Health and Diabetes Self-efficacy: a Study of Diabetic and Non-diabetic Free Clinic Patients and Family Members

Overview

Journal J Community Health

Publisher Springer

Specialty Public Health

Date 2014 Feb 6

PMID 24496670

Citations 5

Authors

Akiko Kamimura

Nancy Christensen

Kyl Myers

Maziar M Nourian

Jeanie Ashby

Jessica L J Greenwood

Justine J Reel

Affiliations

Soon will be listed here.

Abstract

Free clinics across the country provide free or reduced fee healthcare to individuals who lack access to primary care and are socio-economically disadvantaged. This study examined perceived health status among diabetic and non-diabetic free clinic patients and family members of the patients. Diabetes self-efficacy among diabetic free clinic patients was also investigated with the goal of developing appropriate diabetes health education programs to promote diabetes self-management. English or Spanish speaking patients and family members (N = 365) aged 18 years or older completed a self-administered survey. Physical and mental health and diabetes self-efficacy were measured using standardized instruments. Diabetic free clinic patients reported poorer physical and mental health and higher levels of dysfunction compared to non-diabetic free clinic patients and family members. Having a family history of diabetes and using emergency room or urgent care services were significant factors that affected health and dysfunction among diabetic and non-diabetes free clinic patients and family members. Diabetic free clinic patients need to receive services not only for diabetes, but also for overall health and dysfunction issues. Diabetes educational programs for free clinic patients should include a component to increase diabetes empowerment as well as the knowledge of treatment and management of diabetes. Non-diabetic patients and family members who have a family history of diabetes should also participate in diabetes education. Family members of free clinic patients need help to support a diabetic family member or with diabetes prevention.

Citing Articles

Differences between the perspectives of physicians and patients on the potential barriers to optimal diabetes control in China: a multicenter study.

Liu C, Xu S, Ming J, Jia A, Wei Y, Li H BMC Health Serv Res. 2018; 18(1):961.

PMID: 30541544 PMC: 6292153. DOI: 10.1186/s12913-018-3783-5.

Association Between Health-Related Beliefs and Oral Health Behaviors Among Uninsured Primary Care Patients.

Kamimura A, Gull B, Weaver S, Wright L, Ashby J, Erickson L J Prim Care Community Health. 2016; 8(3):115-121.

PMID: 27903790 PMC: 5932687. DOI: 10.1177/2150131916680887.

Promoting Healthy Eating Attitudes Among Uninsured Primary Care Patients.

Kamimura A, Tabler J, Nourian M, Jess A, Stephens T, Aguilera G J Community Health. 2016; 41(4):805-11.

PMID: 26831483 DOI: 10.1007/s10900-016-0157-y.

Satisfaction with healthcare services among free clinic patients.

Kamimura A, Ashby J, Myers K, Nourian M, Christensen N J Community Health. 2014; 40(1):62-72.

PMID: 24912587 DOI: 10.1007/s10900-014-9897-8.

The relationship between diabetes attitudes and treatment among free clinic patients and volunteers.

Kamimura A, Christensen N, Nourian M, Myers K, Saunders A, Solis S J Community Health. 2014; 39(6):1186-92.

PMID: 24756836 DOI: 10.1007/s10900-014-9875-1.

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