Download or read book Self Regulation Theory and Self monitoring of Blood Glucose Behavior in Type 2 Diabetes Mellitus written by Jennifer E. F. Ward and published by . This book was released on 2014 with total page 135 pages. Available in PDF, EPUB and Kindle. Book excerpt: The present study examined self-monitoring of blood glucose (SMBG) as part of a selfregulatory process of health decision-making using the Self-Regulation Model of illness perceptions, or Common Sense Model. Participants were N=185 individuals with type 2 diabetes from a specialty diabetes clinic prescribed subcutaneous insulin or other injectable diabetes medication at least daily. Collected information included both medical chart data and self-report questionnaires completed prior receiving lab results. Self-care burden was generally high; the modal prescribed times per day of injecting insulin was 4 with modal SMBG recommendations of 3-4 times per day. Participants reported high adherence to prescribed medication regimens, varied aherence to diet recommednations, and low engagement in exercise. Specific hypotheses were developed to examine the relationship between illness coherence and illness control beliefs (IPQ), SMBG decisionmaking behavior, and outcomes including diabetes distress (PAID) and hemoglobin A1c level. These hypotheses were not supported. Supplemental analyses revealed that SMBG decision-making use was related to illness perceptions, including a positive relationship with personal control and coherence beliefs, but not treatment control, and a negative relationship with both outcome variables (A1c at baseline and PAID score). Both treatment and personal control beliefs were not associated with glucose control outcomes, suggesting that illness beliefs alone do not explain why some individuals are more successful at managing their diabetes than others. Coherence was found to differ by education level and SES and greatly vary in an otherwise relatively homogenous sample. Study findings suggest that illness perceptions play an important role in the process of SMBG use for decision-making as it relates to glucose control and diabetes distress. Results also point to possible clinical targets such as illness coherence and diabetes distress. The study provides a foundation for future research related to SMBG as a decision-making strategy.

Download or read book Effects of Adults Self regulation of Diabetes on Quality of Life Outcomes written by Kenneth Wayne Watkins and published by . This book was released on 1999 with total page 384 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book EBOOK Chronic Physical Illness Self Management and Behavioural Interventions written by Stanton Newman and published by McGraw-Hill Education (UK). This book was released on 2008-12-16 with total page 324 pages. Available in PDF, EPUB and Kindle. Book excerpt: “Newman, Steed and Mulligan have provided an honest attempt to capture the essential practical material required for those working directly with clients in this growing area … As a broad introductory text, this book achieves its purpose.“ International Journal of Integrated Care "I feel this book would be a great addition on any adult nursing bookshelf, especially useful in health promotion, community and management modules. Any healthcare profession such as nurses, doctors, occupational therapists who deal with individuals with chronic illnesses will benefit from this book. I highly recommend this book, a 'must read' for nursing students." Isobel Weston, Nursing Student, Nottingham University, UK This groundbreaking book provides a much-needed overview of self-management in chronic physical illness. It provides the theoretical and conceptual background to self-management, as well as examining issues related to the delivery of self-management interventions in chronic illness. The chapters systematically review the efficacy and effectiveness of interventions in a range of different chronic conditions, including: Asthma Coronary artery disease Heart failure COPD Hypertension Diabetes Rheumatoid arthritis Authored by a range of leading international authors, each of them experts in the chronic diseases they discuss, the book is key reading for a wide range of health care professionals dealing with individuals with chronic conditions, including nurses, doctors, physiotherapists, health psychologists and occupational therapists. The book concludes by looking at the future of self-management for chronic illness. Contributors: Susan J. Blalock, Debbie Cooke, Angela Coulter, Robert F. DeVellis, Joe Ellins, Maarten J. Fischer, Wendy Hardeman, Eric S. Hart, Paul Higgs, Martin Hyde, Ad A. Kaptein, Kate Lorig, Patrick McGowan, Susan Michie, Debra K. Moser, Serap Osman, Jerry C. Parker, Sheetal Patel, Nina Rieckmann, Margreet Scharloo, Nancy E. Schoenberg, Timothy C. Skinner, Jane R. Smith, Lucia Snoei, Frank J. Snoek, Stephen Sutton, John Weinman, Manuel Paz Yepez

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 Efficacy of Self Monitoring of Blood Glucose with and Without Behavior Modification for Control of Type II Diabetes Mellitus written by Margaret Elizabeth Forys and published by . This book was released on 1989 with total page 162 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book The Routines of Decision Making written by Tilmann Betsch and published by Psychology Press. This book was released on 2014-04-04 with total page 423 pages. Available in PDF, EPUB and Kindle. Book excerpt: Experience is currently a hot theme in decision making. For a long time, decision research was almost exclusively focused on new decisions and neglected the importance of experience. It took the field until the 1990s for a new direction in research and theorizing to become visible in the literature. There are parallel movements happening in sociology, political science, social psychology, and business. The purpose of this edited book is to provide a balanced and representative overview of what is currently known about the dynamics of experienced-based decision making. The chapters are written by renowned experts in the field and provide the latest theoretical developments, integrative frameworks, and state-of-the-art reviews of research in the laboratory and in the field.

