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Hodgson KL, Lamport DJ, Laville A. "Are you OK doctor?" An expanded health belief model exploration of doctors' experiences and perspectives of on-shift health behaviour. Int J Qual Stud Health Well-being 2024; 19:2388795. [PMID: 39104181 PMCID: PMC11305022 DOI: 10.1080/17482631.2024.2388795] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/05/2024] [Accepted: 08/01/2024] [Indexed: 08/07/2024] Open
Abstract
PURPOSE Understanding doctors' health beliefs is essential for developing effective and competent healthcare practices that benefit doctors and their patients. This study aimed to qualitatively explore doctors' perceptions of on-shift health-protective behaviours and their perceived effects on competence. METHODS The research applied theoretically driven Expanded Health Belief Model (EHBM) enquiry methods to explore beliefs and experiences through an occupational context survey, 14 individual depth interviews, and two focus groups. Semantic and deductive themes associated with EHBM domains were examined, and an inductive thematic analysis of the interviews was conducted. RESULTS Doctors' beliefs were strongly imbued by their perceived identity within the systemic context; they expressed impaired self-efficacy in reacting to their health needs on shift, and several disclosed harm to themselves and patients. Dominant themes included the psychosocial effects of the systemic culture and the influence of the situational occupational context in impacting health-protective behavioural action. The context and implications of experiences during the COVID-19 pandemic are discussed. CONCLUSIONS This study presents key belief-oriented factors influencing doctors' health-protective behaviour at work and its implications for competent practice. Further doctor-led guidance on focus points for evidence-based theoretically driven health improvement solutions is provided regarding operational practice, formulating policies, developing interventions and further research.
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Affiliation(s)
- Kirsty L. Hodgson
- School of Psychology & Clinical Language Sciences, The University of Reading, Reading, UK
| | - Daniel J. Lamport
- School of Psychology & Clinical Language Sciences, The University of Reading, Reading, UK
| | - Allán Laville
- School of Psychology & Clinical Language Sciences, The University of Reading, Reading, UK
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Wang H, Feng Z, Zheng Z, Yang J. Chinese undergraduates' mental health help-seeking behavior: the health belief model. Front Psychol 2024; 15:1377669. [PMID: 38817829 PMCID: PMC11137748 DOI: 10.3389/fpsyg.2024.1377669] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2024] [Accepted: 04/03/2024] [Indexed: 06/01/2024] Open
Abstract
The detection rate of mental health problems among undergraduates has recently risen significantly. However, undergraduates underutilize mental health services; approximately a third only of undergraduates in need of treatment use school counseling resources. Based on a social psychological theoretical framework, the health belief model, factors of undergraduates' willingness to seek help when dealing with psychological problems were investigated. A cross-sectional online questionnaire and a snowball sampling method with 446 undergraduates investigated perceived susceptibility, perceived severity, perceived behavioral benefits, perceived barriers, self-efficacy, and cues to action to understand how students' mental health-seeking behaviors are affected. We found that perceived susceptibility (p < 0.01), perceived severity (p < 0.01), perceived benefits (p < 0.01), perceived barriers (p < 0.01), self-efficacy (p < 0.01), and cues to action (p < 0.01) significantly correlated with behavioral intention. Encouragement or counseling from others would be more likely to motivate undergraduates to seek mental health help. In addition, we used a bias-corrected Bootstrap approach to test the significance of the mediating effect, the mediation effect of cues to action between undergraduates' perceived susceptibility and mental health help-seeking behavior was utterly significant [mediation effect value of 0.077, with an SE value of 0.027 and a 95% CI (0.028, 0.133)]. It demonstrated that those who perceived themselves to be at high risk of developing a mental illness and who had received encouragement or counseling to seek mental health help were more likely to be motivated to seek mental health help. Multiple regression analyses indicated that self-efficacy (Z = 5.425, p < 0.01) and cues to action (Z = 6.673, p < 0.01) independently influenced behavioral intentions. Encouragement or counseling from others would be more likely to motivate undergraduates to seek mental health help.
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Affiliation(s)
| | - Zhuowen Feng
- College of Literature and News Communication, Guangdong Ocean University, Zhanjiang, Guangdong, China
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Taheri Kondar R, Hassani L, Ghanbarnejad A. The effect of educational intervention based on social support theory on the perceived stress caused by the covid-19 pandemic in patients with diabetes in hormozgan (2020-2021). BMC Public Health 2024; 24:691. [PMID: 38438887 PMCID: PMC10913277 DOI: 10.1186/s12889-024-18180-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2023] [Accepted: 02/21/2024] [Indexed: 03/06/2024] Open
Abstract
BACKGROUND People with diabetes are more at risk of covid-19. Perceived social support plays an important role in maintaining people's health and reducing the negative effects of stress caused by the environment and society. The present study was designed and implemented with the purpose of determining the effect of educational intervention based on social support theory in reducing stress caused by the covid-19 pandemic in people with diabetes. METHODS The current investigation was an interventional and semi-experimental study conducted on 212 patients diagnosed with type 2 diabetes. Eligible participants were diabetic individuals capable of utilizing virtual platforms and not afflicted with COVID-19. Exclusion criteria encompassed unwillingness to continue study participation, absence from multiple training sessions, and development of a specific illness during the study period. Random allocation placed patients into either the control or intervention group. The intervention group received educational materials via WhatsApp, while the control group did not receive any intervention. The researcher administered a questionnaire to collect demographic information and assess perceived social support among the patients. Data analysis involved the use of chi-square tests, independent and paired t-tests, as well as ANCOVA. RESULTS This study revealed that the mean age of patients in the control and intervention groups was 46.35 ± 14.15 and 51.72 ± 11.57, respectively. Most of the diabetic patients in both groups were female, married, had a diploma, were housekeepers, and had an income between 2 and 5 million Tomans. According to the results obtained in all subscales of social support theory as well as the perceived stress score due to the corona pandemic after the educational intervention, a statistically significant difference was observed between the two groups (P < 0.05), so that the score of all subscales of social support theory in the intervention group was higher than the control group. But the perceived stress score caused by Corona in the intervention group was significantly lower than the control group. CONCLUSION The results of this study illustrate the noteworthy influence of social support training in lessening perceived stress among patients with diabetes during the COVID-19 pandemic. Consequently, healthcare providers are encouraged to integrate social support education programs into comprehensive care initiatives for diabetic patients, particularly during periods of heightened stress like the current coronavirus pandemic.
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Affiliation(s)
- Reihaneh Taheri Kondar
- MSc of Health Education and Promotion HUMS, Hormozgan University of Medical Sciences (HUMS), BandarAbbas, Iran
| | - Laleh Hassani
- Mother and Child Welfare Research Center, Hormozgan University of Medical Sciences, BandarAbbas, Iran.
| | - Amin Ghanbarnejad
- Department of community medicine, research institute for health, Hormozgan University of medical sciences, BandarAbbas, Iran
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Kheirkhah M, Naeimi E, Amanollahi Z, Esfahan MM, Feili G. The effect of a new self-care guide package on anxiety and self-efficacy in women with gestational diabetes: a quasi-experimental study. J Diabetes Metab Disord 2023; 22:1117-1128. [PMID: 37975088 PMCID: PMC10638222 DOI: 10.1007/s40200-023-01218-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/06/2022] [Accepted: 03/17/2023] [Indexed: 11/19/2023]
Abstract
Purpose Considering the importance of education and its role in promoting self-efficacy and reducing anxiety, the aim of the present study was to determine the effect of group self-care education on self-efficacy and anxiety among women with gestational diabetes. Methods The present quasi-experimental study was conducted on 110 women with gestational diabetes mellitus. They were selected using the convenience sampling method in centers with obstetric clinics and perinatal departments. In the intervention group, women (n = 55) received training in groups of 5-7 people during a 60-minute session weekly for four consecutive weeks. The State-Trait Anxiety Inventory (STAI) and diabetes self-efficacy scale (DSES-S) was completed by participants three times, before, immediately after training, and four weeks later. Data analysis was carried out using descriptive and inferential tests (Chi-square, Mann-Whitney U test, independent t-test, and general linear model repeated measures analysis of variance) in SPSS ver. Results There was no different between the two groups in terms of the score of self-efficacy (P = 0.604) and anxiety (P = 0.780) constructs before the intervention. Time, group, and their interaction has a significant effect in three time periods, i.e. before, immediately and 4 weeks after self-care training intervention in self-efficacy (p < 0.001) and anxiety (p < 0.001) constructs at %99 confidence interval. Conclusion Group self-care training reduced anxiety among women with gestational diabetes (GD) and increased self-efficacy. Self-care group training is an easy, affordable, and non-invasive method and can be easily performed by midwives. This method can be used to reduce anxiety and increase self-efficacy among women with GD.
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Affiliation(s)
- Masoomeh Kheirkhah
- Department of Reproductive Health and Midwifery, Nursing and Midwifery Faculty, Medical Sciences Tehran University, Tehran, Iran
| | - Ebrahim Naeimi
- Department of Counseling, Psychology and Education Faculty, Allameh Tabataba’i University, Tehran, Iran
| | - Zahra Amanollahi
- Department of Counseling, Psychology and Education Faculty, Allameh Tabataba’i University, Tehran, Iran
| | - Maryam Maadi Esfahan
- Department of Counseling, Psychology and Education Faculty, Allameh Tabataba’i University, Tehran, Iran
| | - Gelareh Feili
- Consultation on Midwifery, Nursing & Midwifery Faculty, Iran University of Medical Sciences, Tehran, Iran
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Yari A, Hassani L, Ziapour A, Toghroli R, Mohammadkhah R, Yazdi F. Prediction of self-care behaviors among diabetic patients based on social cognitive theory. J Public Health Res 2023; 12:22799036221150330. [PMID: 36755578 PMCID: PMC9899954 DOI: 10.1177/22799036221150330] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2022] [Accepted: 12/22/2022] [Indexed: 02/05/2023] Open
Abstract
Background Diabetes is a global health issue and the most prevalent chronic metabolic disease, which requires lifelong self-care behaviors. Thus, the present study was conducted with the aim of predicting the factors of self-care behaviors based on social cognitive theory in diabetic patients referred to comprehensive health service centers in Fasa. Methods This cross-sectional research comprised 106 type 2 diabetes patients who were referred to Fasa service providers to determine the optimal solution. Outcomes were assessed using an existing demographic questionnaire, the diabetic self-care questionnaire, and a unique questionnaire to assess social cognitive theory, the validity and reliability of which were estimated. SPSS21 software with a Chi license was used for data analysis, and Spearman correlations, independent t-tests, and one-way ANOVA were performed. Results The age range of patients was between 33 and 67 years. There was a significant relationship between gender, education, and type of treatment with self-care. According to the findings, the variables of self-efficacy (r = 0.200), self-efficacy of overcoming obstacles (r = 0.285), environmental factors (r = 0.334), observational learning ability (r = 0.148), situational perception (r = 0.297), emotional adaptation (r = 0.051), outcome assessment (r = 0.114) and outcome expectation (r = 0.082) had a positive and significant correlation with self-care behaviors. Also, the self-efficacy variable (Beta coefficient = 0.340) had the highest predictive value. Conclusion In designing and implementing educational interventions for self-care of diabetic patients, the theory of social cognition can be used as a framework to promote and maintain public health in patients.
