Download or read book Diabetes Knowledge Self Effecacy Social Support and Diabetes Self management Affecting Type II Diabetes Outcomes In Qataris written by Fatemah Ali Pouladi (RN) and published by . This book was released on 2018 with total page 189 pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Type II diabetes mellitus (DM) is increasing worldwide, leading to greater health expenses, and its complications were responsible for 4.6 million deaths in 2011 (International Diabetes Federation [IDF], 2011). This study investigates how diabetes knowledge, self-efficacy, social support, and self-management relate to diabetes control. Self-efficacy and social support were examined, respectively, as a mediator and a moderator. The hypothesis is that there is a directional relationship between the concepts of diabetes knowledge, self-efficacy, social support, self-management, and the outcome, glycemic control. Method: A convenience sample of 259 Qataris with type II diabetes mellitus were recruited from Hamad Medical Corporation’s outpatient clinics and Home Healthcare Services (HHCS) in Qatar. Using a cross-sectional correlational design, correlation/regression coefficient tests were used to examine the relationships among these variables and their effect on the dependent variable, glycemic control. Participants responded to a set of questionnaires independently, via telephone, or in-person interviews. The following instruments were used: the Diabetes Knowledge Test (DKT), Self-Efficacy for Diabetes (SED) scale, Social Support by Medical Outcomes Study (MOS), the Self-Management Profile for Type 2 Diabetes (SMP-T2D), and the patients' glycemic control was measured by glycosylated haemoglobin (HbA1c). The collected data were entered into a computer database and patient confidentiality was strictly maintained. Pearson correlation coefficients, multiple, and hierarchical multiple regression were used to analyze the relationships among the variable; in addition, the mediating effect of self-efficacy, and the moderating effect of social support were tested. Results: The study sample’s age averaged 50.7 years (SD=13.0). The duration of diabetes averaged 9.30 years (SD=8.1); the average blood glucose was 176.8 mg/dl (SD= 77.8), and the average HbA1c was 8.6% (SD= 2.2). There was no relationship between diabetes knowledge, self-efficacy, social support, self-management and glycemic control for adult Qataris with type 2 diabetes. Furthermore, self-efficacy did not mediate the relationship between diabetes knowledge and self-management, nor did social support moderate the relationship between self-management and HbA1c. Conclusion: No relationships were found in this sample of Qatari older adults with type 2 diabetes. Future research is needed with larger samples to examine how these and other cultural factors explain glycemic control in this population.
Download or read book Patient Knowledge Perceived Self efficacy and Self management Among Patients with Type II Diabetes Mellitus written by Razel Bacuetes Milo and published by . This book was released on 2017 with total page 130 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the United States (U.S.), Type 2 Diabetes Mellitus (T2DM) has reached epidemic portions with a prevalence of approximately 29.1 million people and is the seventh-leading cause of death (Centers for Disease Control and Prevention [CDC], 2014; Healthy People 2020, n.d.). The U.S. spends an estimated $245 billion in direct and indirect medical costs. The indirect costs include disability and lost productivity (CDC, 2014). Previous studies focusing on diabetes education acknowledge the significance of self-management activities in managing T2DM. Extant studies examining self-management and treatment outcomes for persons with T2DM have paid limited attention to the relationship between patients' disease perceptions, diabetes knowledge, self-efficacy, self-management practices, and glycemic control. The purpose of this investigation was to identify factors and outcomes associated with healthy diabetes self-management practices among a cohort of individuals with T2DM residing in southern California. Nola Pender's Health Promotion Model (Pender et al., 2015) guided the study. Specific aims include: 1) Provide conceptual clarity for the phenomenon of perception through a concept analysis using Walker and Avant (2011) methodology, 2) Identify factors and outcomes associated with diabetes self-management through a systematic review of the literature, and 3) Examine relationships among perceived self-efficacy, specific patient characteristics, diabetic knowledge, self-management practices, and HbA1C values among a sample of individuals with T2DM living in southern California. The research aims provided the structure to generate new scientific data and evidence towards the improvement of self-management practices and those characteristics leading to improved HbA1C outcomes.
