| Affiliation: | 1. The Research Unit for General Practice and Section of General Practice, Department of Public Health, University of Copenhagen, Copenhagen, Denmark;2. Research Unit of General Practice, Department of Public Health, University of Southern Denmark, Odense, Denmark;3. Section of Neurology, Department of Medicine, University of Perugia, Perugia, Italy;4. Health Planning Service, Department of Epidemiology, Regional Health Authority of Umbria, Perugia, Italy;5. Research Unit for General Practice, Uni Research Health, Bergen, Norway;6. Department of Global Public Health and Primary Care, University of Bergen, Norway |
| Abstract: | AimsTo explore the effect of structured personal care on diabetes symptoms and self-rated health over 14 years after diabetes diagnosis while patients are gradually diagnosed with other chronic conditions (multimorbidity).MethodsPost hoc analysis of the Danish randomized controlled trial Diabetes Care in General Practice including 1381 patients newly diagnosed with type 2 diabetes. The effect of structured personal care compared with routine care on diabetes symptoms and self-rated health was analysed 6 and 14 years after diagnosis with a generalized multilevel Rasch model.ResultsStructured personal care reduced the overall likelihood of reporting diabetes symptoms at the end of the intervention (OR 0.79; 95% CI: 0.64–0.97), but this effect was not explained by glycaemic control or multimorbidity. There was no effect of the intervention on diabetes symptoms after 14 years or on self-rated health after 6 years or 14 years.ConclusionsStructured personal care had a beneficial effect on diabetes symptoms 6 years after diagnosis, but not on self-rated health at either follow up point. To optimally manage patients over time it is important to supplement clinical information by information provided by the patients. |