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Affiliation(s)
- Asiyeh Yari
- School of Health, Hormozgan University
of Medical Sciences, Bandar Abbas, Iran
| | - Laleh Hassani
- Mother and Child Welfare Research
Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
| | - Arash Ziapour
- Cardiovascular Research Center, Health
Institute, Imam-Ali hospital, Kermanshah University of Medical Sciences, Kermanshah,
Iran,Arash Ziapour, Cardiovascular Research
Center, Health Institute, Imam-Ali hospital, Kermanshah University of Medical
Sciences, Kermanshah 6715847141, Iran.
| | - Razie Toghroli
- Social Determinants in Health Promotion
Research Center, Hormozgan Health Institute, Hormozgan University of Medical
Sciences, Bandar Abbas, Iran
| | - Razie Mohammadkhah
- Nursing Care Research Center, Health
Research Center, Babol University of Medical Sciences, Babol, Iran
| | - Fateme Yazdi
- School of Nursing and Midwifery, Dezful
University of Medical Sciences, Dezful, Iran
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Socio-cognitive determinants affecting insulin adherence/non-adherence in late adolescents and young adults with type 1 diabetes: a systematic review protocol. J Diabetes Metab Disord 2022; 21:1207-1215. [PMID: 35673417 PMCID: PMC9167269 DOI: 10.1007/s40200-022-01054-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/05/2021] [Accepted: 05/09/2022] [Indexed: 11/04/2022]
Abstract
Objective This systematic review aims to investigate the key socio-cognitive determinants associated with adherence/non-adherence to insulin treatment in late adolescents and young adults in the age range of 17–24 years with T1D. Methods A pre-specified search strategy will be used to search for studies in the electronic databases and citation indexes: PubMed, EMBASE, Web of Science, and PsycINFO. Two researchers will screen the title and the abstract independently, then will read and critically appraise the full text of each included study. A third independent reviewer will resolve disagreements in data extraction until consensus. Data will be extracted using the Population, Exposure, Outcomes, Study characteristics framework. Study selection will follow the updated guideline for reporting systematic reviews (PRISMA 2020) and will take place from 15 October 2021 to 1 January 2022. The methodological quality and risk of bias of the observational studies will be assessed by the JBI Critical Appraisal Checklist for Cohort and JBI Critical Appraisal Checklist for Analytical Cross Sectional Studies. Results A qualitative narrative synthesis will present the characteristics and the quality of studies and the outcomes of concern. Conclusion Based on the contemporary literature, this review will synthesize the evidence on the socio-cognitive determinants associated with adherence/non-adherence to insulin treatment in late adolescents and young adults in the age range of 17–24 years with T1D. The findings will help design patient-centered interventions to promote adherence to insulin in this age group, guide patients’ consultations and diabetes self-management education (DSME) programs. Protocol registration: PROSPERO ID: CRD42021233074.
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Davoodi M, Dindamal B, Dargahi H, Faraji-Khiavi F. A phenomenological study on barriers of adherence to medical advice among type 2 diabetic patients. BMC Endocr Disord 2022; 22:18. [PMID: 34991587 PMCID: PMC8740353 DOI: 10.1186/s12902-021-00928-x] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/25/2021] [Accepted: 12/27/2021] [Indexed: 11/30/2022] Open
Abstract
BACKGROUND More than three decades of research and study for overcoming the problem of "non-acceptance/non-compliance" of patients has neither resolved nor reduced the severity of this problem. This phenomenological study aimed to identify barriers of adherence to medical advice among type 2 diabetic patients. METHODS This study was a qualitative research using phenomenology approach, and the data were analyzed using content analysis approach. Participants were 69 type 2 diabetic patients covered by the diabetes unit of West and East Community Health Centers of Ahvaz, Iran. The views and attitudes of patients about the barriers of adherence to medical advice were elicited by conducting 20-45 min sessions of semi-structured interviews. Data analysis was performed following Colaizzi's seven-step method. RESULTS Barriers of adherence to medical advice were classified into systemic and individual barriers. Individual barriers included 11 codes and 5 categories, and systemic barriers contained within 5 codes and 3 categories. Physiologic and physical factors, financial problems, occupational factors, attitudinal problems and lack of knowledge, and social and family problems were identified as individual barriers. Systemic barriers included inadequate publicizing and limited notification, inadequate equipment and facilities, and poor inter-sectional coordination. CONCLUSIONS Generally, problems stated by diabetic patients at the individual level can partly be solved by training patients and the people around them. However, as for the systemic problems, it seems that solving the barriers of adherence to medical advice requires coordination with other organizations as well as intersection coordination. Overall, these problems require not only comprehensive health service efforts, but also the support of policymakers to resolve barriers at infrastructure level.
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Affiliation(s)
- Monire Davoodi
- Department of Health Services Management, School of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
| | - Behnaz Dindamal
- Department of Health Services Management, School of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
| | - Hossein Dargahi
- Health Information Management Research Center, Tehran University of Medical Sciences, Tehran, Iran
| | - Farzad Faraji-Khiavi
- Department of Health Services Management, School of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
- Social Determinants of Health Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
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Zlotnick C, Dryjanska L, Suckerman S. Factors linked to accessing COVID-19 recommendations among working migrants. Public Health Nurs 2021; 39:24-32. [PMID: 34562327 PMCID: PMC8662113 DOI: 10.1111/phn.12982] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2021] [Revised: 08/04/2021] [Accepted: 09/14/2021] [Indexed: 12/23/2022]
Abstract
Objectives Guided by the Health Belief Model (HBM), this study explored factors associated with accessing COVID‐19 health information. Design/sample A cross‐sectional study design was used. Sample Migrants (n = 259) employed in Israel prior to the onset of the COVID‐19 pandemic were recruited. Measurements The on‐line questionnaire included: The Satisfaction with Life Scale, the Brief Resilience Coping Scale and Immigrants' Language Ability scale. Results Migrants obtaining COVID‐19 information when issued were more likely to have decreased employment or unemployment after COVID‐19 government restrictions (OR = 1.98; CI = 1.03, 3.89; p < .05) and more likely to have a better language ability (OR = 1.20; CI = 1.10, 1.32, p < .0001), but they were less likely to use family and/or friends as their COVID‐19 health resource (OR = 0.54, CI = 0.30, 0.96; p < .05). Migrants encountering the most employment difficulties were: female (p < .05), older age (p < .05), unmarried (p < .01), with unstable finances (p < .0001), and in Israel less than 5 years (p < .01). Conclusions Migrants with more precarious employment had more societal disadvantage (i.e., women, older age, unmarried, poorer socioeconomic status, and newer migrants) and relied on informal and potentially inaccurate, health sources. Public health officials aiming to decrease COVID‐19 infection must improve health information access to all members of society, particularly at‐risk groups such as migrants.
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Affiliation(s)
- Cheryl Zlotnick
- Department of Nursing, Faculty of Health & Welfare Science, University of Haifa, Mount Carmel, Haifa, Israel
| | - Laura Dryjanska
- Rosemead School of Psychology, Biola University, La Mirada, California
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Associated Factors with Dietary Adherence among People with Cardiovascular Metabolic Risk Factors based on PRECEDE Framework: a Mixed-Method Study. JOURNAL OF EDUCATION AND COMMUNITY HEALTH 2021. [DOI: 10.52547/jech.8.2.97] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
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Nejat N, Khan Mohamadi Hezave A, Aghae Pour SM, Rezaei K, Moslemi A, Mehrabi F. Self-care and related factors in patients with type II diabetes in Iran. J Diabetes Metab Disord 2021; 20:635-639. [PMID: 34222082 DOI: 10.1007/s40200-021-00791-6] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/14/2020] [Accepted: 03/23/2021] [Indexed: 11/29/2022]
Abstract
Purpose To assess Self-care and related factors in patients with type II diabetes in Iran. Methods This descriptive cross-sectional study was performed on 100 patients with type II diabetes who were referred to specialized diabetes centers related to Arak University of Medical Sciences in Iran. Data collection was done using a researcher-made questionnaire. The questionnaire consisted of three parts (the first part was demographic information, the second part was self-care behaviors such as diet, exercise, control, treatment, and prevention of complications over the past seven days, and the third part was factors influencing patients' self-care behaviors). The inclusion criteria were; patients 18-80 years of age with a diagnosis of type 2 diabetes, at least one year passed of diabetes diagnosis, no chronic diseases other than those related to diabetes, had awareness of the diagnosis, had no hearing and speech impairments, and no mental illnesses. The exclusion criteria was the patient's failure to answer all questions of the questionnaire. Data analysis was performed using SPSS software version 16, and using descriptive statistics and Pearson test, independent t-test, one-way analysis of variance and Spearman test. Results The mean score of self-care in patients was 84.41 ± 11.75 and at the intermediate level. Spearman correlation coefficient test results showed a significant relationship between self-care behavior and gender (p = 0.001), and insurance type (p = 0.035). Also, men had higher average self-care compared to women (p = 0.001). The highest average score of self-care was in Adherence to medication and the lowest score was in exercise and physical activity. Conclusion Due to the low self-care score in exercise and physical activity and the lack of periodic renal examinations, planning and educational interventions in all aspects of self-care, especially in terms of sports and physical activity, and periodic renal examinations are essential.
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Affiliation(s)
- Nazi Nejat
- Department of Nursing, School of Nursing, Arak University of Medical Sciences, Arak, Iran
| | | | | | - Korosh Rezaei
- Department of Nursing, School of Nursing, Arak University of Medical Sciences, Arak, Iran
| | - Azam Moslemi
- Department of Biostatistics, Faculty of Medical Sciences, Arak University of Medical Sciences, Arak, Iran
| | - Fatemeh Mehrabi
- Department of Nursing, School of Nursing, Arak University of Medical Sciences, Arak, Iran
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The Effect of Self-Care Training on Blood Sugar Control, HbA1C Level, and Life Quality of Diabetic Patients in Birjand, East of Iran: A Randomized Clinical Trial Study. Adv Prev Med 2021; 2021:8846798. [PMID: 33552602 PMCID: PMC7847360 DOI: 10.1155/2021/8846798] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2020] [Revised: 01/11/2021] [Accepted: 01/12/2021] [Indexed: 11/17/2022] Open
Abstract
Background As one of the most important public health problems worldwide, diabetes is closely linked with patients' lifestyles. The optimal approach to treating diabetes is to prevent it. Our aim in this study was to assess the impact of self-care behaviors on quality of life, blood sugar control, and HbA1C level in patients with type 2 diabetes. Methods This randomized clinical trial examined 100 diabetic women referred to Ghadir Comprehensive Health Center in Birjand in 2019. A 5 cc fasting blood sample was taken from each participant. The participants were randomly assigned to experimental and control groups. For the experimental group, a 10-session self-care training workshop was held. Baseline and postintervention fasting blood glucose, HbA1C level, and life quality of the two groups were assessed and compared six months after the intervention. Data were analyzed in SPSS (16). Results In the experimental group, the mean serum HbA1C level decreased from the baseline 7.5 ± 1.5 to 6.3 ± 1.0 (P < 0.001). Fasting blood sugar in the intervention group decreased from 136.3 ± 43.5 to 127.3 ± 22.9, but the reduction was not significant (P=0.322). The mean scores of the quality of life (P=0.002) and the visual analogue scale (P < 0.001P < 0.001) in the experimental group increased significantly compared to the control group. Conclusion Self-care training for diabetic women had positive effects on both life quality and disease control. Therefore, it is recommended that self-care training be delivered and taken more seriously by physicians and health care providers in addition to drug therapy.
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Application of protection motivation theory to diabetic foot care Behaviours in Egypt. J Diabetes Metab Disord 2020; 19:869-873. [PMID: 33520808 DOI: 10.1007/s40200-020-00573-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/08/2020] [Accepted: 06/10/2020] [Indexed: 10/24/2022]
Abstract
PURPOSE Foot care behaviours are considered the first line of defense against diabetic foot complications. In general, preventive behaviours are determined by multiple personal, social and psychological factors. The aim of this study was to assess foot care behaviours and their relation to protection motivation theory among a sample of adults with diabetes in Egypt. METHODS A self-administered questionnaire was used to collect data about foot care practices and protection motivation theory among a random sample of 300 adults with diabetes attending primary health care units in Egypt. RESULTS The results demonstrated that the foot care behaviours were inadequate amongst the sample(mean 5.13 ± 1.92 out of 11). Three constructs of protection motivation theory predicted the behaviours, namely: self-efficacy (p = 0.015), perceived seriousness (p = 0.013) and intention to adhere to foot care (p = 0.021). On the other hand, intention to adhere to foot care was correlated with higher levels of self-efficacy and perceived seriousness, and to lower levels of perceived barriers. CONCLUSION There was a low level of foot self-care amongst the sample. Health education programs reinforcing the intention to adhere to foot care behaviours can improve foot care practices among people with diabetes through increasing self-efficacy and perceived seriousness and reducing perceived barriers.