Download or read book Latina Patients Social Support and Self efficacy Managing Type 2 Diabetes Mellitus written by Geno Rasumussenm Cristy R. and published by . This book was released on 2013 with total page 194 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Understanding the Factors Influencing Diabetes Self management in Chinese People with Type 2 Diabetes Using Structural Equation Modeling written by and published by . This book was released on 2005 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: It China, more than 20 million people were diagnosed with diabetes in 2000 and it was estimated there would be 42.3 million people with diabetes by 2030 (Wild, Roglic, Green, Sicree, & King, 2004). Diabetes mellitus self-management (DMSM) is considered the cornerstone for controlling diabetes and preventing diabetic complications. To develop effective interventions to promote DMSM in China, it is critical to identify the factors influencing DMSM relevant to this population. The purposes of this study were to test a hypothesized model describing the effects of individual and environmental factors on DMSM in patients with type 2 diabetes in China, and to test if the estimated effects are the same between two subgroups, patients treated with insulin vs. patients treated without insulin. The individual factors included diabetes knowledge, beliefs of treatment effectiveness, and diabetes self-efficacy. Environmental factors included social support from family members and provider-patient communication. Methods: A cross-sectional survey research design was used in this study. The study was conducted at a major hospital in Beijing China. A convenience sample of 201 Chinese adult patients with type 2 diabetes mellitus who attended the outpatient department of the Endocrinology unit at the hospital from September 2004 to November 2004 was obtained for this study. Data were collected using a self-reported questionnaire. Structural equation modeling (SEM) analysis was conducted to test the hypothesized model, and examine and explore the relationships between and among the individual and environmental factors and DMSM. Findings: The initial hypothesized model did not fit the observed data. Based on statistical findings and theoretical soundness, the model was modified. The final model had a good fit to the data. The key findings were that belief in treatment effectiveness and diabetes self-efficacy were key proximal factors affecting DMSM. Knowledge and the environmental factors indirectly affected DMSM through belief in treatment effectiveness and self-efficacy. The findings based on the multi-group SEM analysis indicated that patient-provider communication was a more important factor affecting DMSM for the insulin-treated subgroup, while family support was more important for the non-insulin treated subgroup. Conclusions: The good fit of the final model indicated that significant determinants of DMSM described in American studies were also important predictors of DMSM in Chinese with diabetes. The model illustrated that individual and environmental factors affected DMSM both directly and indirectly. Understanding the complex relationships between and among the individual and environmental factors and DMSM helps the practitioner to design intervention programs promoting DMSM using a more comprehensive approach. The practitioner should also be aware of the differences between the subgroups when developing intervention programs.
Download or read book Combining the Common Sense Model Cognitive Behavioral Principles and Real World Experience to Promote Type 2 Diabetes Self management written by Jessica Samantha Yu and published by . This book was released on 2016 with total page 110 pages. Available in PDF, EPUB and Kindle. Book excerpt: Type 2 diabetes mellitus (T2DM) is a chronic and progressive medical condition that has reached pandemic levels, currently affecting 368 million people worldwide. With previous research demonstrating that T2DM is largely irreversible, the focus is now on developing and disseminating structured diabetes self-management education and support (DSME) programs to help patients live as healthfully as possible without exacerbating their illness. In recent years, several DSME interventions have demonstrated clinically meaningful changes in T2DM patients; however, there appears to be little translation of these programs from research into real world settings because these settings often lack clear blueprints for how to create or implement DSME programs that best fit their organizational needs and structure. Thus, the current study aimed to address this research-practice gap through the development of a brief, theoretically-driven, and behaviorally-focused group-based DSME curriculum for use in real world settings. Phase 1 of the study entailed concentrated efforts to join behavioral health researchers, community health leaders, and T2DM experts in combining the Common Sense Model of Self-Regulation (a prominent health behavior theory), cognitive behavioral principles, and current guidelines from the American Diabetes Association into a novel DSME curriculum. Phase 2 of the study then focused on implementing the resulting four-session curriculum, An Active Approach to Diabetes Self-Management, in local community centers and examining its early acceptability, feasibility, and effectiveness in producing clinical and psychosocial outcomes of interest. A total of 22 adults with T2DM, ranging in age from 35 to 87 years, were recruited from four community organizations and entered into four separate groups. Results indicate statistically significant improvements in participants' glycemic control, diabetes knowledge, and diabetes self-efficacy over the course of the study. In addition, results indicate that both participants and community liaisons were highly satisfied with the intervention. These findings contribute to the field's growing knowledge of how best to capitalize on clinical, research, and real world expertise to design thoughtful and practical DSME programs.
