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An Instrument to Assess the Needs of Patients with Type 2 Diabetes Mellitus for Health-Promotion Activities

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Abstract

Background: Health promotion has become an integral part of primary healthcare for patients with chronic illness. A practical instrument to identify patient needs in health promotion will support patient-centered health counseling.

Objective: The objective of the study was to develop and pilot test the ‘Health Promotion Diabetes’ (HEPRODIA) instrument, which aims to identify the needs of patients with diabetes mellitus for health-promoting activities with regard to their preferred lifestyle behavior change.

Methods: Scale development of the instrument was guided by existing insights and expert opinion. Questionnaire data were collected in a sample of patients (n=221) from eight primary care practices in the southern part of the Netherlands.

The resulting instrument comprised a fixed set of 14 items to elicit patients’ preferred lifestyle change, plus a variable set of 4–20 items concerning specific barriers and support needs regarding the chosen change. The instrument provides a starting point for discussion with a practice nurse about healthy lifestyle changes.

Internal consistency (Cronbach’s α) and feasibility of the instrument, as well as experiences of the practice nurses using the instrument, were evaluated.

Results: Cronbach’s α of the different scales ranged from 0.46 to 0.74. The practice nurses perceived the instrument as useful in daily practice and that it may be improved by further adjustment of patient segments.

Conclusion: The HEPRODIA instrument is an aid to assess patient needs concerning health-promoting activities and to facilitate health counseling. Patients and practice nurses can benefit from using the instrument for patient-orientated health-promotion counseling. The psychometric properties of the instrument can be further improved.

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Acknowledgements

The authors thank the practice nurses and patients for their participation and Dr Guy Schulpen and Frank Soomers for asking the practice nurses to participate. The authors also thank Marianne Frederix and Elka van Summeren, both employees of the Beyaert Robuust Limburg Foundation, for their organizational support and expert knowledge during the project. An expert panel of stakeholders in health promotion for people with diabetes in the southern part of the Netherlands gave valuable feedback during the study. The authors are grateful for their contribution.

This work was supported for a period of 18 months by an unrestricted grant from two Dutch insurance companies in healthcare, CZ and VGZ, and the Robuust Foundation (a foundation for stimulating the improvement of quality of primary care delivery).

The authors have no conflicts of interest to declare.

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Authors and Affiliations

  1. Department of Integrated Care, Maastricht University Medical Centre (MUMC+), Maastricht, the Netherlands

    Anneke N. van Dijk-de Vries MSc, Inge G. P. Duimel-Peeters & Hubertus J. M. Vrijhoef

  2. Beyaert Robuust Limburg Foundation, Maastricht, the Netherlands

    Anneke N. van Dijk-de Vries MSc

  3. Maastricht University, CAPHRI School for Public Health and Primary Care, PO Box 616 6200 MD, Maastricht, the Netherlands

    Anneke N. van Dijk-de Vries MSc, Inge G. P. Duimel-Peeters & Hubertus J. M. Vrijhoef

  4. Tilburg University, TRANZO Scientific Centre for Care and Welfare, Tilburg, the Netherlands

    Hubertus J. M. Vrijhoef

Authors
  1. Anneke N. van Dijk-de Vries MSc
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  2. Inge G. P. Duimel-Peeters
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  3. Hubertus J. M. Vrijhoef
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Correspondence to Anneke N. van Dijk-de Vries MSc.

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van Dijk-de Vries, A.N., Duimel-Peeters, I.G.P. & Vrijhoef, H.J.M. An Instrument to Assess the Needs of Patients with Type 2 Diabetes Mellitus for Health-Promotion Activities. Patient-Patient-Centered-Outcome-Res 4, 115–123 (2011). https://doi.org/10.2165/11538390-000000000-00000

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