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Dalton J, Poole R. Going to university: considerations for students with diabetes. PRACTICAL DIABETES 2020. [DOI: 10.1002/pdi.2309] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Affiliation(s)
- Jo Dalton
- Poole Hospital, University Hospitals Dorset UK
| | - Ruth Poole
- Poole Hospital, University Hospitals Dorset UK
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Johansen CB, Rothmann MJ, Andersen A, Beck-Nielsen H, Pouwer F. The role of parental support for emerging adults with type 1 diabetes: A scoping review. Pediatr Diabetes 2020; 21:995-1030. [PMID: 32301182 DOI: 10.1111/pedi.13022] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/04/2019] [Revised: 03/25/2020] [Accepted: 04/06/2020] [Indexed: 12/13/2022] Open
Abstract
BACKGROUND Emerging adults with type 1 diabetes often have poor diabetes self-care and pose a considerable therapeutic challenge. They simultaneously handle a life phase characterized by instability, identity exploration, and transitions and manage a chronic illness that demands structure, self-discipline, and repeated health care contacts. Relation to parents is often ambivalent but typically remains the most stable social support, so parental support could potentially be helpful for diabetes self-care and wellbeing. METHOD This scoping review aimed to identify, summarize and analyze empirical studies (for instance interview studies, questionnaire studies and intervention studies) exploring parental support for emerging adults with type 1 diabetes. Studies were identified in PsycInfo, PubMed, Scopus, and Google Scholar. Data were extracted by one author and checked by another. Study results were synthesized by a convergent mixed methods approach and qualitative thematic analysis. RESULTS We included 26 studies (2829 participants), 16 interview studies, 10 questionnaire studies, and no intervention studies. Five overarching themes were identified: self-care and glycemic control, diabetes-related emotional wellbeing, support characteristics, ambivalence and harms, and core support providers. Parents tended to contribute positively to diabetes self-care, glycemic control, and psychological wellbeing. However, emerging adults did not want to be too dependent on their parents and family, and family could also act unsupportively; when absent, disinterested in diabetes or controlling. CONCLUSION This review underlines that parental support still plays a role for diabetes self-care and wellbeing in emerging adults with type 1 diabetes. Age-appropriate parental support therefore seems a promising path to investigate further.
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Affiliation(s)
- Clea Bruun Johansen
- Department of Clinical Research, University of Southern Denmark, Odense, Denmark.,Steno Diabetes Center Odense, Odense University Hospital, Odense, Denmark
| | - Mette Juel Rothmann
- Department of Clinical Research, University of Southern Denmark, Odense, Denmark.,Steno Diabetes Center Odense, Odense University Hospital, Odense, Denmark.,Department of Endocrinology, Odense University Hospital, Odense, Denmark
| | - Anette Andersen
- National Institute of Public Health, University of Southern Denmark, Copenhagen, Denmark
| | | | - Frans Pouwer
- Steno Diabetes Center Odense, Odense University Hospital, Odense, Denmark.,National Institute of Public Health, University of Southern Denmark, Copenhagen, Denmark.,Department of Psychology, University of Southern Denmark, Odense, Denmark
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15
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Butler AM, Weller BE, Rodgers CRR, Teasdale AE. Type 1 diabetes self-management behaviors among emerging adults: Racial/ethnic differences. Pediatr Diabetes 2020; 21:979-986. [PMID: 32506739 DOI: 10.1111/pedi.13061] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/21/2020] [Revised: 05/26/2020] [Accepted: 05/30/2020] [Indexed: 01/27/2023] Open
Abstract
BACKGROUND Emerging adulthood is a vulnerable period for poor blood glucose control and self-management behaviors (SMBs) among individuals with type 1 diabetes. Racial/ethnic minority young adults have poorer glycemic outcomes than non-Hispanic whites; however, little is known about possible racial/ethnic differences in frequency of SMBs among emerging adults (EAs). OBJECTIVE To examine racial/ethnic differences in SMBs and to determine associations between SMBs and blood glucose control. METHODS A sample of EAs (ages 18-25 years; N = 3456) from the type 1 diabetes exchange registry was used to conduct multivariate analyses to examine (a) racial/ethnic differences in SMBs and (b) associations between SMBs and blood glucose control for each racial/ethnic group. RESULTS Compared to non-Hispanic whites, African Americans and Hispanics less frequently took an insulin bolus for snacks, less frequently checked blood glucose with a meter, and were more likely to not use insulin to carbohydrate ratios. African Americans also less frequently checked blood glucose prior to mealtime boluses and more frequently missed insulin doses. SMBs that were associated with blood glucose control across groups were frequency of checking blood glucose at mealtime, missing an insulin dose, and checking blood glucose with a meter. CONCLUSIONS Promoting two SMBs: checking blood glucose and taking insulin doses as needed among African American EAs may be important to address racial disparities in glycemic outcomes. Future research should evaluate possible social and contextual mechanisms contributing to low engagement in these behaviors among African Americans to inform strategies to address racial differences in glycemic outcomes.
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Affiliation(s)
- Ashley M Butler
- Department of Pediatrics, Baylor College of Medicine, Texas Children's Hospital, Houston, Texas, USA
| | - Bridget E Weller
- School of Social Work, Western Michigan University, Kalamazoo, Michigan, USA
| | - Caryn R R Rodgers
- Albert Einstein College of Medicine, Jack and Pearl Resnick Campus, Bronx, New York, USA
| | - Ashley E Teasdale
- Department of Pediatrics, Baylor College of Medicine, Texas Children's Hospital, Houston, Texas, USA
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16
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Momenabadi V, Kaveh MH, Nakhaee N, Karimzadeh Shirazi K, Sedighi B, Tabatabaei SHR. Health Promoting Self-care Behaviors in Patients With Multiple Sclerosis in the Southeast of Iran: Developing a Model for Practice. Basic Clin Neurosci 2020; 11:687-699. [PMID: 33643561 PMCID: PMC7878060 DOI: 10.32598/bcn.11.5.1670.1] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2019] [Revised: 01/25/2019] [Accepted: 09/15/2019] [Indexed: 11/20/2022] Open
Abstract
INTRODUCTION Promoting self-care practice, as a critical strategy for enhancing the quality of life in patients with Multiple Sclerosis (MS) is a challenging issue. This study aimed to propose a model of health-promoting self-care behaviors in MS patients. METHODS In this cross-sectional study, 200 patients with MS, who had referred to the Hospital for Special Diseases in Kerman City, Iran, were chosen. The main data collection instruments were the multiple sclerosis knowledge questionnaire, the Rosenberg self-esteem scale, multiple sclerosis self-efficacy scale, questionnaire of perceived barriers and benefits of self-care behaviors, social support, the health promotion lifestyle profile II, and resilience and sense of coherence scale. Data analysis was conducted in SPSS V. 22 and AMOS18 software. The Structural Equation Modeling (SEM) was also used for further analysis of data. RESULTS The model explained 82% of variance in Health-Promoting self-care Behavior (HPB). The results of the final model obtained from the SEM showed that self-efficacy (β=0.53, SE=0.04, P= 0.007), self-esteem (β=0.39, SE=0.04, P=0.005), social support (β=0.36, SE=0.04, P=0.009), sense of coherence (β=0.34, SE=0.07, P=0.006), resilience (β=0.33, SE=0.07, P=0.018), and perceived benefits (β=0.25, SE=0.05, P=0.009) had a positive and significant relationship with HPB. CONCLUSION The self-care empowerment model in patients with MS presented in this study can be used as a framework for designing health promotion interventions to improve the quality of life of patients with MS.
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Affiliation(s)
- Victoria Momenabadi
- Department of Health Education & Promotion, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Mohammad Hossein Kaveh
- Department of Health Education & Promotion, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Nouzar Nakhaee
- Neuroscience Research Center, Kerman University of Medical Sciences, Kerman, Iran
| | - Kambiz Karimzadeh Shirazi
- Department of Health Education and Promotion, School of Health and Nutrition Sciences, Yasuj University of Medical Sciences, Yasuj, Iran
| | - Behnaz Sedighi
- Neuroscience Research Center, Kerman University of Medical Sciences, Kerman, Iran
| | - Seyyed Hamid Reza Tabatabaei
- Department of Epidemiology, Research Center for Health Sciences, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran
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17
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Tomette A, Henderson JN, Hass A, Carson LD, King K. Parental Stress as a Child With Diabetes Transitions From Adolescence to Emerging Adulthood. J Patient Exp 2020; 7:365-371. [PMID: 32821796 PMCID: PMC7410130 DOI: 10.1177/2374373519842963] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/02/2022] Open
Abstract
This study examined parental and caregiver distress among families caring for children with type 1 diabetes as the child transitions into Emerging Adulthood. More than 96 hours of semistructured interviews were conducted with 19 adult caregivers including parents, grandparents, and other adult family members of 10 children. Each research partner participated in multiple face-to-face, 1- to 1.5-hour long-evolving interviews over the course of 4.5 years. Paradoxically, caregivers were found to experience significant increase in distress as their child with diabetes entered the developmental stage of Emerging Adulthood, 18 to 25 years old, by which time they should be masters of self-care, and parental distress should begin to decline. This increase in familial distress was associated with the emerging adults leaving the home, being unable to maintain an acceptable level of self-care, and experiencing declining health, frequent visits to the emergency department, and repeated hospitalizations. These findings suggest that parental distress from caring for a child with diabetes continues as the child ages, matures, and transitions into adulthood and may be exacerbated when the emerging adult with type 1 diabetes leaves the home and the direct observation and care of the parent.
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Affiliation(s)
- Alisa Tomette
- American Indian Diabetes Prevention Center, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.,Memory Keepers Medical Discovery Team for Rural and American Indian Health, University of Minnesota Medical School, Duluth, MN, USA
| | - J Neil Henderson
- American Indian Diabetes Prevention Center, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.,Memory Keepers Medical Discovery Team for Rural and American Indian Health, University of Minnesota Medical School, Duluth, MN, USA
| | - Amanda Hass
- American Indian Diabetes Prevention Center, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.,Memory Keepers Medical Discovery Team for Rural and American Indian Health, University of Minnesota Medical School, Duluth, MN, USA
| | - Linda D Carson
- American Indian Diabetes Prevention Center, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA
| | - Kama King
- American Indian Diabetes Prevention Center, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA
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18
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Amster R, Reychav I, McHaney R, Zhu L, Azuri J. Credibility of self-reported health parameters in elderly population. Prim Health Care Res Dev 2020; 21:e20. [PMID: 32519636 PMCID: PMC7303794 DOI: 10.1017/s1463423620000201] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2019] [Revised: 04/10/2020] [Accepted: 05/06/2020] [Indexed: 11/05/2022] Open
Abstract
AIM Examining the credibility of self-reported height, weight, and blood pressure by the elderly population using a tablet in a retirement residence, and examining the influence of health beliefs on the self-reporting credibility. BACKGROUND Obesity is a major problem with rising prevalence in the western world. Hypertension is also a significant risk factor for cardiovascular diseases. Self-report, remotely from the clinic, becomes even more essential when patients are encouraged to avoid visiting the clinic as during the COVID-19 pandemic. Self-reporting of height and weight is suspected of leading to underestimation of obesity prevalence in the population; however, it has not been well studied in the elderly population.The Health Belief Model tries to predict and explain decision making of patients based on the patient's health beliefs. METHODS Residents of a retirement home network filled a questionnaire about their health beliefs regarding hypertension and obesity and self-reported their height, weight, and blood pressure. Blood pressure, height, and weight were then measured and compared to the patients' self-reporting. FINDINGS Ninety residents, aged 84.90 ± 5.88, filled the questionnaire. From a clinical perspective, the overall gap between the measured and the self-reported BMI (M = 1.43, SD = 2.72), which represents an absolute gap of 0.74 kilograms and 2.95 centimeters, is expected to have only a mild influence on the physician's clinical evaluation of the patient's medical condition. This can allow the physician to estimate their patient's BMI status before the medical consultation and physical examination upon the patient's self-reporting. Patients' dichotomous (normal/abnormal) self-report of their blood pressure condition was relatively credible: positive predictive value (PPV) of 77.78% for normal blood pressure (BP) and 78.57% for abnormal BP. The relatively high PPV of BP self-reporting demonstrates an option for the physician to recognize patients at risk. Regression analysis found no correlation between the anthropometric parameters and the Health Belief Model.