Download or read book An Active Approach to Diabetes Self management written by Jessica Yelena Breland and published by . This book was released on 2013 with total page 74 pages. Available in PDF, EPUB and Kindle. Book excerpt: Type 2 diabetes affects over 20 million people in the United States and has cost the healthcare system billions of dollars. As a result, countless research hours and funds are devoted to developing and testing programs to improve the self-management skills of patients with diabetes. Some interventions produce clinically meaningful changes, but few programs are based on theoretically sound protocols, which makes it difficult to assess theory-based group or individual level variables that might be responsible for changes in self-management. The current study piloted "An Active Approach to Diabetes Self-Management", a novel diabetes self-management intervention based on the integration of two theories (the Common Sense Model of Self-Regulation and Social Cognitive Theory) with techniques from cognitive behavior therapy. The intervention was developed within a Community Based Partnership Research framework. The 4-week intervention consisted of weekly, two-hour group sessions that presented information on and experiences with diabetes self-management, including the self-monitoring of blood glucose, physical activity and nutrition. Sixteen participants participated in three groups held in the fall of 2011 and February of 2012. The primary outcome was hemoglobin A1C (A1C), which was measured before and three months after the start of the intervention. Data were also collected on diabetes self-efficacy, self-management behaviors, diabetes knowledge, general mental and physical functioning and feasibility. iii Results indicated that participants with baseline A1C levels above 6.5% had a significant reduction in A1C over the course of the study. Self-efficacy and understanding of diabetes increased over the course of the study. Diabetes-related negative affect decreased over the course of the study and there was a trend towards a decrease in BMI between baseline and the end of the study. Results also indicate that the workshop was feasible with regards to participant and community staff member satisfaction, study curriculum and the group process. As described within, future iterations must amend inclusion criteria and the curriculum, improve the usability of questionnaires and increase sample size in order to further test feasibility and to determine effect and sample sizes for a larger trial.
Download or read book Self efficacy and Social Support as Predictors of Diabetic Self care written by Mary Katherine Crabtree and published by . This book was released on 1986 with total page 272 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Effect of a Certified Diabetes Self Management Education Program on HgbA1c Levels of Type 2 Diabetic Patients written by Almarie Cavinta and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Diabetes is a chronic condition that can have long-term effects physically, psychologically, emotionally and financially. Because diabetes is a major health concern, there’s an emphasis on finding evidence-based prevention and treatment for this condition. Diabetes Self-Management Education (DSME) is a crucial part in achieving health outcomes for individuals with diabetes. Not all DSME programs are the same; some are certified DSME programs while others are non-certified DSME programs. The purpose of the study is to determine if there is a difference in diabetes knowledge, self-efficacy behaviors and HgbA1c for patients newly diagnosed with Type 2 diabetes who complete a certified DSME program compared to a non-certified DSME program in an outpatient setting. The proposed study will be a quasi-experimental, pre-test and post-test design. A total of 108, with 54 participants for each group, will be recruited in San Diego County. The comparison group will complete a non-certified DSME program while the experimental group will complete a certified DSME program. Three data collection instruments will be used: (1) HgbA1c lab test, (2) demographic survey, and (3) the Personal Diabetes Questionnaire. Scoring will be comparing the means of HgbA1c for both the comparison and experimental group and examining if there is a difference in the answers to the questionnaires before and after the study. The proposed study is significant to nursing because advanced practice nurses (APNs) are at a pivotal position for providing diabetes education and referring patients to the right DSME programs. APNs can provide patients the opportunity to increase diabetes knowledge and adapt attitudes and behavior to improve self-management and prevent complications. This can lead to better health outcomes and overall improved quality of life
