Diabetology International

, Volume 7, Issue 2, pp 111–118 | Cite as

The relationship between patient perception of healthcare provision by professionals and the self-care activity of patients with diabetes: Japanese subgroup analysis of the second Diabetes Attitudes, Wishes, and Needs (DAWN2) study

  • Yasuaki HayashinoEmail author
  • Hitoshi Ishii
Original Article


Data for a subgroup of Japanese diabetes patients from the second Diabetes Attitudes, Wishes, and Needs (DAWN2) study were analyzed to investigate possible relationships between patient-perceived healthcare provision by healthcare professionals, patient self-care, and glycemic control, by focusing on the patient’s perception. Patients answered a questionnaire that was originally developed and validated for the DAWN2 study. Questions on their perception of healthcare provision, duration of self-care activity during the past 7 days, and their last HbA1c level were analyzed. Self-care activity for more than 5 days was regarded as good adherence. This analysis included 508 patients (81 type 1 and 427 type 2). Of the self-care activity, “taking physical activity” for both types of diabetes and “checking feet” for type 2 patients were implemented for longer among patients with the perception of equivalent care provision than among those without. Patients with perception of “examining feet” as healthcare provision also reported longer implementation of “following healthy diet”, “taking physical activity”, “testing blood sugar”, and “taking diabetes medications exactly” than those who did not; however, this trend was not observed for “testing blood sugar” among type 1 patients. HbA1c level was significantly lower among type 2 patients with good adherence to “following healthy diet” and “taking physical activity”. Association may exist between patients’ perceptions of diabetes care and improvement in self-care activity, and between more engagement in self-care activity and better HbA1c achievement as a treatment outcome. For better management, it is essential for healthcare professionals to provide care that patients can perceive.


Adherence Diabetes mellitus Healthcare professionals Patient perception Self-care 



Novo Nordisk A/S funded the DAWN2 study. Statistical and editorial support was provided by Clinical Study Support, Inc.

Conflict of interest

Yasuaki Hayashino has received funding for travel and accommodation to attend DAWN2 summit and EASD meetings but has not received any fee for this work from Novo Nordisk. Hitoshi Ishii has received honoraria for lectures from MSD, Novartis, Novo Nordisk, Eli Lilly, and AstraZeneca and scholarship grants from Mitsubishi Tanabe.

Human rights

This study was conducted in accordance with relevant ethical requirements, following regional and/or national and/or local guidelines relating to the conduct of non-interventional studies. Informed consent was obtained from all patients before inclusion in the study.


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Copyright information

© The Japan Diabetes Society 2015

Authors and Affiliations

  1. 1.Department of EndocrinologyTenri hospitalTenriJapan
  2. 2.Department of DiabetologyNara Medical UniversityKashiharaJapan

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