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Affiliation(s)
- Roi Amster
- Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
- Department of Industrial Engineering & Management, Ariel University, P.O.B 40700, Ariel, Israel
| | - Iris Reychav
- Department of Industrial Engineering & Management, Ariel University, P.O.B 40700, Ariel, Israel
| | - Roger McHaney
- Daniel D. Burke Chair for Exceptional Faculty, Professor and University Distinguished Teaching Scholar, Management Information Systems, Kansas State University, Manhattan, KS66506, USA
| | - Lin Zhu
- Department of Industrial Engineering & Management, Ariel University, P.O.B 40700, Ariel, Israel
| | - Joseph Azuri
- Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
- Maccabi Healthcare Services, Tel Aviv, Israel
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19
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Hubbard AK, Anderson JR. The Moderating Effect of Gender on Expectations and Threats Related to Relationship Help-Seeking. JOURNAL OF COUPLE & RELATIONSHIP THERAPY-INNOVATIONS IN CLINICAL AND EDUCATIONAL INTERVENTIONS 2020. [DOI: 10.1080/15332691.2020.1757546] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Affiliation(s)
- Aimee K. Hubbard
- Family Social Science, University of Minnesota Twin Cities, Minneapolis, Minnesota, USA
| | - Jared R. Anderson
- Couple and Family Therapy Program, Kansas State University, Manhattan, Kansas, USA
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20
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Asril NM, Tabuchi K, Tsunematsu M, Kobayashi T, Kakehashi M. Predicting Healthy Lifestyle Behaviours Among Patients With Type 2 Diabetes in Rural Bali, Indonesia. CLINICAL MEDICINE INSIGHTS-ENDOCRINOLOGY AND DIABETES 2020; 13:1179551420915856. [PMID: 32341670 PMCID: PMC7171987 DOI: 10.1177/1179551420915856] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/21/2019] [Accepted: 03/06/2020] [Indexed: 12/13/2022]
Abstract
Background Type 2 diabetes is a lifelong metabolic disease closely related to unhealthy lifestyle behaviours. This study aimed to identify factors explaining the healthy lifestyle behaviours of patients with type 2 diabetes in rural Indonesia. The extended health belief model, demographic characteristics, clinical lifestyle factors and diabetes knowledge were investigated to provide a complete description of these behaviours. Method A sample of 203 patients with type 2 diabetes representing a cross-section of the population were recruited from community health centres in the rural areas of Bali province. The data were collected through questionnaires. Descriptive statistics and a hierarchical regression test were employed. Results This study showed demographic characteristics, clinical and lifestyle factors, diabetes knowledge and the extended health belief model accounted for 71.8% of the variance in healthy lifestyle behaviours of patients with type 2 diabetes in rural Indonesia. The significant demographic factors were age, education level, employment status and traditional beliefs. The significant clinical and lifestyle factors were alcohol use, diabetic medicine and duration of symptoms. Finally, the significant extended health belief model factors were perceived severity, susceptibility, barriers, family support, bonding social capital and chance locus of control. Conclusions The extended health belief model forms an adequate model for predicting healthy lifestyle behaviours among patients with diabetes in rural Indonesia. The contribution of this model should be strengthened in developing the diabetes management.
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Affiliation(s)
- Nice Maylani Asril
- Department of Health Informatics, Graduate School of Biomedical and Health Science, Hiroshima University, Hiroshima, Japan.,Faculty of Education, Ganesha University of Education, Bali, Indonesia
| | - Keiji Tabuchi
- Department of Health Promotion and Development Science, Graduate School of Biomedical and Health Science, Hiroshima University, Hiroshima, Japan
| | - Miwako Tsunematsu
- Department of Health Informatics, Graduate School of Biomedical and Health Science, Hiroshima University, Hiroshima, Japan
| | - Toshio Kobayashi
- Department of General Internal Medicine, Ishii Memorial Hospital, Yamaguchi, Japan
| | - Masayuki Kakehashi
- Department of Health Informatics, Graduate School of Biomedical and Health Science, Hiroshima University, Hiroshima, Japan
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21
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RASHİDİ M, GENÇ A. Tip 1 ve Tip 2 Diyabetli Hastaların Diyabet Tutumlarının Değerlendirilmesi. İSTANBUL GELIŞIM ÜNIVERSITESI SAĞLIK BILIMLERI DERGISI 2020. [DOI: 10.38079/igusabder.674852] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
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22
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Moss SA, Skinner TC, Irons M, Alexi N. The inclination to shun healthy behaviours that generate only transient benefits: the role of future clarity. Health Promot Int 2020; 35:e32-e42. [PMID: 30590556 DOI: 10.1093/heapro/day113] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Research has not definitively ascertained the circumstances that motivate people to live a healthier lifestyle. To redress this shortfall, we report two overlapping studies that examined whether people are more inclined to value health benefits that seem enduring and fundamental rather than transient or superficial-even after controlling effort and cost. In these studies, 242 participants indicated the degree to which they implement 17 health behaviours-as well as the extent to which they perceive the benefits of these behaviours as enduring and fundamental. Furthermore, participants completed a measure that gauges future clarity. Finally, they chose which of two drugs-drugs that differ only on the longevity of effects-they prefer. Participants were more inclined to implement health behaviours that seemed to generate enduring and fundamental benefits. This effect was more pronounced in people who perceive their future as vivid and certain. Furthermore, participants tended to choose the drug that was touted as generating more enduring benefits, even after controlling cost and effort. As these results imply, to encourage healthy behaviour, health practitioners should help people clarify their future goals and then advocate behaviours that generate lasting benefits.
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Affiliation(s)
- Simon A Moss
- School of Psychological and Clinical Sciences, Charles Darwin University, Ellengowan Dr, Casuarina, NT, Australia
| | - Timothy C Skinner
- School of Psychological and Clinical Sciences, Charles Darwin University, Ellengowan Dr, Casuarina, NT, Australia
| | - Melanie Irons
- School of Psychological and Clinical Sciences, Charles Darwin University, Ellengowan Dr, Casuarina, NT, Australia
| | - Nektarios Alexi
- School of Psychological and Clinical Sciences, Charles Darwin University, Ellengowan Dr, Casuarina, NT, Australia
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23
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Farrell K, Brunero S, Holmes-Walker DJ, Griffiths R, Salamonson Y. Self-management of sick days in young people with type 1 diabetes enhanced by phone support: A qualitative study. Contemp Nurse 2019; 55:171-184. [PMID: 31271107 DOI: 10.1080/10376178.2019.1640620] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
Aims and Objectives: The aim of this paper was to evaluate the impact of phone support on sick day management of young people with type 1 diabetes. Method: Qualitative exploratory study to understand the usage of a phone support service available, 8am to 8.30pm, seven days a week. Inclusion criteria were: (a) young people with type 1 diabetes who attend an age-specific service; (b) experienced acute diabetes crisis. Interviews were coded for themes using QSR NVivo™ Version 11 software. Findings were examined through the theoretical lens of the Health Belief Model. Results: Of 20 eligible individuals, 8 participated in the study. Five avoided emergency presentation by accessing the phone support service; three who did not were admitted for diabetic ketoacidosis. The interviews generated 3 major themes: (a) self-efficacy, (b) cues to action, (c) susceptibility. Conclusion: Enhancing self-efficacy and promoting confidence to seek help early during an acute health crisis enables young people to effectively self-manage and avoid hospitalization.
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Affiliation(s)
- Kaye Farrell
- a Clinical Nurse Consultant, Westmead Hospital , Westmead, PO Box 533, Wentworthville , NSW 2145 , Australia.,b School of Nursing and Midwifery, Western Sydney University , Locked Bag 1797, Penrith , NSW 2751 , Australia
| | - Scott Brunero
- c Clinical Nurse Consultant, Mental Health Liaison Nursing, School of Nursing and Midwifery, Prince of Wales Hospital, Western Sydney University , Locked Bag 1797, Penrith , NSW 2751 , Australia.,d Centre for Applied Nursing Research (CANR), Ingham Institute for Applied Medical Research , Liverpool , NSW , Australia
| | - Deborah Jane Holmes-Walker
- e Westmead Hospital , Westmead, PO Box 533, Wentworthville , NSW 2145 , Australia.,f Sydney University Medical School , Sydney , NSW , Australia
| | - Rhonda Griffiths
- b School of Nursing and Midwifery, Western Sydney University , Locked Bag 1797, Penrith , NSW 2751 , Australia
| | - Yenna Salamonson
- b School of Nursing and Midwifery, Western Sydney University , Locked Bag 1797, Penrith , NSW 2751 , Australia.,d Centre for Applied Nursing Research (CANR), Ingham Institute for Applied Medical Research , Liverpool , NSW , Australia
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24
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Kang Y, Hur Y. Medication Adherence and Its Associated Factors in Laotians With Type 2 Diabetes Mellitus. Clin Nurs Res 2019; 29:331-338. [PMID: 31104478 DOI: 10.1177/1054773819849349] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
This study aims to explore diabetes mellitus (DM) medication adherence and its associated factors in Laotians with type 2 DM by determining the relationships among DM-related characteristics, diabetes knowledge, self-efficacy, diabetes locus of control, and DM medication adherence. The participants of the study were 175 patients who visited the DM clinics in Vientiane. The mean score of medication adherence was 6.26 ± 1.57 (M ± SD), corresponding to a medium adherence level. In the regression model, a total variance of medication adherence explained was 11.4%. Employment status, duration of illness, and self-efficacy were significant factors for predicting medication adherence. Self-efficacy was found to be the most important factor in explaining the variance of medication adherence. These findings indicate the need to develop an intervention program and clinical strategies in Laos promoting diabetic medication adherence that include diverse methods for enhancing self-efficacy.
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Affiliation(s)
| | - Yujin Hur
- Ewha Womans University, Seoul, South Korea
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25
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Wisting L, Rø A, Skrivarhaug T, Dahl-Jørgensen K, Rø Ø. Disturbed eating, illness perceptions, and coping among adults with type 1 diabetes on intensified insulin treatment, and their associations with metabolic control. J Health Psychol 2019; 26:688-700. [DOI: 10.1177/1359105319840688] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022] Open
Abstract
This study investigated associations between psychological aspects and metabolic control among adults with type 1 diabetes ( n = 282). Linear regression analyses demonstrated that the illness perception personal control and the coping strategy seeking emotional social support explained 23.2 percent of the variance in hemoglobin A1c among females ( β = 0.40, p < 0.001 and β = −0.22, p < 0.01, respectively). Among males, only personal control remained significant, explaining 13.9 percent of the variance in hemoglobin A1c ( β = 0.37, p < 0.001). The associations between psychological correlates and hemoglobin A1c indicate that addressing such aspects clinically may facilitate metabolic control, thereby potentially contributing to reduce the risk of complications.
