Department of Clinical Pharmacy and Pharmacology, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands.
Department of Health and Community Sciences, College of Medicine and Health, University of Exeter, UK.
Prim Care Diabetes. 2024 Jun;18(3):347-355. doi: 10.1016/j.pcd.2024.03.006. Epub 2024 Apr 4.
To assess the willingness of people with type 2 diabetes (T2D) to engage in healthy eating, physical activity and medication taking, and explore associated patient factors.
Online survey among recently diagnosed T2D patients recruited in the Netherlands and the United Kingdom (UK). Patient factors included general factors and behaviour-specific beliefs. Logistic regression analyses and explorative comparisons were conducted.
Overall, 48% of 67 patients were willing to engage in all three management options, whereas 6% were not willing to follow any of them. 73% were willing to manage T2D with healthy eating, 73% with physical activity, and 72% with medication. Country of recruitment was significantly associated with willingness for healthy eating, with higher willingness among Dutch participants. Beliefs surrounding capability, opportunity, and motivation were significantly associated with willingness to engage in physical activity and medication taking. Many beliefs were similar regardless of willingness but those willing to engage in physical activity perceived less barriers and those willing to take medication had more positive and less negative outcome beliefs than those not willing.
Willingness to engage in all management options was limited among recently diagnosed patients, and partly associated with behaviour-specific patient beliefs.
评估 2 型糖尿病（T2D）患者参与健康饮食、身体活动和药物治疗的意愿，并探讨相关的患者因素。
在荷兰和英国（UK）招募的近期诊断为 T2D 的患者中进行在线调查。患者因素包括一般因素和行为特定信念。进行了逻辑回归分析和探索性比较。
总体而言，67 名患者中有 48%愿意接受所有三种管理方案，而 6%的患者不愿意接受任何一种方案。73%的患者愿意通过健康饮食、73%的患者愿意通过身体活动、72%的患者愿意通过药物治疗来管理 T2D。招募国家与健康饮食的意愿显著相关，荷兰参与者的意愿更高。与能力、机会和动机相关的信念与参与身体活动和药物治疗的意愿显著相关。许多信念是相似的，无论是否愿意，但愿意参与身体活动的人认为障碍较少，而愿意服药的人对结果的看法比不愿意服药的人更积极，更不消极。
在近期诊断的患者中，参与所有管理方案的意愿有限，部分与行为特定的患者信念相关。
