Different information needs in subgroups of people with diabetes mellitus: a latent class analysis

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RESEARCH ARTICLE

Open Access

Different information needs in subgroups of people with diabetes mellitus: a latent class analysis Sandra O. Borgmann1,2,3* , Veronika Gontscharuk1,2,3, Jana Sommer1,2,3, Michael Laxy3,4,5, Nicole Ernstmann6, Florian M. Karl3,4, Ina-Maria Rückert-Eheberg7,8, Lars Schwettmann4,9, Karl-Heinz Ladwig7,10, Annette Peters3,7, Andrea Icks1,2,3, for the KORA Study Group

Abstract Background: Current evidence suggests that the information needs of people with diabetes mellitus differ across patient groups. With a view to being able to provide individualized information, this study aims to identify (i) the diabetes-related information needs of people with diabetes mellitus; (ii) different subgroups of people with specific information needs; and (iii) associated characteristics of the identified subgroups, such as sociodemographic characteristics, diabetes-related comorbidities, and well-being. Methods: This cross-sectional study was based on data from 837 respondents with diabetes mellitus who participated in the population-based KORA (Cooperative Health Research in the Augsburg Region) Health Survey 2016 in Southern Germany (KORA GEFU 4 study) (45.6% female, mean age 71.1 years, 92.8% Type 2 diabetes). Diabetes-related information needs were assessed with a questionnaire asking about patients’ information needs concerning 11 diabetes-related topics, e.g. ‘long-term complications’ and ‘treatment/therapy’. Subgroups of people with different information needs and associated characteristics were identified using latent class analysis. Results: We identified the following four classes of people with different information needs: ‘high needs on all topics’, ‘low needs on all topics’, ‘moderate needs with a focus on complications and diabetes in everyday life’, and ‘advanced needs with a focus on social and legal aspects and diabetes research’. The classes differed significantly in age, years of education, type of diabetes, diabetes duration, diabetes-related comorbidities, smoking behaviour, diabetes education, current level of information, and time preference. Conclusions: Knowledge about different patient subgroups can be useful for tailored information campaigns or physician-patient interactions. Further research is needed to analyse health care needs in these groups, changes in information needs over the course of the disease, and prospective health outcomes. Keywords: Patient-centered care, Diabetes mellitus, Needs, Health information

* Correspondence: [email protected] 1 Institute for Health Services Research and Health Economics, German Diabetes Center (DDZ), Leibniz Center for Diabetes Research at the Heinrich Heine University Düsseldorf, Auf’m Hennekamp 65, 40225 Düsseldorf, Germany 2 Institute for Health Services Research and Health Economics, Centre for Health and Society, Faculty of Medicine, Heinrich Heine University Düsseldorf, Düsseldorf, Germany Full list of author information is available at the end of the article © The Author(s). 2020 Open Access This article is licensed under