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Icks, A.* ; Haastert, B.* ; Arend, W.* ; Konein, J.* ; Thorand, B. ; Holle, R. ; Laxy, M. ; Schunk, M. ; Neumann, A.* ; Wasem, J.* ; Chernyak, N.*

Time spent on self-management by people with diabetes: Results from the population-based KORA survey in Germany.

Diabetic Med. 36, 970-981 (2019)
DOI PMC
Open Access Green as soon as Postprint is submitted to ZB.
Aims Time needed for health-related activities in people with diabetes is assumed to be substantial, yet available data are limited. Time spent on self-management and associated factors was analysed using cross-sectional data from people with diagnosed diabetes enrolled in a population-based study. Methods Mean total time spent on self-management activities was estimated using a questionnaire for all participants with diagnosed diabetes in the KORA FF4 study (n = 227, 57% men, mean age 69.7, sd 9.9 years). Multiple two-part regression models were fitted to evaluate associated factors. Multiple imputation was performed to adjust for bias due to missing values. Results Some 86% of participants reported spending time on self-management activities during the past week. Over the entire sample, a mean of 149 (sd 241) min/week were spent on self-management-activities. People with insulin or oral anti-hyperglycaemic drug treatment, better diabetes education, HbA(1c) 48 to < 58 mmol/mol (6.5% to < 7.5%) or lower quality of life, spent more time on self-management activities. For example, people without anti-hyperglycaemic medication invested 66 min/week in self-management, whereas those taking insulin and oral anti-hyperglycaemic drugs invested 269 min/week (adjusted ratio 4.34, 95% confidence interval 1.85-10.18). Conclusions Time spent on self-management activities by people with diabetes was substantial and varied with an individual's characteristics. Because of the small sample size and missing values, the results should be interpreted in an explorative manner. Nevertheless, time needed for self-management activities should be routinely considered because it may affect diabetes self-care and quality of life.
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Publication type Article: Journal article
Document type Scientific Article
Corresponding Author
Keywords Costs
ISSN (print) / ISBN 0742-3071
e-ISSN 1464-5491
Journal Diabetic Medicine
Quellenangaben Volume: 36, Issue: 8, Pages: 970-981 Article Number: , Supplement: ,
Publisher Wiley
Publishing Place 111 River St, Hoboken 07030-5774, Nj Usa
Non-patent literature Publications
Reviewing status Peer reviewed
Institute(s) Institute of Epidemiology II (EPI2)
Institute of Health Economics and Health Care Management (IGM)