Download or read book Improving Diabetes Self care and Glycemic Outcome in Lebanese Patients with Type 2 Diabetes a Culturally Tailored Study written by Sukkarieh-Haraty Ola and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Enhancing diabetes self-care is known to improve glycemic control and dietary habits of patients with type 2 diabetes mellitus (T2DM). The aim of this pilot-study was to test the effect of culturally-tailored educational program targeting diabetes self-care on glycemic control of Lebanese patients with T2DM, of low socioeconomic status. A convenience sample of 27 adults (Age: 61u00b110 years, 59% males, A1C: 8.98u00b11.38%) diagnosed with T2DM for at least one year was recruited from two dispensaries in Beirut. Participants received culturally-tailored, multidisciplinary educational sessions based on the Information-Motivation-Behavioral model and on American Diabetes Associationu2019s National Standards for Diabetes Self-Management Education and Support. Summary of Diabetes Self-Care Activities (SDSCA), Social Support Scale (SS), Diabetes Fatalism Scale (DFS), and Diabetes Knowledge Test (DKT), as well as blood samples (HbA1c, Fasting Plasma Glucose) were collected at baseline, three months and six months post-intervention. Results revealed improvements in various diabetes self-care activities (Diet, SMBG and foot care) after 6 months, which was reflected in a significant decrease in glycaemia (HbA1C: -0.5%; FPG: -38 mg/dl; p
Download or read book Learning to Manage written by and published by . This book was released on 2015 with total page 178 pages. Available in PDF, EPUB and Kindle. Book excerpt: The management of type 2 diabetes in the United States is a population health priority. Approximately 1 in 10 adults in the United States have diabetes and a significant majority have inadequately controlled blood glucose, blood pressure, and cholesterol. Previous research shows that many adults with diabetes lack the knowledge, skills, behaviors, and support to properly manage their condition. Diabetes self-management education has become an important part of diabetes care guidelines as a way to improve the self-management of adults with diabetes in order to lead to improve patient health and reduce inappropriate health care use and medical costs. Despite this, it is unclear who is actually receiving diabetes self-management education in the US, overall and by mode of delivery and diabetes educator type, and whether education is associated with improved population health. Therefore, the objective of this dissertation research is to investigate the distribution of diabetes self-management education, patient sociodemographic factors that influence the receipt of that education, and its contribution toward diabetes outcomes, medical expenditures, and healthcare use in US adults. We achieved this research objective by completing three specific research aims. We used nationally representative data from the Medical Expenditure Panel Survey and the National Health and Nutrition Examination Survey. We found that although a substantial majority of individuals received some form of diabetes self-management education, receiving diabetes education was associated with race/ethnicity and income (Aim 1), and varied by mode of education delivery. Individuals who received diabetes self-management education were less likely to have glycemic control but were more likely to receive antiglycemic treatment (Aim 2). Receiving diabetes self-management education was associated with greater diabetes-related ambulatory and prescription use, depending on the mode of education delivery (Aim 3). Our findings highlight some strengths of the current state of diabetes management occurring in usual care, including the widespread delivery of some form of diabetes education and its association with greater ambulatory and prescription use. However, we also found evidence of the need for more effective diabetes education delivery systems in usual care in order to improve patient self-care behaviors and reduce inpatient and emergency room use.
