Illness beliefs predict mortality in patients with diabetic foot ulcers

Vedhara, Kavita and Dawe, Karen and Miles, Jeremy N.V. and Wetherell, Mark A. and Cullum, Nicky and Dayan, Colin and Drake, Nicola and Price, Patricia and Tarlton, John and Weinman, John and Day, Andrew and Campbell, Rona and Reps, Jenna M. and Soria, Daniele (2016) Illness beliefs predict mortality in patients with diabetic foot ulcers. PLoS ONE, 11 (4). e0153315. ISSN 1932-6203

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Abstract

Abstract

Background: Patients’ illness beliefs have been associated with glycaemic control in diabetes and survival in other conditions.

Objective: We examined whether illness beliefs independently predicted survival in patients with diabetes and foot ulceration.

Methods: Patients (n=169) were recruited between 2002 and 2007. Data on illness beliefs were collected at baseline. Data on survival were extracted on 1st November 2011. Number of days survived reflected the number of days from date of recruitment to 1st November 2011.

Results: Cox regressions examined the predictors of time to death and identified ischemia and identity beliefs (beliefs regarding symptoms associated with foot ulceration) as significant predictors of time to death. Conclusions: Our data indicate that illness beliefs have a significant independent effect on survival in patients with diabetes and foot ulceration. These findings suggest that illness beliefs could improve our understanding of mortality risk in this patient group and could also be the basis for future therapeutic interventions to improve survival.

Item Type: Article
Keywords: illness beliefs; mortality; diabetes; diabetic foot ulcers; self-regulatory model
Schools/Departments: University of Nottingham UK Campus > Faculty of Medicine and Health Sciences > School of Medicine > Division of Primary Care
University of Nottingham UK Campus > Faculty of Science > School of Computer Science
Identification Number: https://doi.org/10.1371/journal.pone.0153315
Depositing User: Eprints, Support
Date Deposited: 19 Apr 2016 21:53
Last Modified: 17 Sep 2016 12:34
URI: http://eprints.nottingham.ac.uk/id/eprint/32852

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