Download or read book The Science of Self report written by Arthur A. Stone and published by Psychology Press. This book was released on 1999-08 with total page 393 pages. Available in PDF, EPUB and Kindle. Book excerpt: This collection of chapters on the many issues involved in collecting, interpreting, and working with self-report data will be invaluable to scholars and professionals in the mental and behavioral sciences.

Download or read book Self monitoring and Reinforcement Contracting in Behavioral Self management of Type II Diabetes written by Deborah Brunelle and published by . This book was released on 1991 with total page 160 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Self Monitoring of Blood Glucose in Patients with Type 2 Diabetes Mellitus Meta Analysis of Effectiveness written by U. S. Department of Veterans Affairs and published by Createspace Independent Pub. This book was released on 2013-06-18 with total page 52 pages. Available in PDF, EPUB and Kindle. Book excerpt: According to the World Health Organization, at least 180 million people worldwide suffer from diabetes. Though prevalent throughout the world, diabetes is more common (especially type 2) in more developed countries like the United States. The National Diabetes Information Clearinghouse estimates that diabetes costs $132 billion in the United States alone every year. Given these estimates along with the projection that the worldwide incidence of diabetes will double in the next 20 years, 1 intensified research into better management of this chronic disease is paramount. Tighter control of blood glucose is advocated as a means to reduce microvascular and macrovascular complications. VA has performance measures assessing the proportion of patients meeting certain A1c goals, currently 7% and 9%. Theoretically, self-monitoring of blood glucose (SMBG) can improve compliance with recommendations on diet and exercise and medication regimens. The American Diabetes Association has recommended that the optimal frequency of SMBG for patients with type 2 diabetes should be adequate to facilitate reaching glucose goals. This hypothesis is based on the expectation that life style changes are facilitated by SMBG. Under these conditions, we should expect an improvement of glycemic control SMBG may decrease patient management costs, and because of the high prevalence of type 2 diabetes, efforts to establish the efficacy of SMBG in type 2 diabetes mellitus are of greater relevance. Methods to achieve improved glycemic control, and therefore a higher proportion of patients meeting target A1c levels, include diet, exercise, and medication. However, evidence supporting the use of SMBG for diabetics not requiring insulin is not as clear. The purpose of this review is to analyze the literature to answer four key questions given to us by VA: 1) Is regular self-monitoring of blood glucose effective in achieving target A1c levels for patients with type 2 diabetes?; 2) Is regular self-monitoring of blood glucose effective in maintaining target A1c levels for patients with type 2 diabetes?; 3) Does regular self-monitoring of blood glucose reduce the frequency of hypoglycemia in patients with type 2 diabetes?; 4) Is there evidence that different frequencies of testing result in differences in improvements in A1c?

Download or read book Using the theory of self regulation to assess the correlation between self monitoring adherence lifestyle behaviors and health outcomes among type two diabetic patients written by Ila Davidson Casselberry and published by . This book was released on 2016 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Psychosocial Care for People with Diabetes written by Deborah Young-Hyman and published by American Diabetes Association. This book was released on 2012-12-25 with total page 330 pages. Available in PDF, EPUB and Kindle. Book excerpt: Psychosocial Care for People with Diabetes describes the major psychosocial issues which impact living with and self-management of diabetes and its related diseases, and provides treatment recommendations based on proven interventions and expert opinion. The book is comprehensive and provides the practitioner with guidelines to access and prescribe treatment for psychosocial problems commonly associated with living with diabetes.

