Knowledge attitudes and practices of healthcare professionals regarding diabetes self management education and support

Abstract Diabetes self-management education and support (DSMES) is essential for effective diabetes care but remains underexplored in China. This study assessed healthcare professionals’ knowledge, attitudes, and practices (KAP) regarding DSMES to optimize clinical implementation. From May 20 to Aug...

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Main Authors: Qin Wang, Guihua Miao, Shulan Miao, Peifang Li, Jiali Chen
Format: Article
Language:English
Published: Nature Portfolio 2025-07-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-08537-7
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author Qin Wang
Guihua Miao
Shulan Miao
Peifang Li
Jiali Chen
author_facet Qin Wang
Guihua Miao
Shulan Miao
Peifang Li
Jiali Chen
author_sort Qin Wang
collection DOAJ
description Abstract Diabetes self-management education and support (DSMES) is essential for effective diabetes care but remains underexplored in China. This study assessed healthcare professionals’ knowledge, attitudes, and practices (KAP) regarding DSMES to optimize clinical implementation. From May 20 to August 6, 2024, a cross-sectional online survey was conducted among healthcare professionals at West China Hospital, Sichuan University, and affiliated institutions. Among 347 respondents (56.77% female), the average scores were 8.94 ± 0.27 for knowledge, 36.09 ± 3.61 for attitude, and 46.39 ± 4.34 for practice. Correlation analysis revealed a negative association between knowledge and attitude (r = − 0.139, p = 0.010) and a positive association between attitude and practice (r = 0.361, p < 0.001). Structural equation modeling revealed a negative direct effect of knowledge on attitude (β = − 0.156, p = 0.025), a positive direct effect of attitude on practice (β = 0.481, p = 0.007), and an indirect effect of knowledge on practice via attitude (β = − 0.075, p = 0.016). While healthcare professionals showed strong DSMES-related knowledge, gaps in attitude and behavioral consistency remain. Targeted strategies—such as interdisciplinary DSMES workshops and feedback-based practice evaluations—are recommended to enhance clinical implementation.
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spelling doaj-art-df6bded094e048548d441739dca2e8772025-08-20T03:38:16ZengNature PortfolioScientific Reports2045-23222025-07-0115111010.1038/s41598-025-08537-7Knowledge attitudes and practices of healthcare professionals regarding diabetes self management education and supportQin Wang0Guihua Miao1Shulan Miao2Peifang Li3Jiali Chen4Department of Orthopedic Surgery, West China Hospital, Sichuan UniversityDepartment of Orthopedic Surgery, West China Hospital, Sichuan UniversityCenter of Gastrointestinal and Minimally Invasive Surgery, Department of General Surgery, The Third People’s Hospital of Chengdu, Affiliated Hospital of Southwest Jiaotong UniversityDepartment of Orthopedic Surgery, West China Hospital, Sichuan UniversityDepartment of Orthopedic Surgery, West China Hospital, Sichuan UniversityAbstract Diabetes self-management education and support (DSMES) is essential for effective diabetes care but remains underexplored in China. This study assessed healthcare professionals’ knowledge, attitudes, and practices (KAP) regarding DSMES to optimize clinical implementation. From May 20 to August 6, 2024, a cross-sectional online survey was conducted among healthcare professionals at West China Hospital, Sichuan University, and affiliated institutions. Among 347 respondents (56.77% female), the average scores were 8.94 ± 0.27 for knowledge, 36.09 ± 3.61 for attitude, and 46.39 ± 4.34 for practice. Correlation analysis revealed a negative association between knowledge and attitude (r = − 0.139, p = 0.010) and a positive association between attitude and practice (r = 0.361, p < 0.001). Structural equation modeling revealed a negative direct effect of knowledge on attitude (β = − 0.156, p = 0.025), a positive direct effect of attitude on practice (β = 0.481, p = 0.007), and an indirect effect of knowledge on practice via attitude (β = − 0.075, p = 0.016). While healthcare professionals showed strong DSMES-related knowledge, gaps in attitude and behavioral consistency remain. Targeted strategies—such as interdisciplinary DSMES workshops and feedback-based practice evaluations—are recommended to enhance clinical implementation.https://doi.org/10.1038/s41598-025-08537-7Diabetes self-management education and supportKnowledge-attitude-practiceCross-sectional study
spellingShingle Qin Wang
Guihua Miao
Shulan Miao
Peifang Li
Jiali Chen
Knowledge attitudes and practices of healthcare professionals regarding diabetes self management education and support
Scientific Reports
Diabetes self-management education and support
Knowledge-attitude-practice
Cross-sectional study
title Knowledge attitudes and practices of healthcare professionals regarding diabetes self management education and support
title_full Knowledge attitudes and practices of healthcare professionals regarding diabetes self management education and support
title_fullStr Knowledge attitudes and practices of healthcare professionals regarding diabetes self management education and support
title_full_unstemmed Knowledge attitudes and practices of healthcare professionals regarding diabetes self management education and support
title_short Knowledge attitudes and practices of healthcare professionals regarding diabetes self management education and support
title_sort knowledge attitudes and practices of healthcare professionals regarding diabetes self management education and support
topic Diabetes self-management education and support
Knowledge-attitude-practice
Cross-sectional study
url https://doi.org/10.1038/s41598-025-08537-7
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