Patient‐centred care, diabetes self‐management and glycaemic control among Omani patients with type‐2 diabetes.

Aim: This study examined the relationships between patient‐centred care, diabetes self‐management and selected health outcomes for Omani patients with type‐2 diabetes. Methods: Cross‐sectional surveys were administered for 237 patients with type‐2 diabetes. Hierarchical regression analyses examined the relationships between the selected study variables. Results: The sample was middle‐aged (M = 48, SD = 11.0 years) with nearly a decade (M = 9.68, SD = 6.11) since being diagnosed with type‐2 diabetes, with higher than ideal glycaemic control measures (M = 8.8%, SD = 2.4%). In bivariate analyses, patient‐centred care was positively associated with diabetes self‐management but not with glycaemic control or quality of life. However, after controlling demographic and clinical characteristics, patient‐centred care was positively associated with both physical and mental aspects of health‐related quality of life. In the final regression model, controlling for demographic and clinical characteristics and patient‐centred care, diabetes self‐management significantly predicted both glycaemic control and both physical and mental aspects of health‐related quality of life. Conclusions: The findings support that providing individualized care may contribute to the self‐management of chronic conditions. For achieving optimal outcomes, it may be necessary for providers to effectively assess patients' unique challenges and motivations. Increasing diabetes self‐management may improve quality of life and reduce diabetes complications. Summary statement: What is already known about this topic? Patient‐centred care (PCC) enhances diabetes self‐management (DSM).Little is known about the primary care nurse's role in promoting DSM within a PCC model. What this paper adds? PCC contributes to DSM and improves patient health outcomes.Expecting patients with diabetes to comply with provided instructions may not be enough to change self‐management behaviours. The implications of this paper Administrators responsible for employing a PCC approach in their clinics may need to establish clear goals and expectations for each team member to achieve overall success and ensue that nurses and physicians have targeted training on specific strategies to encourage patient‐provider partnerships that support the adoption of effective DSM behaviours.As the patient‐centred model of care is implemented in Oman, medical and nursing education programmes may highlight in their curricula its potential impact upon self‐management behaviours.Observational studies and longitudinal research to monitor Oman's progress towards the transition to a PCC model of care may uncover modifiable barriers and facilitators that primary care providers encounter. [ABSTRACT FROM AUTHOR]