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Refereed Publications

  1. Fisher, L. and Chesla, C. A. and Skaff, M. A. and Gilliss, C. and Kanter, R. A. and Lutz, C. P. and Bartz, R. J., Disease management status: a typology of Latino and Euro-American patients with type 2 diabetes., Behavioral medicine (Washington, D.C.), vol. 26 no. 2 (Summer, 2000), pp. 53-66, ISSN 0896-4289 [doi]
    (last updated on 2011/01/30)

    The number of indicators of chronic disease management is large and no practical framework is available to guide selection for use in intervention programs. In addition, it is often difficult to integrate multiple disease management indicators into a comprehensive picture of patient functioning. The authors present a heuristic framework for creating a profile of disease management and an empirically based descriptive typology of disease management behavior. From the literature, they identified 5 domains of disease management indicators: biologic, general health and functional status, emotional tone, quality of life, and behavioral. They selected 11 scales and assessed 187 patients with type 2 diabetes. Five statistically replicable patient disease management types were derived from exploratory and confirmatory cluster analyses and a descriptive narrative was created for each: balanced (33%), problematic (6%), coasters (34%), discouraged (16%), and distressed (11%). The typology describes different presentations of disease management that can be linked with patient-tailored interventions for patients with type 2 diabetes.

    California • Cross-Cultural Comparison • Diabetes Mellitus, Type 2 • Diabetic Diet • European Continental Ancestry Group • Female • Hispanic Americans • Humans • Male • Middle Aged • Patient Compliance • Personality Assessment • Quality of Life • Self Care • Sick Role* • ethnology* • psychology • psychology* • therapy