Download or read book The Roles of Self efficacy Outcome Expectancies and Social Support in the Self care Behaviours of Diabetics written by Kathryn Elizabeth Thomann and published by . This book was released on 2002 with total page 15 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book The Relationship of Depression and Tangible Social Support on the Self efficacy of an Elderly Puerto Rican Diabetic Population written by Maren Jill Coffman and published by . This book was released on 2005 with total page 408 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Learning to Manage written by Ifunanya Hilda Ejebe and published by . This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The management of type 2 diabetes in the United States is a population health priority. Approximately 1 in 10 adults in the United States have diabetes and a significant majority have inadequately controlled blood glucose, blood pressure, and cholesterol. Previous research shows that many adults with diabetes lack the knowledge, skills, behaviors, and support to properly manage their condition. Diabetes self-management education has become an important part of diabetes care guidelines as a way to improve the self-management of adults with diabetes in order to lead to improve patient health and reduce inappropriate health care use and medical costs. Despite this, it is unclear who is actually receiving diabetes self-management education in the US, overall and by mode of delivery and diabetes educator type, and whether education is associated with improved population health. Therefore, the objective of this dissertation research is to investigate the distribution of diabetes self-management education, patient sociodemographic factors that influence the receipt of that education, and its contribution toward diabetes outcomes, medical expenditures, and healthcare use in US adults. We achieved this research objective by completing three specific research aims. We used nationally representative data from the Medical Expenditure Panel Survey and the National Health and Nutrition Examination Survey. We found that although a substantial majority of individuals received some form of diabetes self-management education, receiving diabetes education was associated with race/ethnicity and income (Aim 1), and varied by mode of education delivery. Individuals who received diabetes self-management education were less likely to have glycemic control but were more likely to receive antiglycemic treatment (Aim 2). Receiving diabetes self-management education was associated with greater diabetes-related ambulatory and prescription use, depending on the mode of education delivery (Aim 3). Our findings highlight some strengths of the current state of diabetes management occurring in usual care, including the widespread delivery of some form of diabetes education and its association with greater ambulatory and prescription use. However, we also found evidence of the need for more effective diabetes education delivery systems in usual care in order to improve patient self-care behaviors and reduce inpatient and emergency room use.
Download or read book Relationships Among Self efficacy Social Support Social Problem solving and Self management Behaviors of People Living with Type 2 Diabetes in Rural Alabama written by Caralise Weeks Hunt and published by . This book was released on 2011 with total page 162 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Investigating Community Participation and Subjective Well being for Adults with Type 2 Diabetes Mellitus Using the International Classification of Functioning Disability and Health Framework written by and published by . This book was released on 2013 with total page 268 pages. Available in PDF, EPUB and Kindle. Book excerpt: The rapidly rising prevalence of diagnosed and undiagnosed type 2 diabetes mellitus and those at risk of developing diabetes call for attention among healthcare professionals in addressing contributing factors to prevent and manage the illness. Type 2 diabetes affects and is affected by many other life-threatening chronic health conditions, as well as factors associated with one's psychosocial adjustment and environmental considerations. The dynamics and complexity of these factors interact with one another to bring significant impact on one's day-to-day living and overall quality of life, specifically subjective well-being. Thorough understanding of their structural interactions informs effective rehabilitation practice to improve health-related outcomes, community participation and subjective well-being. The purpose of this study was to investigate the World Health Organization's International Classification of Functioning, Disability, and Health (ICF) model as a way to better understand community participation and subjective well-being for adults with type 2 diabetes. Construct measurements specific to adults with type 2 diabetes corresponding to each ICF components were specified and their interactions were analyzed using structural equation modeling. Results from structural equation modeling revealed that the proposed model did not fit the sample data, and the modified model demonstrated mediocre goodness-of-fit, providing inconclusive results regarding the usefulness of the model. The correlations among variables varied from small to large. However, the final model demonstrated the significance of the contextual factors of diabetes management self-efficacy (personal factor) positively influencing adherence to diabetes self-management and diabetes condition; and perceived social support (environmental factor) positively influencing diabetes management self-efficacy and outcome variables of community participation and subjective well-being. As hypothesized, mediating variables were identified. The results of this study need to be interpreted with careful consideration to limitations such as research and sampling designs, sample size, sample representativeness, and measurement errors. Clinical interventions incorporating self-efficacy and social support in diabetes management are likely to facilitate active participation in the community, thus leading to subjective well-being for people with type 2 diabetes. Additional clinical and future research implication, and study limitations were discussed.
