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Prediabetes Screening and Treatment in Diabetes Prevention: The Impact of Physician Attitudes.
- Source :
-
Journal of the American Board of Family Medicine : JABFM [J Am Board Fam Med] 2016 Nov 12; Vol. 29 (6), pp. 663-671. - Publication Year :
- 2016
-
Abstract
- Purpose: Detection and treatment of prediabetes is an effective strategy in diabetes prevention. However, most patients with prediabetes are not identified. Our objective was to evaluate the relationship between attitudes toward prediabetes as a clinical construct and screening/treatment behaviors for diabetes prevention among US family physicians.<br />Methods: An electronic survey of a national sample of academic family physicians (n 1248) was conducted in 2016. Attitude toward prediabetes was calculated using a summated scale assessing agreement with statements regarding prediabetes as a clinical construct. Perceived barriers to diabetes prevention, current strategies for diabetes prevention, and perceptions of peers were also examined.<br />Results: Physicians who have a positive attitude toward prediabetes as a clinical construct are more likely to follow national guidelines for screening (58.4% vs 44.4; P < .0001) and recommend metformin to their patients for prediabetes (36.4% vs 20.9%; P < .0001). Physicians perceived a number of barriers to treatment, including a patient's economic resources (71.9%), sustaining patient motivation (83.2%), a patient's ability to modify his or her lifestyle (75.3%), and time to educate patient (75.3%) as barriers to diabetes prevention.<br />Conclusions: How physicians view prediabetes varies significantly, and this variation is related to treatment/screening behaviors for diabetes prevention.<br /> (© Copyright 2016 by the American Board of Family Medicine.)
- Subjects :
- Adult
Blood Glucose analysis
Family Practice methods
Female
Humans
Life Style
Male
Mass Screening standards
Metformin therapeutic use
Middle Aged
Motivation
Patient Education as Topic
Practice Guidelines as Topic
Practice Patterns, Physicians' standards
Prediabetic State blood
Surveys and Questionnaires
United States
Young Adult
Attitude of Health Personnel
Diabetes Mellitus prevention & control
Family Practice standards
Hypoglycemic Agents therapeutic use
Physicians, Family psychology
Prediabetic State drug therapy
Subjects
Details
- Language :
- English
- ISSN :
- 1558-7118
- Volume :
- 29
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Journal of the American Board of Family Medicine : JABFM
- Publication Type :
- Academic Journal
- Accession number :
- 28076248
- Full Text :
- https://doi.org/10.3122/jabfm.2016.06.160138