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Disease management status: a typology of Latino and Euro-American patients with type 2 diabetes.

Publication ,  Journal Article
Fisher, L; Chesla, CA; Skaff, MA; Gilliss, C; Kanter, RA; Lutz, CP; Bartz, RJ
Published in: Behavioral medicine (Washington, D.C.)
January 2000

The number of indicators of chronic disease management is large and no practical framework is available to guide selection for use in intervention programs. In addition, it is often difficult to integrate multiple disease management indicators into a comprehensive picture of patient functioning. The authors present a heuristic framework for creating a profile of disease management and an empirically based descriptive typology of disease management behavior. From the literature, they identified 5 domains of disease management indicators: biologic, general health and functional status, emotional tone, quality of life, and behavioral. They selected 11 scales and assessed 187 patients with type 2 diabetes. Five statistically replicable patient disease management types were derived from exploratory and confirmatory cluster analyses and a descriptive narrative was created for each: balanced (33%), problematic (6%), coasters (34%), discouraged (16%), and distressed (11%). The typology describes different presentations of disease management that can be linked with patient-tailored interventions for patients with type 2 diabetes.

Duke Scholars

Published In

Behavioral medicine (Washington, D.C.)

DOI

ISSN

0896-4289

Publication Date

January 2000

Volume

26

Issue

2

Start / End Page

53 / 66

Related Subject Headings

  • White People
  • Sick Role
  • Self Care
  • Quality of Life
  • Public Health
  • Personality Assessment
  • Patient Compliance
  • Middle Aged
  • Male
  • Humans
 

Citation

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Fisher, L., Chesla, C. A., Skaff, M. A., Gilliss, C., Kanter, R. A., Lutz, C. P., & Bartz, R. J. (2000). Disease management status: a typology of Latino and Euro-American patients with type 2 diabetes. Behavioral Medicine (Washington, D.C.), 26(2), 53–66. https://doi.org/10.1080/08964280009595752
Fisher, L., C. A. Chesla, M. A. Skaff, C. Gilliss, R. A. Kanter, C. P. Lutz, and R. J. Bartz. “Disease management status: a typology of Latino and Euro-American patients with type 2 diabetes.Behavioral Medicine (Washington, D.C.) 26, no. 2 (January 2000): 53–66. https://doi.org/10.1080/08964280009595752.
Fisher L, Chesla CA, Skaff MA, Gilliss C, Kanter RA, Lutz CP, et al. Disease management status: a typology of Latino and Euro-American patients with type 2 diabetes. Behavioral medicine (Washington, DC). 2000 Jan;26(2):53–66.
Fisher, L., et al. “Disease management status: a typology of Latino and Euro-American patients with type 2 diabetes.Behavioral Medicine (Washington, D.C.), vol. 26, no. 2, Jan. 2000, pp. 53–66. Epmc, doi:10.1080/08964280009595752.
Fisher L, Chesla CA, Skaff MA, Gilliss C, Kanter RA, Lutz CP, Bartz RJ. Disease management status: a typology of Latino and Euro-American patients with type 2 diabetes. Behavioral medicine (Washington, DC). 2000 Jan;26(2):53–66.
Journal cover image

Published In

Behavioral medicine (Washington, D.C.)

DOI

ISSN

0896-4289

Publication Date

January 2000

Volume

26

Issue

2

Start / End Page

53 / 66

Related Subject Headings

  • White People
  • Sick Role
  • Self Care
  • Quality of Life
  • Public Health
  • Personality Assessment
  • Patient Compliance
  • Middle Aged
  • Male
  • Humans