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Affiliation(s)
- Line Wisting
- Regional Department for Eating Disorders, Division of Mental Health and Addiction, Oslo University Hospital, Norway
- Oslo Diabetes Research Centre, Norway
| | - Astrid Rø
- Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, Norway
| | - Torild Skrivarhaug
- Oslo Diabetes Research Centre, Norway
- Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, Norway
- The Norwegian Diabetic Centre, Oslo, Norway
- Department of Paediatric and Adolescent Medicine, Oslo University Hospital, Norway
| | - Knut Dahl-Jørgensen
- Oslo Diabetes Research Centre, Norway
- Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, Norway
- The Norwegian Diabetic Centre, Oslo, Norway
- Department of Paediatric and Adolescent Medicine, Oslo University Hospital, Norway
| | - Øyvind Rø
- Regional Department for Eating Disorders, Division of Mental Health and Addiction, Oslo University Hospital, Norway
- Institute of Clinical Medicine, Mental Health and Addiction, University of Oslo, Norway
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26
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Krockow EM, Riviere E, Frosch CA. Improving shared health decision making for children and adolescents with chronic illness: A narrative literature review. PATIENT EDUCATION AND COUNSELING 2019; 102:623-630. [PMID: 30578102 DOI: 10.1016/j.pec.2018.11.017] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/25/2018] [Revised: 11/09/2018] [Accepted: 11/19/2018] [Indexed: 06/09/2023]
Abstract
OBJECTIVE This review aims to increase understanding of health decision-making by children and adolescents with chronic illnesses and offer suggestions for improving shared decision-making with healthcare professionals. METHODS Using cross-disciplinary publication databases, we surveyed literature on children's and adolescents' health decision-making from psychology, health sciences, and neuroscience. RESULTS Several factors influencing health decision-making were identified. Considering neurobiological aspects, children lack functionality in the frontal lobe resulting in lesser cognitive control and higher risk-taking compared to adults. Additionally, adolescents' generally higher arousal of socioemotional systems demonstrates neurological underpinnings for reward-seeking behaviours. Psychological investigations of children's health decision-making indicate important age-dependent differences in risk-taking, locus of control, affect and cognitive biases. Furthermore, social influences, particularly from peers, have a large, often negative, effect on individual decision-making due to desire for peer acceptance. CONCLUSION Acknowledging these factors is necessary for optimising the process of shared decision-making to support minors with chronic illnesses during healthcare consultations. PRACTICE IMPLICATIONS Doctors and other healthcare professionals may need to counteract some adolescents' risk-taking behaviours which are often spurred by peer pressure. This can be achieved by highlighting the patient's control over health outcomes, emphasising short-term benefits and long-term consequences of risky behaviours, and recommending peer support networks.
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Affiliation(s)
- Eva M Krockow
- Department of Neuroscience, Psychology and Behaviour, University of Leicester, United Kingdom
| | - Erica Riviere
- Department of Neuroscience, Psychology and Behaviour, University of Leicester, United Kingdom
| | - Caren A Frosch
- Department of Neuroscience, Psychology and Behaviour, University of Leicester, United Kingdom.
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27
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Ko J, Kim KB, Timmerman GM, Clark AP, Kim M. Factors Predicting Sodium Intake of Korean Americans with Type 2 Diabetes. J Immigr Minor Health 2018; 20:641-650. [PMID: 28589487 PMCID: PMC5996387 DOI: 10.1007/s10903-017-0602-8] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
The increasing prevalence of type 2 diabetes mellitus (T2DM) and its complications including cardiovascular disease and chronic kidney disease threaten Korean Americans (KAs). High dietary sodium intake contributes to both conditions. The purpose of the study was to assess dietary sodium consumption and to examine the predictors of sodium intake among KA with T2DM. A total 232 KA who had uncontrolled diabetes participated in this study. The majority of the sample (69%) consumed more sodium than current national guidelines. A high level of energy intake was the strongest predictor for sodium intake with gender and marital status also related. Our findings identified predictive factors to excessive sodium intake and these data support the need for culturally-tailored education about appropriate dietary sodium and energy intake are needed for patients about T2DM.
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Affiliation(s)
- Jisook Ko
- School of Nursing, The University of Texas at Austin, 1710 Red River, Austin, TX, 78751, USA.
| | - Kim B Kim
- Korean Resource Center, Ellicott City, MD, USA
| | - Gayle M Timmerman
- School of Nursing, The University of Texas at Austin, 1710 Red River, Austin, TX, 78751, USA
| | - Angela P Clark
- School of Nursing, The University of Texas at Austin, 1710 Red River, Austin, TX, 78751, USA
| | - Miyong Kim
- School of Nursing, The University of Texas at Austin, 1710 Red River, Austin, TX, 78751, USA
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28
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Kahe M, Vameghi R, Foroughan M, Bakhshi E, Bakhtyari V. The Relationships Between Self-Concept and Self-Efficacy With Self-Management Among Elderly of Sanatoriums in Tehran. SALMAND 2018. [DOI: 10.21859/sija.13.1.28] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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29
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Nuccitelli C, Valentini A, Caletti MT, Caselli C, Mazzella N, Forlani G, Marchesini G. Sense of coherence, self-esteem, and health locus of control in subjects with type 1 diabetes mellitus with/without satisfactory metabolic control. J Endocrinol Invest 2018; 41:307-314. [PMID: 28803346 DOI: 10.1007/s40618-017-0741-8] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/08/2016] [Accepted: 08/07/2017] [Indexed: 12/29/2022]
Abstract
BACKGROUND Despite intensive training, a few individuals with Type 1 diabetes mellitus (T1DM) fail to reach the desired metabolic targets. AIM To evaluate the association between disease-related emotional and cognitive aspects and metabolic control in subjects with T1DM. SUBJECTS AND METHODS Health locus of control (HLOC), sense of coherence (SOC), and self-esteem were assessed in T1DM subjects using validated questionnaires. Sixty-seven consecutive subjects who did not attain the desired HbA1c target (mean HbA1c, 8.3% [67 mmol/mol]) were compared with 30 cases in satisfactory metabolic control (HbA1c levels <7%-53 mmol/mol). RESULTS In the overall population, SOC was negatively associated with BMI and average HbA1c, as was the association of self-esteem with HbA1c. Subjects attaining the desired metabolic target were characterized by higher SOC scores, higher Internal HLOC and prevalent Internal vs. Powerful-others HLOC. Compared to subjects in good metabolic control, subjects with unsatisfactory control had lower scores of SOC, Internal HLOC and Self-esteem, with no difference in Powerful others, or Chance HLOC. In the same group, SOC in the upper tertile was significantly associated with self-esteem (OR 1.35; 95% CI 1.08-1.69) and PHLOC (OR 1.24; 95% CI 1.03-1.49), after adjustment for age, sex, educational level, and comorbidities. CONCLUSIONS Patients who fail to reach a satisfactory metabolic control tend to rely on significant others, trusting in the physicians' skills or on the efficiency of the health-care system. Strategies aimed at increasing self-efficacy and SOC, based on personal ability, are eagerly awaited to help patients improve diabetes care.
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Affiliation(s)
- C Nuccitelli
- Unit of Metabolic Diseases and Clinical Dietetics, Department of Medical and Surgical Sciences, Policlinico S. Orsola, Via Massarenti, 9, "Alma Mater Studiorum" University, 40138, Bologna, Italy
| | - A Valentini
- Unit of Metabolic Diseases and Clinical Dietetics, Department of Medical and Surgical Sciences, Policlinico S. Orsola, Via Massarenti, 9, "Alma Mater Studiorum" University, 40138, Bologna, Italy
| | - M T Caletti
- Unit of Metabolic Diseases and Clinical Dietetics, Department of Medical and Surgical Sciences, Policlinico S. Orsola, Via Massarenti, 9, "Alma Mater Studiorum" University, 40138, Bologna, Italy
| | - C Caselli
- Unit of Metabolic Diseases and Clinical Dietetics, Department of Medical and Surgical Sciences, Policlinico S. Orsola, Via Massarenti, 9, "Alma Mater Studiorum" University, 40138, Bologna, Italy
- Diabetes Unit, ASL Romagna, Ravenna, Italy
| | - N Mazzella
- Unit of Metabolic Diseases and Clinical Dietetics, Department of Medical and Surgical Sciences, Policlinico S. Orsola, Via Massarenti, 9, "Alma Mater Studiorum" University, 40138, Bologna, Italy
| | - G Forlani
- Unit of Metabolic Diseases and Clinical Dietetics, Department of Medical and Surgical Sciences, Policlinico S. Orsola, Via Massarenti, 9, "Alma Mater Studiorum" University, 40138, Bologna, Italy
| | - G Marchesini
- Unit of Metabolic Diseases and Clinical Dietetics, Department of Medical and Surgical Sciences, Policlinico S. Orsola, Via Massarenti, 9, "Alma Mater Studiorum" University, 40138, Bologna, Italy.
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Zamani-Alavijeh F, Araban M, Mohammadi V, Goodarzi F. Development and psychometric evaluation of a new instrument to assess nutritional perceptions and behaviors of diabetic men. Diabetes Metab Syndr 2017; 11 Suppl 2:S949-S955. [PMID: 28709854 DOI: 10.1016/j.dsx.2017.07.021] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/09/2017] [Accepted: 07/01/2017] [Indexed: 10/19/2022]
Abstract
BACKGROUND It is obvious that unhealthy nutritional behaviors have caused the increasing incidence of diabetes. This study aimed to design the Measure of Nutritional Perceptions and Behaviors in diabetic men and to evaluate its psychometric properties. METHODS A questionnaire was developed within 7 factors. Three methods of face validity, content validity, and construct validity were employed to ensure the validity of the scale. 206 men with diabetes completed the questionnaires. Internal was used to evaluate the reliability of the scale. RESULTS The mean age of men was 58.26 (9.74) years. Results showed that each item in the final questionnaire was highly correlated with the total score of each dimension P<0.05. Moreover, factor analysis led to the extraction of 36 items with acceptable factor loadings in the range of 0.41 to 0.84, which could account for 51% of the total variance. The Cronbach's alpha coefficient equal to 0.83 was obtained for the whole scale. CONCLUSION The reliability and validity of diabetic men's beliefs about healthy nutritional behaviors were desired and the overall structure of the questions was confirmed. This questionnaire can be used to identify individuals at risk for unhealthy nutritional behaviors and also to conduct and evaluate the impact of educational interventions.
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Affiliation(s)
- Fereshteh Zamani-Alavijeh
- Department of Health Education and Promotion, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Marzieh Araban
- Social Determinants of Health Research Center, Dept. of Health Education and Promotion, Public Health School, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
| | - Vida Mohammadi
- Department of Community Nutrition and Food Security Research Center, School of Nutrition and Food Science, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Fataneh Goodarzi
- Department of Health Education and Promotion, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran.
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Bahador RS, Afrazandeh SS, Ghanbarzehi N, Ebrahimi M. The Impact of Three-month Training Programme on Foot Care and Self-efficacy of Patients with Diabetic Foot Ulcers. J Clin Diagn Res 2017; 11:IC01-IC04. [PMID: 28892930 DOI: 10.7860/jcdr/2017/29025.10261] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2017] [Accepted: 06/06/2017] [Indexed: 12/30/2022]
Abstract
INTRODUCTION Patient's self-efficacy in disease management and foot care is considered as an important indicator in controlling the complications of diabetes. AIM This study was aimed to determine the effect of three-month training programme on foot care and self-efficacy of patients with diabetic foot ulcers. MATERIALS AND METHODS A quasi-experimental study was conducted on 60 patients with diabetic foot ulcers in Jiroft Imam Khomeini hospital from January 2016 to May 2016. These patients were randomly divided into intervention and control groups (30 patients in each group). The research instrument was a questionnaire on demographic data, self-efficacy questions for patients with diabetes and a researcher made questionnaire of diabetic foot care. Training programmes for foot ulcers care and prevention of new ulcers formation and other aspects of the disease were implemented during three months in the test group. Data were analysed using descriptive and analytic statistical tests (Mann-Whitney U, paired t-test and Pearson correlation coefficient) by SPSS version 18.0 software. RESULTS The results showed statistically significant difference (p<0.001) in the score of self-efficacy between intervention group (182.25) and control group (93.56), and the foot care score was 47.43 in the intervention group and 30.18 in control group after the intervention. The average scores of self-efficacy and foot ulcers care significantly increased in the intervention group after training programme (p<0.001). CONCLUSION The results showed that the implementation of training programme has been able to increase the self-efficacy of patients and the rate of their foot ulcers care and the prevention of new ulcers and effectively reduce the complications in diabetic patients.
