholic fatty liver disease (NAFLD) among elderly diabetic patients and their families. Methods: A cross-sectional survey was conducted in the outpatient and inpatient units of the Endocrinology Department at Baoding First Hospital of Traditional Chinese Medicine between September, 2023, and March, 2024. Data and KAP scores were collected using a self-designed questionnaires. Results: The survey yielded 511 valid responses. Of these respondents, 361 (70.65%) were patients, and 177 (34.64%) were diagnosed with NAFLD. The mean scores for knowledge, attitudes, and practices among patients were 5.20 ± 3.37, 37.98 ± 3.96, and 41.85 ± 5.92, respectively, while the scores among patients' family members were 6.42 ± 4.22, 37.72 ± 4.46, and 41.31 ± 7.02, respectively. Structural equation modeling (SEM) demonstrated significant direct and indirect influences on knowledge, attitude, and practice. Education level (β = 0.71, P < 0.001) were direct determinants of knowledge. Directly, knowledge (β = 0.42, P < 0.001), use of antidiabetic medications (β = -1.8, P < 0.001), and body mass index (BMI) (β = 0.11, P = 0.011) influenced attitude, while knowledge (β = 0.33, P < 0.001), attitude (β = 0.64, P < 0.001), and NAFLD (β = -1.2, P < 0.001) affected practice. Indirectly, education level (β = 0.30, P < 0.001) influenced attitude; education level (β = 0.43, P < 0.001), BMI (β = 0.07, P = 0.013), and use of antidiabetic medications (β = -1.1, P = 0.001) impacted practice. Conclusion: Despite elderly diabetic patients and their families showing a general lack of in-depth knowledge about NAFLD, they exhibit positive attitudes and proactive practices toward managing the condition. Healthcare providers should focus on enhancing educational interventions targeted at this demographic to improve knowledge, which is crucial for sustaining positive attitudes and effective practices in NAFLD management.
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