Download or read book The Relationship Between Psychosocial Self efficacy and Self management Behavior in Native Americans with Type 2 Diabetes written by Donna M. Olson and published by . This book was released on 2005 with total page 366 pages. Available in PDF, EPUB and Kindle. Book excerpt: Abstract: The current study was designed to determine whether a linear relationship existed between psychosocial self-efficacy and diabetes self-management behavior in Native American people living in the U.S. Cheyenne-Arapaho people (N = 36) with type 2 diabetes aged 21 to 77, living in Western Oklahoma agreed to participate in the study. Participants were administered the Diabetes Empowerment Scale (DES; Anderson et al., 1995) to measure psychosocial self-efficacy and the Summary of Diabetes Self-Care Activities (SDSCA; Toobert & Glasgow, 1994) to measure levels of self-management behavior in a one-to-one interview format. Managing the psychosocial aspects of diabetes displayed a significant positive relationship to foot self-care behavior and knowledge of diabetes. All other aspects of psychosocial self-efficacy did not show a linear relationship to diabetes self-management behavior in this population. The results suggest that practitioners should focus on enhancing the ability of patients to manage the psychosocial aspects of diabetes through diabetes education. Future researchers could focus on environmental factors that impact self-management in this population.
Download or read book Stigma Self efficacy and Adherence Behaviors in People with Type 2 Diabetes written by Annie N. Laweryson and published by . This book was released on 2020 with total page 266 pages. Available in PDF, EPUB and Kindle. Book excerpt: Type 2 diabetes mellitus is a health condition treated with behavioral modifications including changes in diet, exercise, foot care regimens, and medication. Stigma associated with type 2 diabetes negatively effects health outcomes, whereas patient-provider relationships positively affects health outcomes. The growing literature base on type 2 diabetes stigma and health outcomes is mostly conducted outside of the United States. The present study used online crowdsourcing methods to gather cross-sectional survey data from people (n=152) who have been diagnosed with type 2 diabetes and are living in the United States. Participants completed the survey battery measuring stigma, self-efficacy, patientprovider relationships, and health behaviors. It was predicted that 1) internalized stigma would have a negative impact on self-care behaviors including diet, exercise, foot care, and medication adherence as well as glycated hemoglobin [HbA1C] levels 2) self-efficacy would mediate each of those relationships, and 3) the patient-provider relationship, characterized by trust in providers would moderate the relationship between stigma and self-efficacy thus indirectly moderating self-care behaviors and HbA1C. To test these hypotheses, a set of five moderated-mediation analysis were conducted to test each outcome variable of diet, exercise, foot care, medication adherence, and HbA1C. Main findings of this study revealed paradoxical relationships between stigma, self efficacy, and trust in providers, although consistent with psychological reactance theory. Stigma was associated with medication non-adherence and worse HbA1C, which is consistent with literature. Results of this study suggest that patients who exhibit psychological reactance may struggle to adhere to recommendations despite being more likely to report that everything is okay. This dynamic may make it difficult for providers to accurately gauge patient engagement in care, ability, or progress in health behavior change. However, one could argue responding to stigma with reactance may be protective in other ways. There was some evidence to suggest providers can attend to reactance by attuning to trust within the patient-provider relationship. In summary, this study adds to the pool of literature on stigma and type 2 diabetes, specifically within the US which is important considering variances in social climates and health care systems across nations. Future research should corroborate our suppositions about the relationships between stigma, self-efficacy, and psychological reactance.
