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Exp Clin Endocrinol Diabetes 2008; 116(2): 123-128
DOI: 10.1055/s-2007-990297
Article

© J. A. Barth Verlag in Georg Thieme Verlag KG Stuttgart · New York

The Importance of Specialist Treatment, Treatment Satisfaction and Diabetes Education for the Compliance of Subjects with Type 2 Diabetes - Results from a Population-based Survey

N. Arnold-Wörner 1 , R. Holle 1 , W. Rathmann 2 , A. Mielck 1
  • 1GSF - National Research Center for Environment and Health, Institute of Health Economics and Health Care Management, Neuherberg, Germany
  • 2German Diabetes Center, Institute of Biometrics & Epidemiology, Düsseldorf, Germany
Further Information

Publication History

received 21.02.2007 first decision 25.07.2007

accepted 04.09.2007

Publication Date:
31 October 2007 (online)

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Abstract

Aims: This study aims to investigate the degree to which subjects with type 2 diabetes comply with treatment recommendations concerning diet, physical exercise and self-care, the consistency of compliance across different treatment areas, and the association of compliance with individual characteristics of patients and their medical treatment.

Methods: The sample consists of 345 type 2 diabetes patients who had been drawn from two population-based surveys (MONICA) and from a myocardial infarction registry in Southern Germany, and who have participated in a survey in 1997/98. Data were collected by interviews, questionnaires and medical exams. Pearson correlation and logistic regression analysis were applied to test the relationships. A compliance score was established by adding up the components of the treatment regimen.

Results: Only one fifth of the subjects with type 2 diabetes showed good compliance in terms of the applied score. Compliance was highest in weight measuring and foot care, and poorest in following exercise recommendations, glucose testing, and recording the results. Overall, weak correlations were found between the components of the treatment regimen. Participation in diabetes education, regular consultation of physicians specialized in diabetes care, age (<70 years), and satisfaction with treatment were all associated with better compliance.

Conclusions: Correlation between the different components of compliance behaviour was low, indicating that compliance should not be measured by one component only. As compliance with the treatment recommendations was poor, education programs for type 2 diabetic subjects should be propagated and the cooperation with diabetes specialists should be promoted.

Key words

diabetes mellitus - compliance - self-management

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Correspondence

Dr. A. Mielck

GSF - National Research Center for Environment and Health

Institute of Health Economics and Health Care Management

P.O. Box 1129

85758 Neuherberg

Germany

Phone: +89/3187/44 60

Fax: +3375

Email: mielck@gsf.de