A latent profile analysis on patient empowerment programme in a Hong Kong primary care setting |
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| Institution: | 1. Centre on Research and Advocacy, The Hong Kong Society for Rehabilitation, Hong Kong, China;2. Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong, China;3. School of Nursing, The Hong Kong Polytechnic University, Hong Kong, China;4. Centre for Health Education and Health Promotion, The Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China;5. Hospital Authority Head Office, Hong Kong Hospital Authority, Hong Kong, China;1. The Second AffiIiated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China;2. Department of Cardiovascular Medicine, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, China;3. School of Nursing, The Guangzhou University of Chinese Medicine, Guangzhou, China;4. Ethics Committee Office, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, China;5. Office, Southern Medical University Nanfang Hospital, Guangzhou, China;1. Diabetes Educator, IDF-Expert Trainer for Diabetes Conversations Map Tools Programme, Faculty Member of Young Leaders in Diabetes (IDF), Baqai Institute of Diabetology and Endocrinology, Baqai Medical University, Plot No. 1-2, II-B, Block 2, Nazimabad, Karachi 74600, Pakistan;2. Consultant Physician, Department of Medicine, Baqai Institute of Diabetology and Endocrinology, Baqai Medical University, Plot No. 1-2, II-B, Block 2, Nazimabad, Karachi 74600, Pakistan;3. International Lead Facilitator, Healthy Interactions, 351 West Hubbard St. #400, Chicago, IL 60654, United States;4. Assistant Professor of Biochemistry, Baqai Medical University, Karachi, Pakistan;5. Senior Research Scientist, Baqai Institute of Diabetology and Endocrinology, Baqai Medical University, Plot No. 1-2, II-B, Block 2, Nazimabad, Karachi 74600, Pakistan;6. Professor of Medicine, Department of Medicine, Baqai Institute of Diabetology and Endocrinology, Baqai Medical University, Plot No. 1-2, II-B, Block 2, Nazimabad, Karachi 74600, Pakistan;1. Department of Nursing, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran;3. Department of Medical Surgical Nursing, Maternal and Childhood Obesity Research Center, Urmia University of Medical Sciences, Urmia, Iran;1. Department of Pediatrics, Nemours/Alfred I. duPont Hospital for Children, Wilmington, DE, USA;2. Nemours Biomedical Research, Nemours/Alfred I. duPont Hospital for Children, Wilmington, DE, USA;3. Jefferson Medical College, Thomas Jefferson University, Philadelphia, PA, USA |
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| Abstract: | ObjectiveThis study identified the profiles of subgroups of type 2 diabetic (T2DM) patients of the Patient Empowerment Programme (PEP) by different levels of benefits gained in diabetic self-management behaviors, self-efficacy, and health literacy.MethodsThis study adopted a non-experimental repeated-measures design on T2DM patients who joined PEP, using structured questionnaires. Latent profile analysis (LPA) was used to identify patterns of participants’ change on the outcome measures.ResultsFindings of LPA revealed that participants who were older, unemployed, weaker in diabetic self-management, and having a higher self-perception in personal disease risk were more likely to join the empowerment sessions and gained more benefits from the program. Participants with lower impairment in energy function and lower autonomy in personal health care showed more improvement in the outcomes.ConclusionThe study identified significant factors associated with patients’ participation on and benefits gained from a service delivery model integrating health education and patient empowerment in a primary care setting.Practice implicationFindings from this study shed light on strategies to improve the PEP design in order to meet the needs of individuals with different health-related profiles. |
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| Keywords: | Patient education Empowerment PEP Primary care Selfmanagement Latent profile analysis |
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