A psychosocial taxonomy of patients with diabetes

Validation in a primary care setting

Thomas Guck, M. A. Banfield, S. M. Tran, J. F. Levy, M. D. Goodman, E. J. Barone, A. L. Goeser

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Aims: The aims of this study were (i) to extend a psychosocial taxonomy of patients with diabetes to a primary care setting, and (ii) to validate the taxonomy using more sophisticated clustering methods across an array of psychological dimensions independent of demographic and medical variables. Methods: In a cross-sectional study, 111 adults with Type 2 diabetes seen in a primary care setting completed the Multidimensional Diabetes Questionnaire and the Brief Symptom Inventory (BSI). They also provided diabetes-specific self-report measures along with HbA1c. Results: Four psychosocial patient profiles were identified using model-based cluster analysis in a US primary care setting. The four profiles represent a replication of two and refinement of a third profile found previously in French-speaking patients at diabetes education centres. Validation of the profiles using the BSI was replicated for depression and extended to other psychological dimensions. The validity and distinctiveness of the four psychosocial profiles were independent of demographic and diabetes-specific medical variables. Conclusion: Replication and extended validation of the psychosocial taxonomy into primary care may allow healthcare workers to supplement medical treatments with psychosocial interventions that can improve outcomes for patients with diabetes that are practical, individually tailored, and cost-effective.

Original languageEnglish
Pages (from-to)716-721
Number of pages6
JournalDiabetic Medicine
Volume25
Issue number6
DOIs
StatePublished - Jun 2008

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Primary Health Care
Cluster Analysis
Demography
Psychology
Equipment and Supplies
Self Report
Type 2 Diabetes Mellitus
Cross-Sectional Studies
Delivery of Health Care
Education
Costs and Cost Analysis
Therapeutics

All Science Journal Classification (ASJC) codes

  • Endocrinology
  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism

Cite this

Guck, T., Banfield, M. A., Tran, S. M., Levy, J. F., Goodman, M. D., Barone, E. J., & Goeser, A. L. (2008). A psychosocial taxonomy of patients with diabetes: Validation in a primary care setting. Diabetic Medicine, 25(6), 716-721. https://doi.org/10.1111/j.1464-5491.2008.02442.x

A psychosocial taxonomy of patients with diabetes : Validation in a primary care setting. / Guck, Thomas; Banfield, M. A.; Tran, S. M.; Levy, J. F.; Goodman, M. D.; Barone, E. J.; Goeser, A. L.

In: Diabetic Medicine, Vol. 25, No. 6, 06.2008, p. 716-721.

Research output: Contribution to journalArticle

Guck, T, Banfield, MA, Tran, SM, Levy, JF, Goodman, MD, Barone, EJ & Goeser, AL 2008, 'A psychosocial taxonomy of patients with diabetes: Validation in a primary care setting', Diabetic Medicine, vol. 25, no. 6, pp. 716-721. https://doi.org/10.1111/j.1464-5491.2008.02442.x
Guck, Thomas ; Banfield, M. A. ; Tran, S. M. ; Levy, J. F. ; Goodman, M. D. ; Barone, E. J. ; Goeser, A. L. / A psychosocial taxonomy of patients with diabetes : Validation in a primary care setting. In: Diabetic Medicine. 2008 ; Vol. 25, No. 6. pp. 716-721.
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