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Affiliation(s)
- Raziyeh Sadat Bahador
- Instructor, Department of Nursing, Jiroft Nursing and Midwifery School, Jiroft University of Medical Sciences, Jiroft, Iran
| | - Seyedeh Sara Afrazandeh
- Instructor, Department of Nursing, Ferdows Paramedical School, Birjand University of Medical Sciences, Birjand, Iran
| | - Nezar Ghanbarzehi
- Instructor, Department of Nursing, Nursing and Midwifery School, Iranshahr University of Medical Sciences, Iranshahr, Iran
| | - Maryam Ebrahimi
- Instructor, Department of Health Information Technology, Ferdows Paramedical School, Birjand University of Medical Sciences, Birjand, Iran
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Song Y, Nam S, Park S, Shin IS, Ku BJ. The Impact of Social Support on Self-care of Patients With Diabetes: What Is the Effect of Diabetes Type? Systematic Review and Meta-analysis. DIABETES EDUCATOR 2017; 43:396-412. [PMID: 28578632 DOI: 10.1177/0145721717712457] [Citation(s) in RCA: 50] [Impact Index Per Article: 7.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Purpose This meta-analysis examined relationships between social support and self-care in type 1 (T1DM) and 2 diabetes mellitus (T2DM). Methods We searched for published and unpublished studies using the following databases: PubMed, Embase, PsycINFO, the Cochrane Library, and Medline. MeSH search terms included "diabetes mellitus," "social support," "caregiver," "self-care," "self-management," "self-care skills," and "coping behavior." Studies reporting correlations between social support and self-care were included. Results Initially, 2 095 studies were extracted. After eliminating duplicate and irrelevant studies, 28 studies involving 5 242 patients with diabetes were included. Of these, 22 studies examined T2DM subjects. Social support was significantly associated with self-care ( k = 28, r = .28, 95% CI: .21-.34, P < .001). Among the diabetes self-care types, the strongest effect was found for glucose monitoring ( k = 6, r = .21, 95% CI: .08-.33). The relationship between social support and self-care was stronger in T2DM ( k = 22, r = .30, 95% CI: .22-.37), relative to T1DM, samples ( k = 5, r = .22, 95% CI: .02-.38). Conclusion It was concluded that the overall effect size for social support on self-care was moderate, and its strength differed by ethnic majority within the sample, type of social support measures, and publication status.
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Affiliation(s)
- Youngshin Song
- Chungnam National University College of Nursing, Daejeon, Republic of Korea (Prof Song, Mrs Park)
| | - Soohyun Nam
- Yale University, School of Nursing, West Haven, CT, USA (Dr Nam)
| | - Seyeon Park
- Chungnam National University College of Nursing, Daejeon, Republic of Korea (Prof Song, Mrs Park)
| | - In-Soo Shin
- Jeon-Ju University Department of Education, Jellabukdo, Republic of Korea (Prof Shin)
| | - Bon Jeong Ku
- Chungnam National University College of Nursing, Daejeon, Republic of Korea (Prof Song, Mrs Park).,Chungnam National University College of Medicine, Daejeon, Republic of Korea (Dr Ku)
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Wilkinson JL, Strickling K, Payne HE, Jensen KC, West JH. Evaluation of Diet-Related Infographics on Pinterest for Use of Behavior Change Theories: A Content Analysis. JMIR Mhealth Uhealth 2016; 4:e133. [PMID: 27932316 PMCID: PMC5179977 DOI: 10.2196/mhealth.6367] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2016] [Revised: 11/02/2016] [Accepted: 11/23/2016] [Indexed: 02/02/2023] Open
Abstract
BACKGROUND There is increasing interest in Pinterest as a method of disseminating health information. However, it is unclear whether the health information promoted on Pinterest is evidence-based or incorporates behavior change theory. OBJECTIVES The objective of the study was to determine the presence of health behavior theory (HBT) constructs in pins found on Pinterest and assess the relationship between various pin characteristics and the likelihood of inclusion of HBT. METHODS A content analysis was conducted on pins collected from Pinterest identified with the search terms "nutrition infographic" and "healthy eating infographic." The coding rubric included HBT constructs, pin characteristics, and visual communication tools. Each HBT construct was coded as present or not present (yes=1, no=0). A total theory score was calculated by summing the values for each of the 9 constructs (range 0-9). Adjusted regression analysis was used to identify factors associated with the inclusion of health behavior change theory in pins (P<.05). RESULTS The mean total theory score was 2.03 (SD 1.2). Perceived benefits were present most often (170/236, 72%), followed by behavioral capability (123/238, 51.7%) and perceived severity (79/236, 33.5%). The construct that appeared the least was self-regulation/self-control (2/237, 0.8%). Pin characteristics associated with the inclusion of HBT included a large amount of text (P=.01), photographs of real people (P=.001), cartoon pictures of food (P=.01), and the presence of references (P=.001). The number of repins (P=.04), likes (P=.01), and comments (P=.01) were positively associated with the inclusion of HBT. CONCLUSIONS These findings suggest that current Pinterest infographics targeting healthy eating contain few HBT elements. Health professionals and organizations should create and disseminate infographics that contain more elements of HBT to better influence healthy eating behavior. This may be accomplished by creating pins that use both text and images of people and food in order to portray elements of HBT and convey nutritional information.
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Affiliation(s)
- Jessica L Wilkinson
- Computational Health Science Research Group, Department of Health Science, Brigham Young University, Provo, UT, United States
| | - Kate Strickling
- Computational Health Science Research Group, Department of Health Science, Brigham Young University, Provo, UT, United States
| | - Hannah E Payne
- Computational Health Science Research Group, Department of Health Science, Brigham Young University, Provo, UT, United States
| | - Kayla C Jensen
- Computational Health Science Research Group, Department of Health Science, Brigham Young University, Provo, UT, United States
| | - Joshua H West
- Computational Health Science Research Group, Department of Health Science, Brigham Young University, Provo, UT, United States
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Factors Influencing Intention to Receive Examination of Diabetes Complications. Asian Nurs Res (Korean Soc Nurs Sci) 2016; 10:289-294. [DOI: 10.1016/j.anr.2016.10.004] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2016] [Revised: 09/16/2016] [Accepted: 10/09/2016] [Indexed: 11/18/2022] Open
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Shayeghian Z, Hassanabadi H, Aguilar-Vafaie ME, Amiri P, Besharat MA. A Randomized Controlled Trial of Acceptance and Commitment Therapy for Type 2 Diabetes Management: The Moderating Role of Coping Styles. PLoS One 2016; 11:e0166599. [PMID: 27907074 PMCID: PMC5132195 DOI: 10.1371/journal.pone.0166599] [Citation(s) in RCA: 39] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2016] [Accepted: 10/29/2016] [Indexed: 11/25/2022] Open
Abstract
Background and Aim Evidence of the efficacy of existing psychological interventions for self-management in diabetes is limited. The current study aimed at assessing the effects of group-based ACT on self-management of patients with T2DM, considering the moderating role of coping styles. Methods One hundred and six patients with type 2 diabetes were randomly assigned either to the education alone (n = 53) or to a combination of education and group-based acceptance and commitment therapy (n = 53) over a period of 10 sessions. In each group, 50 participants completed a 3 month follow-up assessment. Results After 3 months, compared to patients who received education alone, those in the group-based acceptance and commitment therapy condition were more likely to use effective coping strategies, reported better diabetes self-care, and optimum glycated hemoglobin (HbA1C) levels in the target range. Conclusions Consideration of the role of coping style for a more accurate evaluation of the effects of acceptance and commitment therapy may be a useful addition to services provided for patients with type 2 diabetes.
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Affiliation(s)
- Zeinab Shayeghian
- Research Center for Social Determinants of Endocrine Health & Obesity Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | | | | | - Parisa Amiri
- Research Center for Social Determinants of Endocrine Health & Obesity Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
- * E-mail:
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Wiebe DJ, Helgeson V, Berg CA. The social context of managing diabetes across the life span. AMERICAN PSYCHOLOGIST 2016; 71:526-538. [PMID: 27690482 PMCID: PMC5094275 DOI: 10.1037/a0040355] [Citation(s) in RCA: 73] [Impact Index Per Article: 9.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Abstract
Diabetes self-management is crucial to maintaining quality of life and preventing long-term complications, and it occurs daily in the context of close interpersonal relationships. This article examines how social relationships are central to meeting the complex demands of managing Type I and Type 2 diabetes across the life span. The social context of diabetes management includes multiple resources, including family (parents, spouses), peers, romantic partners, and health care providers. We discuss how these social resources change across the life span, focusing on childhood and adolescence, emerging adulthood, and adulthood and aging. We review how diabetes both affects and is affected by key social relationships at each developmental period. Despite high variability in how the social context is conceptualized and measured across studies, findings converge on the characteristics of social relationships that facilitate or undermine diabetes management across the life span. These characteristics are consistent with both Interpersonal Theory and Self-Determination Theory, 2 organizing frameworks that we utilize to explore social behaviors that are related to diabetes management. Involvement and support from one's social partners, particularly family members, is consistently associated with good diabetes outcomes when characterized by warmth, collaboration, and acceptance. Underinvolvement and interactions characterized by conflict and criticism are consistently associated with poor diabetes outcomes. Intrusive involvement that contains elements of social control may undermine diabetes management, particularly when it impinges on self-efficacy. Implications for future research directions and for interventions that promote the effective use of the social context to improve diabetes self-management are discussed. (PsycINFO Database Record
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Markowitz B, Parsons JA, Advani A. Diabetes in Emerging Adulthood: Transitions Lost in Translation. Can J Diabetes 2016; 41:1-5. [PMID: 27658766 DOI: 10.1016/j.jcjd.2016.06.004] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/16/2016] [Revised: 05/03/2016] [Accepted: 06/07/2016] [Indexed: 12/25/2022]
Affiliation(s)
- Benjamin Markowitz
- Keenan Research Centre for Biomedical Science, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Ontario, Canada
| | - Janet A Parsons
- Applied Health Research Centre, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Ontario, Canada; Department of Physical Therapy and the Rehabilitation Science Institute, University of Toronto, Toronto, Ontario, Canada
| | - Andrew Advani
- Keenan Research Centre for Biomedical Science, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Ontario, Canada.
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Yang L, Wu Q, Hao Y, Cui Y, Liang L, Gao L, Jiao M, Ning N, Sun H, Kang Z, Han L, Li Y, Yin H. Self-management behavior among patients with diabetic retinopathy in the community: a structural equation model. Qual Life Res 2016; 26:359-366. [PMID: 27592109 DOI: 10.1007/s11136-016-1396-1] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/18/2016] [Indexed: 10/21/2022]
Abstract
PURPOSE Diabetic retinopathy (DR) is an important, chronic complication of diabetes, requiring competent self-management that depends on adherence to behavioral regimens. This study attempted to identify factors influencing self-management behaviors and develop a model illustrating the interdependence of several factors associated with DR patients. METHODS In June-December 2012, 368 patients with DR completed questionnaires assessing self-management behavior, diabetes knowledge, health beliefs, social support, and treatment adherence. Structural equation modeling was used to test predicted pathways linking self-management behavior to diabetes knowledge, health beliefs, social support, and treatment adherence. RESULTS The results indicated that health beliefs, treatment adherence, and duration of diabetes each had a direct impact on diabetes self-management (p < 0.05). Diabetes knowledge only indirectly influenced diabetes self-management, through health beliefs. Social support had a direct impact on diabetes self-management (β = 0.35, p < 0.01), and an indirect influence on diabetes self-management, through treatment adherence (β = 0.77, p < 0.01). CONCLUSION Health beliefs, treatment adherence, and social support directly affect diabetes self-management, and diabetes knowledge indirectly affects diabetes self-management. This suggests that enhancing DR patients' health beliefs, treatment adherence, and social support would facilitate their diabetes self-management. Meanwhile, improved health education can strengthen diabetes knowledge, which in turn, can positively affect diabetes self-management.
