Patient Commitment and Its Relationship to A1C

Authors

Jana L. Wardian PhD, University of Nebraska Medical CenterFollow
Danielle Bersabe, Wilford Hall Ambulatory Surgical Center (WHASC)
Chris Duke, Altarum Institute
Tom J. Sauerwein, Wilford Hall Ambulatory Surgical Center (WHASC)

Document Type

Article

Journal Title

Clinical Diabetes

Publication Date

2018

Volume

36

Abstract

IN BRIEF This study examined the relationship between patient commitment and A1C. Patients completed the Altarum Consumer Engagement (ACE) measure. Multiple A1C values were extracted from medical records for 273 military beneficiaries. Effects were analyzed with generalized linear models. The ACE Commitment subscale was significantly inversely related to A1C trends. Low-commitment patients were more likely to have a high A1C. High-commitment patients were 16% more likely to have an A1C <7.0%; this likelihood increased to 65% over time. The ACE Commitment domain may be a useful clinical tool. Increasing patients' commitment to managing diabetes may improve their A1C over time.

DOI Link

10.2337/cd18-0003

ISSN

0891-8929

Creative Commons License

This work is licensed under a Creative Commons Public Domain Dedication 1.0 License.

Rights

U.S. Government Work

Recommended Citation

Wardian, Jana L. PhD; Bersabe, Danielle; Duke, Chris; and Sauerwein, Tom J., "Patient Commitment and Its Relationship to A1C" (2018). Journal Articles: Hospital Medicine. 13.
https://digitalcommons.unmc.edu/com_hosp_articles/13