Measuring the specific care management experience of patients with type 2 diabetes mellitus in the Amazon region of Brazil

Johrdy  Amilton da Costa Braga; Lucas Santos Fernandes; Maria  Natália Cardoso; Elizabete Regina  Araújo  de Oliveira; James  Dean Oliveira dos Santos Júnior; Hércules Lázaro LM Morais Campos; Elisa  Brosina  De Leon

doi:10.22605/RRH9420

Original Research

Measuring the specific care management experience of patients with type 2 diabetes mellitus in the Amazon region of Brazil

AUTHORS

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Johrdy Amilton da Costa Braga¹ MHM

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Lucas Santos Fernandes¹ MHM

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Maria Natália Cardoso¹

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Elizabete Regina Araújo de Oliveira² PhD, Associate Professor

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James Dean Oliveira dos Santos Júnior³ PhD

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Hércules Lázaro LM Morais Campos⁴ PhD, Teacher and Researcher

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Elisa Brosina De Leon¹ PhD, Associate Professor *

AFFILIATIONS

¹ Postgraduate Program in Human Movement Sciences, Faculty of Physical Education and Physiotherapy, Federal University of Amazonas, Manaus, AM 69077000, Brazil

² Epidemiology, State University of Rio de Janeiro, Vitória, ES 29075-910, Brazil

³ Production Engineering, Federal University of Rio de Janeiro, Manaus, AM 69077000, Brazil

⁴ Public Health/Epidemiology, Federal University of Espírito Santo, Coari, AM 69460000, Brazil

ACCEPTED: 16 September 2025

Early Abstract:

Aims: The present study aimed to verify whether there is an association between individual characteristics as sociodemographic, clinical, behavioral, and functional performance variables with Patient Assessment of Chronic Illness Care (PACIC) score in primary care setting in remote municipalities rural cities of the Amazonas State.
Methods: The study was carried out between October 2020 and December 2022 in ten municipalities in the interior of Amazonas and involved 965 participants.
Results: A generalized linear model was used to verify the association between the investigated variables. Sociodemographic, clinical, and behavioral variables were associated with PACIC scores. The evaluation of the instrument's domains demonstrated that, in addition to these variables, there was also an association between the participants' functional performance variables and perceived level of T2DM management.
Conclusions: The study found that sociodemographic, clinical, and behavioral variables were linked to the total PACIC score.
Keywords: chronic disease, diagnosis of health situation, primary health care, quality of health care, self care, type 2 diabetes mellitus.