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Affiliation(s)
- Li Yang
- School of Nursing, Harbin Medical University, Harbin, 150086, Heilongjiang province, People's Republic of China.,Department of Social Medicine, School of Public Health, Harbin Medical University, 157 Baojian Road, Harbin, 150081, Heilongjiang province, People's Republic of China
| | - Qunhong Wu
- Department of Social Medicine, School of Public Health, Harbin Medical University, 157 Baojian Road, Harbin, 150081, Heilongjiang province, People's Republic of China.
| | - Yanhua Hao
- Department of Social Medicine, School of Public Health, Harbin Medical University, 157 Baojian Road, Harbin, 150081, Heilongjiang province, People's Republic of China.
| | - Yu Cui
- Department of Social Medicine, School of Public Health, Harbin Medical University, 157 Baojian Road, Harbin, 150081, Heilongjiang province, People's Republic of China
| | - Libo Liang
- Department of Social Medicine, School of Public Health, Harbin Medical University, 157 Baojian Road, Harbin, 150081, Heilongjiang province, People's Republic of China
| | - Lijun Gao
- Department of Social Medicine, School of Public Health, Harbin Medical University, 157 Baojian Road, Harbin, 150081, Heilongjiang province, People's Republic of China
| | - Mingli Jiao
- Department of Social Medicine, School of Public Health, Harbin Medical University, 157 Baojian Road, Harbin, 150081, Heilongjiang province, People's Republic of China
| | - Ning Ning
- Department of Social Medicine, School of Public Health, Harbin Medical University, 157 Baojian Road, Harbin, 150081, Heilongjiang province, People's Republic of China
| | - Hong Sun
- Department of Social Medicine, School of Public Health, Harbin Medical University, 157 Baojian Road, Harbin, 150081, Heilongjiang province, People's Republic of China
| | - Zheng Kang
- Department of Social Medicine, School of Public Health, Harbin Medical University, 157 Baojian Road, Harbin, 150081, Heilongjiang province, People's Republic of China
| | - Liyuan Han
- Department of Preventive Medicine Medical, School of Ningbo University, Ningbo, 315000, Zhejiang province, People's Republic of China
| | - Ye Li
- Department of Social Medicine, School of Public Health, Harbin Medical University, 157 Baojian Road, Harbin, 150081, Heilongjiang province, People's Republic of China
| | - Hui Yin
- Department of Social Medicine, School of Public Health, Harbin Medical University, 157 Baojian Road, Harbin, 150081, Heilongjiang province, People's Republic of China
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Ebrahimi H, Sadeghi M, Amanpour F, Vahedi H. Evaluation of empowerment model on indicators of metabolic control in patients with type 2 diabetes, a randomized clinical trial study. Prim Care Diabetes 2016; 10:129-135. [PMID: 26795772 DOI: 10.1016/j.pcd.2015.09.003] [Citation(s) in RCA: 36] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/11/2015] [Revised: 09/16/2015] [Accepted: 09/19/2015] [Indexed: 12/21/2022]
Abstract
AIMS Diabetes education is a major subject in achieving optimal glycemic control. Effective empowerment approach can be beneficial for improving patients' health. The aim of this study was to evaluate the effect of empowerment model on indicators of metabolic control in patients with type 2 diabetes. METHODS a randomized controlled trial of 103 patients with type 2 diabetes were randomly assigned to either the intervention (empowerment approach training) or the control group (conventional training) 2014. Empowerment approach training were performed for the experimental group for eight weeks. Data collection tool included demographic information form and indicators of metabolic control checklist. Analysis was performed by one-way analysis of variance, chi-square test, paired t-test, independent t-test and multiple linear regression. RESULTS Before the intervention, two groups were homogeneous in terms of demographic variables, glycosylated hemoglobin (HbA1C), and other indicators of metabolic control. After the intervention, average HbA1C and other metabolic indicators except for LDL showed significant differences in the experimental group compared to the control group. CONCLUSION study results indicated the positive effects of applying the empowerment model on the metabolic control indicators. Therefore, applying this model is recommended to nurses and the relevant authorities in order to improve clinical outcomes in diabetic patients.
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Affiliation(s)
- Hossein Ebrahimi
- Center for Health-Related Social and Behavioral Sciences Research, Shahroud University of Medical Sciences, Shahroud, Iran
| | - Mahdi Sadeghi
- School of Nursing & Midwifery, Shahroud University of Medical Sciences, Shahroud, Iran.
| | - Farzaneh Amanpour
- Department of Epidemiology and Biostatistics, School of Public Health, Shahroud University of Medical Sciences, Shahroud, Iran
| | - Hamid Vahedi
- School of Medicine, Shahroud University of Medical Sciences, Shahroud, Iran
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Huang HT, Kuo YM, Wang SR, Wang CF, Tsai CH. Structural Factors Affecting Health Examination Behavioral Intention. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2016; 13:395. [PMID: 27043606 PMCID: PMC4847057 DOI: 10.3390/ijerph13040395] [Citation(s) in RCA: 39] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/31/2015] [Revised: 03/10/2016] [Accepted: 03/28/2016] [Indexed: 11/23/2022]
Abstract
Disease screening instruments used for secondary prevention can facilitate early determination and treatment of pathogenic factors, effectively reducing disease incidence, mortality rates, and health complications. Therefore, people should be encouraged to receive health examinations for discovering potential pathogenic factors before symptoms occur. Here, we used the health belief model as a foundation and integrated social psychological factors and investigated the factors influencing health examination behavioral intention among the public in Taiwan. In total, 388 effective questionnaires were analyzed through structural model analysis. Consequently, this study yielded four crucial findings: (1) The established extended health belief model could effectively predict health examination behavioral intention; (2) Self-efficacy was the factor that most strongly influenced health examination behavioral intention, followed by health knowledge; (3) Self-efficacy substantially influenced perceived benefits and perceived barriers; (4) Health knowledge and social support indirectly influenced health examination behavioral intention. The preceding results can effectively increase the acceptance and use of health examination services among the public, thereby facilitating early diagnosis and treatment and ultimately reducing disease and mortality rates.
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Affiliation(s)
| | - Yu-Ming Kuo
- Department of Marketing and Distribution, Tzu Chi University of Science and Technology, Hualien 970, Taiwan.
| | - Shiang-Ru Wang
- Department of Business Administraiton, National Dong Hwa University, Hualien 974, Taiwan.
| | | | - Chung-Hung Tsai
- Department of Health Administration, Tzu Chi University of Science and Technology, Hualien 974, Taiwan.
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Johnson HM, Warner RC, LaMantia JN, Bowers BJ. "I have to live like I'm old." Young adults' perspectives on managing hypertension: a multi-center qualitative study. BMC FAMILY PRACTICE 2016; 17:31. [PMID: 26969619 PMCID: PMC4788815 DOI: 10.1186/s12875-016-0428-9] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 12/29/2015] [Accepted: 03/03/2016] [Indexed: 01/13/2023]
Abstract
BACKGROUND In the U.S., young adults (18-39 year-olds) have the lowest hypertension control rates among hypertensive adults. Understanding young adults' unique perceptions about hypertension and perceived barriers to hypertension control is critical to develop effective interventions for this population. This multi-center study explored young adults': 1) emotions and reactions after a hypertension diagnosis, 2) attitudes about managing hypertension (lifestyle changes, follow-up visits, antihypertensive medication use), 3) opinions about their healthcare system's hypertension education materials, and 4) opinions about using social media to manage hypertension. METHODS Young adults (18-39 year-olds) with a diagnosis of hypertension and regular primary care access were recruited by the Wisconsin Research and Education Network (WREN). Two focus groups (one per age range: 18-29 years, 30-39 years) were conducted in three Midwestern Family Medicine Clinics (academic, rural, and urban). Conventional content analysis was performed. RESULTS Thirty-eight young adults (mean: 26.7 [9.6] years old, 34% male, 45% Black, 42% with ≥1 year of college) identified barriers to managing hypertension. Emergent themes overlapped across age groups and geographic regions. Most respondents were surprised and angry about a hypertension diagnosis; they expected to develop hypertension, but at a much older age. A hypertension diagnosis negatively altered their "young" self-identity; suggested behavior changes and antihypertensive medications made them feel "older" than their peers. Young adults missed blood pressure follow-up visits due to co-payments, transportation barriers, and longer than desired wait times for brief visits. Contrary to our hypothesis, most young adults disliked social media or text messaging to support self-management; they were most concerned that their peers would see the hypertension communication. Current hypertension education materials were described as not addressing young adults' health questions and are often discarded before leaving the clinic. CONCLUSIONS Targeting interventions to young adults' unique needs is necessary to improve hypertension control and cardiovascular preventive healthcare delivery.
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Affiliation(s)
- Heather M Johnson
- Department of Medicine, School of Medicine and Public Health, University of Wisconsin, H4/512 CSC, MC 3248, 600 Highland Avenue, Madison, WI, 53792, USA. .,Health Innovation Program, University of Wisconsin School of Medicine and Public Health, 800 University Bay Drive, Suite 210, Box 9445, Madison, WI, 53705, USA. .,Division of Cardiovascular Medicine, University of Wisconsin-Madison, School of Medicine and Public Health, UW Health Advanced Hypertension Program, H4/512 CSC, MC 3248, 600 Highland Avenue, Madison, WI, 53792, USA.
| | - Ryan C Warner
- Department of Counselor Education and Counseling Psychology, Marquette University, Schroeder Health & Education Complex, 561 N 15th Street, Room 151A, Milwaukee, WI, 53233, USA
| | - Jamie N LaMantia
- Department of Medicine, School of Medicine and Public Health, University of Wisconsin, H4/512 CSC, MC 3248, 600 Highland Avenue, Madison, WI, 53792, USA.,Health Innovation Program, University of Wisconsin School of Medicine and Public Health, 800 University Bay Drive, Suite 210, Box 9445, Madison, WI, 53705, USA
| | - Barbara J Bowers
- Department of Research, School of Nursing, University of Wisconsin, 5130 Cooper Hall, Signe Skott, 701 Highland Avenue, Madison, WI, 53705, USA.,Department of Academic & Student Services, School of Nursing, University of Wisconsin, Cooper Hall, Suite 1100, 701 Highland Avenue, Madison, WI, 53705, USA
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Rasbach LE, Volkening LK, Markowitz JT, Butler DA, Katz ML, Laffel LMB. Youth and parent measures of self-efficacy for continuous glucose monitoring: survey psychometric properties. Diabetes Technol Ther 2015; 17:327-34. [PMID: 25695341 PMCID: PMC4397990 DOI: 10.1089/dia.2014.0366] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
BACKGROUND This study aimed to describe the development and psychometric evaluation of novel youth and parent measures of self-efficacy related to continuous glucose monitoring (CGM) in pediatric patients with type 1 diabetes. This evaluation also assessed the predictive validity of the CGM Self-Efficacy (CGM-SE) surveys on CGM use and hemoglobin A1c (HbA1c) levels. SUBJECTS AND METHODS Study participants included 120 youth with type 1 diabetes for ≥1 year enrolled in a 2-year randomized clinical trial comparing CGM use with and without the addition of a family-focused CGM behavioral intervention. Youth and parents completed the CGM-SE surveys at randomization after a 1-week run-in to assess CGM tolerability. Analyses of predictive validity excluded the intervention group and included 61 youth in the control group in order to assess CGM use and HbA1c outcomes 3 and 6 months after randomization. RESULTS At study entry, youth were 12.7±2.7 years old with a diabetes duration of 6.1±3.6 years and an HbA1c level of 8.0±0.8% (64±9 mmol/mol); blood glucose monitoring frequency was 6.8±2.4 times/day, and 84% received pump therapy. CGM-SE surveys had acceptable internal consistency (Cronbach's α=0.80 for youth and 0.82 for parents). Youth reporting higher baseline CGM self-efficacy (CGM-SE score of >80) had significantly greater CGM use and lower HbA1c level after 3 and 6 months compared with youth reporting lower baseline CGM self-efficacy (CGM-SE score of ≤80). CONCLUSIONS The CGM-SE surveys appear to have strong psychometric properties. CGM self-efficacy may offer an opportunity to assess the likelihood of CGM adherence and glycemic improvement in youth with type 1 diabetes in clinical and research settings.
