Michele Heisler|Irene Cole|David R. Weir|Eve A. Kerr|Rodney A. Hayward
Does Physician Communication Influence Older Patients' Diabetes Self-Management and Glycemic Control? Results From the Health and Retirement Study (HRS)
VA Ann Arbor Healthcare System|University of Michigan–Ann Arbor|University of Michigan–Ann Arbor|University of Michigan–Ann Arbor|VA Ann Arbor Healthcare System|University of Michigan–Ann Arbor|VA Ann Arbor Healthcare System|University of Michigan–Ann Arbor
effective chronic disease selfmanagement among older adults crucial improved clinical outcomes assessed relative importance two dimensions physician communicationprovision information pcom participatory decisionmaking pdmfor older patients diabetes selfmanagement glycemic controlwe conducted national crosssectional survey among 1588 older communitydwelling adults diabetes response rate 81 independent associations examined patients ratings physicians pcom pdm patients reported diabetes selfmanagement medication adherence diet exercise blood glucose monitoring foot care adjusting patient sociodemographics illness severity comorbidities among respondents hemoglobin a1c hba1c values available n1233 relationship assessed patient selfmanagement hba1c valuesin separate multivariate regressions pcom pdm associated overall diabetes selfmanagement p001 selfmanagement domains p001 models exception pdm associated medication adherence models pcom pdm pcom alone predicted medication adherence p001 foot care p002 pdm alone associated exercise blood glucose monitoring p001 stronger independent predictor pcom diet better patient ratings diabetes selfmanagement associated lower hba1c values b 10 p005among older adults diabetes providers provision information efforts actively involve treatment decisionmaking associated better overall diabetes selfmanagement involving older patients setting chronic disease goals decisionmaking however appears especially important selfcare areas demand behaviorally complex lifestyle adjustments exercise diet blood glucose monitoring