The role of health information in the self-management of diabetes
Tom Creer, PhD
July 21, 2010
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DR Longo et al. Health information seeking, receipt, and use in diabetes self-management. Annals of Family Medicine, 2010;8:334-340.

Diabetes self-management is essential for diabetes control, yet little is known about patient preferences for sources of health information or about the extent to which information is sought directly or received passively through various media sources. Longo and colleagues conducted a qualitative study to identify how individuals with diabetes seek and use health care information. Using a health information model to guide their research, they conducted 9 focus groups with 46 adults with a diagnosis of diabetes. They analyzed the transcripts and notes from these focus groups. Five themes emerged: (1) passive receipt of health information about diabetes is an important aspect of health information behavior; (2) patients weave their own information web depending on their disease trajectory; (3) patients' personal relationships help them understand and use this information; (4) a relationship with a health care professional is needed to cope with complicated and sometimes conflicting information; and (5) health literacy makes a difference in patients' ability to understand and use information.

WHAT THE STUDY MAY MEAN TO YOU AS A HEALTH CARE PROVIDER: The authors concluded that patients make decisions about diabetes self-management depending on their current needs, seeking and incorporating diverse information sources not traditionally viewed as providing health information. Based on the findings, the investigators developed a new health information model that reflects both the nonlinear nature of health information-seeking behavior and the interplay of both active information seeking and passive receipt of information.

WHAT THE STUDY MAY MEAN TO YOU AS A HEALTH CARE CONSUMER: The study showed the importance of information in making decisions in the self-management of diabetes. Studies such as this would likely improve the decision-making of all patients with a chronic illness who perform self-management.

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