Empowerment and metabolic control in patients with diabetes mellitus

Ann T Y Shiu, Colin R. Martin*, David, R. Thompson , Rebecca Y M Wong

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)


Objective: Metabolic control is believed to be central to positive clinical outcome in patients with diabetes. Empowerment has been linked to improved metabolic control in this clinical group, though such a relationship remains equivocal. The current study sought to determine if patient empowerment predicted metabolic control. Design: A cross-sectional study design was used with all observations taken on one occasion. Setting: Participants were assessed at a diabetes specialist out-patient clinic. Participants: 189 patients participated in the study. The majority of patients had type 2 diabetes mellitus (N = 158, 84%). Main outcome measures: Empowerment was assessed using the Chinese Diabetes Empowerment Scale. Metabolic control was assessed by reference to blood HbA1c levels. Results: C-DES sub-scale scores explained little variation in HbA1c levels. Conclusions: There appears to be no relationship between patient empowerment and metabolic control in this clinical group. Nurses working within an empowerment model with patients with diabetes should be aware of a possibility of a non linear relationship and the complexity involved in maintaining good metabolic control.

Original languageEnglish
Pages (from-to)88-91
Number of pages4
JournalClinical Effectiveness in Nursing
Issue number1-2
Publication statusPublished - 01 Mar 2005


  • Diabetes
  • Empowerment
  • HbA1c
  • Metabolic control

ASJC Scopus subject areas

  • General Medicine
  • General Nursing


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