Factors Associated with Level of Patient Activation and Its Role to Glycemic Control and among Adults with Type II Diabetes Attending Diabetic Clinic at Hospitals in Addis Ababa

Abstract

Introduction: Lifestyle interventions as supper arranging and exercise assume a significant job in a Diabetes Self-Management Education (DSME) program. The impact of poly-pharmacy on way of life changes, for example, nourishment and exercise isn't surely known. Deciding and evaluating patient's dimension of enactment and its association with physical action level, supper arranging, and poly-pharmacy in patients with Type II diabetes is a significant standard for Diabetes Self-Management mediations. 
 Objective: The aim of this study was to determine patient activation levels and associated factors among type II diabetic patents attending diabetic clinic at hospitals in Addis Ababa. 
 Methods: Institutional based cross-sectional examination configuration was led. This investigation was led on 423 Type II diabetic patients going to diabetic facilities at emergency clinics in Addis Ababa. Study members were chosen by utilizing orderly arbitrary examining procedure. A pre-tried organized survey was utilized to gather the information. Understanding Activation Measure (PAM-13) was utilized to survey tolerant actuation levels. Information were entered and dissected utilizing SPSS rendition 23 for windows. Concentrate members' qualities were portrayed as far as mean (Standard deviation) and recurrence (extent). Bivariate examination and various calculated relapse investigations were completed to recognize free factors related with patient enactment among sort II diabetes patients. 
 Results: The mean (SD) age of the study participants was 55.7(±9.8) years. Majority of the study participants, 319 (77.8%) had low meal planning knowledge, 62.4% of patients involved in low physical activity and 82.2% had poor glycemic control. About 75.6% of the patients had low activation and the remaining 24.4% had high activation. The independent factors associated with lower activation were Illiterate educational status (AOR=2.4, 95% CI: 1.5-3.3), low physical activity (AOR=1.8, 95% CI: 1.4-2.9), low meal planning knowledge (AOR=1.5, 95% CI: 1.3-2.4), chronic comorbidities (AOR=2.1, 95% CI: 1.6-3.9) and poor glycemic control (AOR = 4.2, 95% CI: 2.4–7.5).
 Conclusions: The findings revealed that majority of diabetic II patients had low activation; indicating patients had low knowledge and understanding regarding the influence of lifestyle in diabetes management. Illiterate educational status, low physical activity, low meal planning knowledge, chronic comorbidities and poor glycemic control were significantly associated with lower activation.