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Affiliation(s)
- Lisa E Rasbach
- 1 Pediatric, Adolescent, and Young Adult and Genetics and Epidemiology Sections, Joslin Diabetes Center , Harvard Medical School, Boston, Massachusetts
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Jones CJ, Llewellyn CD, Frew AJ, Du Toit G, Mukhopadhyay S, Smith H. Factors associated with good adherence to self-care behaviours amongst adolescents with food allergy. Pediatr Allergy Immunol 2015; 26:111-8. [PMID: 25586900 DOI: 10.1111/pai.12333] [Citation(s) in RCA: 40] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 01/12/2015] [Indexed: 11/28/2022]
Abstract
BACKGROUND Our understanding of factors which affect adherence to health sustaining self-care behaviours in adolescents with food allergy is limited. This study used the Health Belief Model to explore the relationship between food allergic adolescents' health beliefs, demographic, structural and social psychological factors with adherence to self-care behaviours, including allergen avoidance and carrying emergency medication. METHODS A cross-sectional study of 188 13- to 19- olds identified from hospital prescribed auto-injectable epinephrine for food allergy. Data were collected on demographics, structural factors, social psychological factors, health beliefs and current adherence behaviour using a postal questionnaire. RESULTS Full adherence was reported by 16% of participants. Multivariate analysis indicated that adherence was more likely to be reported if the adolescents belonged to a support group (OR = 2.54, (1.04, 6.20) 95% CI), had an anaphylaxis management plan (OR = 3.22, (1.18, 8.81) 95% CI), perceived their food allergy to be more severe (OR = 1.24, (1.01, 1.52) 95% CI) and perceived fewer barriers to disease management (OR = 0.87, (0.79, 0.96) 95% CI). CONCLUSIONS Membership of a patient support group and having an anaphylaxis management plan were associated with good adherence to self-care behaviours in adolescents with food allergy. Our results suggest that interventions to improve provision and utilisation of management plans, address adolescents' perceptions of the severity of anaphylaxis and reduce barriers to disease management may facilitate good adherence behaviours than focussing on knowledge-based interventions.
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Affiliation(s)
- Christina J Jones
- Division of Primary Care and Public Health, Brighton and Sussex Medical School, Brighton, UK
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Dehghani-Tafti A, Mazloomy Mahmoodabad SS, Morowatisharifabad MA, Afkhami Ardakani M, Rezaeipandari H, Lotfi MH. Determinants of Self-Care in Diabetic Patients Based on Health Belief Model. Glob J Health Sci 2015; 7:33-42. [PMID: 26156902 PMCID: PMC4803867 DOI: 10.5539/gjhs.v7n5p33] [Citation(s) in RCA: 32] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2014] [Revised: 12/15/2014] [Accepted: 01/13/2015] [Indexed: 11/12/2022] Open
Abstract
Introduction: The aim of this study was to determine self-care predictors in diabetic patients based on health belief model. Materials and Methods: The cross-sectional study was conducted on 110 diabetic patients referred to health service centers in Ardakan city, Yazd, Iran. The data was collected by a questionnaire including perceived benefits, barriers, severity, susceptibility, self-efficacy, social support, self-care behaviors and demographic variables. Results: Regularly medicine use (mean= 6.48 times per week) and shoes checking (mean= 1.17 times per week) were reported as the highest and the lowest self-care behaviors respectively. Health belief model constructs including perceived benefits, barriers, severity, susceptibility, self-efficacy and social support predicted 33.5% of the observed variance of self-care behaviors. Perceived susceptibility and self-efficacy had positive effect on self-care behavior; whereas perceived barrier’s has negative effect. Self-efficacy, perceived susceptibility and barriers were most powerful predictor respectively. Conclusion: The findings approved the efficiency of health belief model in prediction of self-care behaviors among diabetic patients. The findings realized the health belief model structure; therefore, it can be used as a framework for designing and implementing educational interventions in diabetes control plans.
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Affiliation(s)
| | | | | | | | - Hassan Rezaeipandari
- Msc in health education, Elderly Health Research Center, Shahid Sadoughi University of Medical Sciences,Yazd , Iran.
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Monaghan M, Helgeson V, Wiebe D. Type 1 diabetes in young adulthood. Curr Diabetes Rev 2015; 11:239-50. [PMID: 25901502 PMCID: PMC4526384 DOI: 10.2174/1573399811666150421114957] [Citation(s) in RCA: 123] [Impact Index Per Article: 13.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/23/2014] [Revised: 02/24/2015] [Accepted: 03/09/2015] [Indexed: 02/08/2023]
Abstract
Type 1 diabetes has traditionally been studied as a chronic illness of childhood. However, young adulthood is a critical time for the development and integration of lifelong diabetes management skills, and research is starting to identify unique challenges faced by youth with diabetes as they age into adulthood. Most young adults experience multiple transitions during this unstable developmental period, including changes in lifestyle (e.g., education, occupation, living situation), changes in health care, and shifting relationships with family members, friends, and intimate others. Young adults with type 1 diabetes must navigate these transitions while also assuming increasing responsibility for their diabetes care and overall health. Despite these critical health and psychosocial concerns, there is a notable lack of evidence-based clinical services and supports for young adults with type 1 diabetes. We review relevant evolving concerns for young adults with type 1 diabetes, including lifestyle considerations, health care transitions, psychosocial needs, and changes in supportive networks, and how type 1 diabetes impacts and is impacted by these key developmental considerations. Specific avenues for intervention and future research are offered.
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Lu Y, Pyatak EA, Peters AL, Wood JR, Kipke M, Cohen M, Sequeira PA. Patient perspectives on peer mentoring: type 1 diabetes management in adolescents and young adults. DIABETES EDUCATOR 2014; 41:59-68. [PMID: 25394732 DOI: 10.1177/0145721714559133] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
PURPOSE The purpose of the study was to identify attitudes and topics relevant to peer mentoring as an adherence-promoting intervention for adolescents and young adults (YAs) with type 1 diabetes (T1D). METHODS Self-administered survey data were collected in 2 diabetes clinics from a convenience sample of adolescents as prospective mentees (ages 13-18) and YAs as prospective mentors (ages 19-25) with T1D. Survey topics included demographics, disease history, glycemic control, adherence, depression, barriers to disease management, social support, and interest in peer mentoring. Descriptive statistical analyses, thematic coding, and stepwise multivariate logistic regression were performed. RESULTS A majority of the 54 adolescents and 46 YAs expressed interest in a peer mentoring program. Having supportive friends and living in a large household positively predicted adolescent interest in having a peer mentor. Approximately one-third of all participants experienced social barriers to diabetes management. For adolescents, barriers included inflexible schedules, unfamiliar foods, and the embarrassment of checking blood glucose in front of others. Young adults reported barriers in tracking food consumption and remembering to check blood glucose. Various diabetes management skills were in high demand by adolescents, who especially desired to learn about managing T1D on their own and in college. Participants were open to multiple communication modes, including in-person meetings, phone, text messaging, and social media. CONCLUSIONS Many adolescents and young adults with T1D are interested in peer mentoring as a way to facilitate learning and sharing essential diabetes management skills and experiences.
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Affiliation(s)
- Yang Lu
- Department of Pediatrics, Harbor-UCLA Medical Center, and the Los Angeles Biomedical Research Institute, Torrance, California (Dr Lu)
| | - Elizabeth A Pyatak
- University of Southern California, Los Angeles, California (Dr Pyatak, Dr Peters, Dr Wood, Dr Kipke, Dr Sequeira)
| | - Anne L Peters
- University of Southern California, Los Angeles, California (Dr Pyatak, Dr Peters, Dr Wood, Dr Kipke, Dr Sequeira)
| | - Jamie R Wood
- University of Southern California, Los Angeles, California (Dr Pyatak, Dr Peters, Dr Wood, Dr Kipke, Dr Sequeira),Children's Hospital Los Angeles, Los Angeles, California (Dr Wood, Dr Kipke, Dr Cohen)
| | - Michele Kipke
- University of Southern California, Los Angeles, California (Dr Pyatak, Dr Peters, Dr Wood, Dr Kipke, Dr Sequeira),Children's Hospital Los Angeles, Los Angeles, California (Dr Wood, Dr Kipke, Dr Cohen)
| | - Marisa Cohen
- Children's Hospital Los Angeles, Los Angeles, California (Dr Wood, Dr Kipke, Dr Cohen)
| | - Paola A Sequeira
- University of Southern California, Los Angeles, California (Dr Pyatak, Dr Peters, Dr Wood, Dr Kipke, Dr Sequeira)
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Rasbach L, Jenkins C, Laffel L. An integrative review of self-efficacy measurement instruments in youth with type 1 diabetes. DIABETES EDUCATOR 2014; 41:43-58. [PMID: 25216655 DOI: 10.1177/0145721714550254] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
Abstract
PURPOSE The purpose of this study is to assess the extant literature on instruments used to measure self-efficacy in youth with type 1 diabetes (T1DM) and their caregivers and to critically evaluate these measurements. METHODS An integrative review (2003-2013) was conducted searching PsycINFO, Cumulative Index to Nursing and Allied Health Literature (CINAHL), and US National Library of Medicine PubMed service (PubMed) databases using key words diabetes, type 1 diabetes, and self-efficacy. The authors reviewed the resulting 294 references for inclusion criteria of (a) sample of youth with T1DM or sample of caregivers of youth with T1DM, (b) description of the self-efficacy instrument as primary research, and (c) the instrument measured self-efficacy specifically related to diabetes management. Forty-five articles out of the initial 294 met criteria. RESULTS Of the 45 articles, 10 different self-efficacy instruments were identified. The primary theoretical framework used was Bandura's social cognitive theory and model of self-efficacy. Most participants were white middle-class T1DM youth. Evaluations to assess validity often were not reported; however, a majority of studies reported high internal consistency of the instruments. CONCLUSIONS Sample homogeneity could limit the applicability of results to certain patient populations. Further psychometric analysis, including validity assessments, should be conducted in more diverse samples. Development of valid and reliable instruments for measuring self-efficacy that are sensitive to change across a wider caregiver base over time is necessary. While this review examined reliable and valid instruments used in research, future opportunities include evaluation of measuring self-efficacy in T1DM youth exposed to recent advances in diabetes management technologies.
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Affiliation(s)
- Lisa Rasbach
- College of Nursing, Medical University of South Carolina, Charleston, South Carolina (Mrs Rasbach, Dr Jenkins),Joslin Diabetes Center, Boston, Massachusetts (Mrs Rasbach, Dr Laffel)
| | - Carolyn Jenkins
- College of Nursing, Medical University of South Carolina, Charleston, South Carolina (Mrs Rasbach, Dr Jenkins)
| | - Lori Laffel
- Joslin Diabetes Center, Boston, Massachusetts (Mrs Rasbach, Dr Laffel)
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Shayeghian Z, Aguilar-Vafaie ME, Besharat MA, Amiri P, Parvin M, Gillani KR, Hassanabadi H. Self-care activities and glycated haemoglobin in Iranian patients with type 2 diabetes: can coping styles and social support have a buffering role? Psychol Health 2014; 30:153-64. [PMID: 25104430 DOI: 10.1080/08870446.2014.951651] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
BACKGROUND Diabetes self-care is a key element in the overall management of diabetes. However, the importance of psychosocial factors for successful disease management is under investigated. This study aimed at exploring the role of coping styles and social support in the relationship between self-care activities and glycated haemoglobin in patients with type 2 diabetes. METHODS One hundred adults (60% female, aged 40-70 years) with type 2 diabetes completed questionnaires assessing self-care activities, coping styles and social support. In addition, a blood test was performed to obtain glycated haemoglobin levels. RESULTS Result showed significant relationships of glycated haemoglobin with self-care activities, coping styles and social support. Regression analysis indicated that social support had a moderating role on the relationship between self-care activities and glycated haemoglobin, such that, at very high levels of social support the association, between Self-Care and HbA1c disappears. CONCLUSIONS Findings indicate that health care providers, within the context of the Iranian social and cultural situation, should pay more attention to psychosocial factors when addressing self-care activities. Delineation of the role of coping styles and social support might be useful for identifying patients in need of particular counselling and support for improving self-care activities and HbA1c levels.
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Affiliation(s)
- Zeinab Shayeghian
- a Department of Psychology , Tarbiat Modares University , Tehran , Iran
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Katsikitis M, Sharman R. A psychological overview of counselling adolescents in healthy eating behaviours. ASIA PACIFIC JOURNAL OF COUNSELLING AND PSYCHOTHERAPY 2013. [DOI: 10.1080/21507686.2013.779930] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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