Patient Engagement in Treatment and its Determinants among Rural Indian Adults with Hypertension and Diabetes.
Background: Patient engagement enhances safety, improves quality, and leads to better treatment compliance and disease control, especially in chronic noncommunicable diseases. However, it continues to be poor in many developing countries. We assessed patient engagement in disease management and asso...
| Publicado en: | Indian Journal of Community Medicine Vol. 51; no. 3; pp. 553 - 560 |
|---|---|
| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wolters Kluwer India Pvt Ltd
May/Jun2026
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=194365181&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 194365181 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09700218 1CQJ jtl: Indian Journal of Community Medicine issn: 09700218 maglogo: N pubinfo: dt: May/Jun2026 vid: 51 iid: 3 pid: 16919 pub: Wolters Kluwer India Pvt Ltd artinfo: ui: 194365181 194365181 194365181 10.4103/ijcm.ijcm_543_25 194365181 ppf: 553 ppct: 7 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Patient Engagement in Treatment and its Determinants among Rural Indian Adults with Hypertension and Diabetes. aug: au: Singh, Udita Krishnan, Anand Bairwa, Mohan Lal Nongkynrih, Baridalyne affil: Department of Community and Family Medicine, AIIMS Bathinda, Punjab, India sug: subj: Chronic Disease Therapy Hypertension Therapy Diabetes Mellitus Therapy Patient Participation Psychosocial Factors Patient Compliance Evaluation Hypertension Prevention and Control Diabetes Mellitus Prevention and Control Rural Population India Sociodemographic Factors Human Male Female India Adult Middle Age Aged Diabetic Patients Cross Sectional Studies Random Sample Scales Noncommunicable Diseases Patient Centered Care Primary Health Care Disease Management Questionnaires T-Tests Data Analysis Software Bivariate Statistics Multiple Linear Regression Health Literacy Social Class Employment Status Socioeconomic Factors Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Background: Patient engagement enhances safety, improves quality, and leads to better treatment compliance and disease control, especially in chronic noncommunicable diseases. However, it continues to be poor in many developing countries. We assessed patient engagement in disease management and associated factors among people with diabetes and hypertension in a rural population of Faridabad, Haryana, India. Materials and Methods: This community-based cross-sectional study was conducted among adults aged 30–65 years with known diabetes and/or hypertension, identified randomly from 20 villages under 10 primary health centers (PHC) in Faridabad, Haryana. Patient engagement was measured by the 20-item Patient Assessment for Chronic Illness Care (PACIC) tool with five subscales using a 5-point Likert scale administered at their homes. Socio-demographic factors and treatment seeking were also asked. Statistical Analysis Used: A multivariate linear regression was done using the PACIC score as the dependent variable and other socio-demographic factors and place of treatment as independent variables. Results: Among the 300 participants (56% women), the mean (SD) age was 51.8 (10.2) years; 64.3% were unemployed, and 31.7% were illiterate. The overall mean (SD) PACIC score was 2.1 (0.63) out of 5; domain-wise scores were patient activation (1.4), decision support (2.5), goal setting (2.2), problem solving (3.0), and follow-up (1.2). In the multivariate analysis, patients who were literate or belonged to a higher socioeconomic status had significantly higher PACIC scores, and those working as laborers or in caste-based occupations or cultivation had lower PACIC scores as compared to the unemployed. Conclusion: Patient engagement in patients with diabetes and hypertension in the rural population of Haryana was low and was associated with poor literacy, occupation (laborer), and socioeconomic status. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|