Factors that facilitate patient activation in the self-management of diabetes and depression among participants enrolled in an integrated chronic care model in India.

Abstract Background The aim of this study was to identify factors that influence patients’ motivation and ability to self-manage their diabetes and depressive symptoms. Methods From 2016 to 17, in-depth interviews were conducted with 62 patients receiving the INDEPENDENT care model across two clinics in India. Using a realist evaluation approach, a hypothesized program theory for patient activation was tested and refined. Findings The refined theory demonstrates that motivation, education, and engagement cumulatively contribute to patient activation. Conclusion The results indicate that positive and sustained patient-provider relationships drive patient motivation and enhance implementation of the care model.