PMID- 36600932 OWN - NLM STAT- MEDLINE DCOM- 20230106 LR - 20230120 IS - 2296-2565 (Electronic) IS - 2296-2565 (Linking) VI - 10 DP - 2022 TI - Predictors of fear of diabetes progression: A multi-center cross-sectional study for patients self-management and healthcare professions education. PG - 910145 LID - 10.3389/fpubh.2022.910145 [doi] LID - 910145 AB - OBJECTIVE: Excessive fear of progression can affect the mental health, social function, and wellbeing of patients with chronic diseases. This study investigated the fear of progression (FoP) and the socio-demographic and clinical predictors among patients with type 2 diabetes mellitus (T2DM). METHOD: The present study is a multi-center cross-sectional study. Inpatients with T2DM were recruited by a multi-stage convenience sampling method from the department of endocrinology in 5 tertiary hospitals in Southwest China. 459 T2DM patients were consecutively enrolled. Socio-demographic, clinical data, and answers to the fear of progression questionnaire (FoP-Q) were collected. RESULTS: 385 patients with complete data were eligible. The average score of FoP-Q-SF was 26.84 and 23.1% of patients reached the dysfunctional fear of progression criterion. The greatest fears were worrying about "disease progression," "the adverse reactions of medication," and "relying on strangers for activities of daily living." Health education (P < 0.001), age (P = 0.002), hypoglycemia history (P = 0.006), employment status (P = 0.025) and duration since being diagnosed with type 2 diabetes mellitus (P = 0.032) were the related factors of fear of progression. CONCLUSION: Early assessment of the fear of progression was imperative to identify dysfunctional fear of progression in patients with type 2 diabetes mellitus. Meanwhile, the meaning of these predictors for strengthening healthcare professions education and patients self-management might help healthcare givers timely perform related interventions and help patients reduce their fear of progression thus actively cooperate with T2DM treatments. CI - Copyright (c) 2022 Wang, Yu, Zeng, Yuan, Wang, Chen, Zhou and Tang. FAU - Wang, Yanhao AU - Wang Y AD - Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi'an Jiaotong University, Xi'an, Shaanxi, China. AD - Chongqing Key Laboratory for Oral Diseases and Biomedical Sciences, College of Stomatology, Chongqing Medical University, Chongqing, China. AD - Department of Orthodontics, School of Stomatology, Xi'an Jiaotong University, Xi'an, Shaanxi, China. FAU - Yu, Qiuhua AU - Yu Q AD - Department of Breast Surgery, Peking Union Medical College Hospital (Xidan Campus), Beijing, China. FAU - Zeng, Zihuan AU - Zeng Z AD - State Key Laboratory of Trauma, Burn and Combined Injury, Institute of Burn Research, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing, China. AD - Department of Plastic Surgery, State Key Laboratory of Trauma, Burns and Combined Injury, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing, China. FAU - Yuan, Ruizhu AU - Yuan R AD - School of Nursing, Chongqing Medical University, Chongqing, China. FAU - Wang, Ruiding AU - Wang R AD - Department of Critical Care Medicine, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China. FAU - Chen, Jianli AU - Chen J AD - Guangzhou Women and Children Medical Center, Guangzhou Medical University Affiliated Women and Children Medical Center, Guangzhou, China. FAU - Zhou, Hengyu AU - Zhou H AD - School of Nursing, Chongqing Medical University, Chongqing, China. FAU - Tang, Jiao AU - Tang J AD - School of Nursing, Chongqing Medical University, Chongqing, China. AD - Department of Nursing, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China. LA - eng PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't DEP - 20221219 PL - Switzerland TA - Front Public Health JT - Frontiers in public health JID - 101616579 SB - IM MH - Humans MH - *Diabetes Mellitus, Type 2/drug therapy MH - Cross-Sectional Studies MH - Activities of Daily Living MH - *Self-Management MH - Fear/psychology MH - Delivery of Health Care PMC - PMC9806215 OTO - NOTNLM OT - cross-sectional study OT - fear of progression OT - healthcare professions education OT - multi-center OT - predictors OT - self-management OT - type 2 diabetes mellitus (T2DM) COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2023/01/06 06:00 MHDA- 2023/01/07 06:00 PMCR- 2022/12/19 CRDT- 2023/01/05 02:18 PHST- 2022/05/13 00:00 [received] PHST- 2022/11/21 00:00 [accepted] PHST- 2023/01/05 02:18 [entrez] PHST- 2023/01/06 06:00 [pubmed] PHST- 2023/01/07 06:00 [medline] PHST- 2022/12/19 00:00 [pmc-release] AID - 10.3389/fpubh.2022.910145 [doi] PST - epublish SO - Front Public Health. 2022 Dec 19;10:910145. doi: 10.3389/fpubh.2022.910145. eCollection 2022.