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 Does Daily Self monitoring of Blood Sugar Levels Improve Blood Sugar Control and Quality of Life for Patients with Type 2 Diabetes who Do Not Use Insulin written by Laura A. Young and published by . This book was released on 2018 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: For the nearly 75% of patients living with type 2 diabetes mellitus (T2DM) who do not use insulin, decisions regarding self-monitoring of blood glucose (SMBG) can be especially problematic. While in theory SMBG holds great promise for sparking favorable behavior change, it is a resource-intensive activity without firmly established patient benefits.OBJECTIVES: The overarching goal was to assess the impact of 3 different SMBG testing approaches on patient-centered outcomes in patients with non-insulin-treated T2DM within the real-world clinic setting.OBJECTIVE 1: Assess SMBG effectiveness on 2 primary patient-centered outcomes, glycemic control (A1c) and health-related quality of life (HRQOL), over 1 year in 450 participants with non-insulin-treated diabetes mellitus (DM) in the following 3 groups: (1) no SMBG testing, (2) once-daily SMBG testing with standard patient feedback consisting of glucose values immediately reported to the patient through the glucometer, and (3) once-daily SMBG testing with enhanced patient feedback consisting of glucose values immediately reported to the patient plus automated, tailored messaging also delivered via the glucometer. OBJECTIVE 2: Evaluate the impact of SMBG on secondary patient-centered outcomes including (1) DM-related quality of life, (2) DM self-care, (3) DM treatment satisfaction, (4) DM self-efficacy, (5) patient-provider communication, (6) hypoglycemia frequency, and (7) health care utilization. OBJECTIVE 3: Conduct qualitative assessments of the patient participant and provider experience for all 3 intervention groups. This objective supports efficient translation of study findings to real-world clinic settings by exploring such issues as patient-provider communications, use of the glucometer and accompanying reports, utility of the treatment algorithm given to providers, and practice burden. METHODS: Using a stakeholder engagement approach, we developed and implemented a pragmatic trial. We randomly assigned 450 patients with non-insulin-treated T2DM in 15 North Carolina primary care practices to 3 arms without masking of treatment assignment: (1) no SMBG, (2) once-daily testing with standard feedback consisting of glucose values being immediately reported to the patient through the glucometer, and (3) once-daily SMBG with enhanced patient feedback consisting of glucose values being immediately reported to the patient plus automated, tailored feedback messaging delivered to the patient through the glucometer following each testing. Coprimary outcomes included glycemic control (A1c) and HRQOL at 52 weeks. RESULTS: A total of 450 patients were randomized and 92.9% completed the final visit. There were no significant differences in glycemic control across all 3 groups (P = 0.74; estimated adjusted mean A1c difference: SMBG with messaging vs no SMBG −0.09% [95% CI, −0.31% to 0.14%]; SMBG vs No SMBG −0.05% [95% CI, −0.27% to 0.17%]). There were also no significant differences found in HRQOL. There were no notable differences in key adverse events, including hypoglycemia frequency, health care utilization, or insulin initiation. CONCLUSIONS: In patients with non-insulin-treated type 2 diabetes, at 1 year we observed no clinically or statistically significant differences in glycemic control or HRQOL between patients who performed SMBG compared with those who did not perform SMBG. The addition of tailored feedback provided through messaging via a meter did not provide any advantage in glycemic control.

Download or read book Self regulation written by Rae L. Jayne and published by . This book was released on 1993 with total page 500 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Feasibility of an Educational and Psychosocial Intervention Targeting Self regulation Strategies in Adults with Type 2 Diabetes Mellitus written by Katlyn M. Pawelczyk and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Type 2 diabetes mellitus (T2DM) remains a significant public health concern. Few lifestyle intervention trials have evaluated the effectiveness of a self-regulatory approach to an educational lifestyle program for adults with T2DM. Self-regulation encompasses mechanisms, which describe deliberate and subconscious methods individuals use to pursue and attain goals. Goal Setting Theory (GST) and the Health Action Process Approach (HAPA) examine specific theoretical constructs: what motivates a person to initiate behavior change, how they take action, and how they maintain action. Psychological self-regulation models like Hope Theory and Construal Level Theory (CLT) aim to expose the fluctuations in the mental process of behavioral change which lead to failure or success in goal pursuit and attainment. Educational interventions incorporating behavior change theories and self-regulation principles could provide more effective T2DM management. Objective: To evaluate theoretical determinants, and behavioral and clinical outcomes before and after a group-based lifestyle intervention targeting self-regulation strategies in adults with T2DM; the Pathways Lifestyle Program (PLP). Methods: PLP is a novel, interdisciplinary lifestyle intervention built upon Goal Setting Theory, Health Action Process Approach, and self-regulatory techniques. The 10-week intervention emphasized nutrition and physical activity education combined with strategies and support for overcoming obstacles faced during behavior change. Goals for the intervention included: (1) consume = 3 low glycemic index (GI) servings/day; (2) achieve = 150 minutes/week of moderate-to-vigorous intensity physical activity (MVPA); and (3) achieve or maintain an A1c of = 7.0% via fingerstick sample. Overweight or obese participants (n=19) aged >21 years old, diagnosed with T2DM >1 year, and not requiring insulin therapy were recruited. Three, 24-hour dietary recalls were used to assess dietary intake, and wrist-worn accelerometry assessed change in MVPA. Results: Significant changes for action and coping planning, action self-efficacy, hope, percentage of time spent sedentary, and diastolic blood pressure were observed from pre- to post-intervention (all p =0.05). Increases in MVPA trended towards significance (p=0.07). Mean (±SE) change in total GI (-2.67±1.92; p=0.19) and glycemic load (-23.5±14.93;p=0.14) indicated improvement although were not statistically significant. There were no significant changes in consumption of low GI servings, body mass index, or A1c. Conclusions: Feasibility and proof of concept regarding an integrated theoretical approach to lifestyle change was successfully demonstrated in this preliminary study. Additional research is needed to fully implement the intervention with a sample size adequately powered to evaluate intervention efficacy. Results from this study suggest that with modification, a larger, randomized control trial has high likelihood of success.

Download or read book Self monitoring of Blood Glucose in Patients with Type 2 Diabetes Mellitus written by and published by . This book was released on 2007 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: BACKGROUND: Diabetes is a prevalent and costly disease in Veterans. Control of blood glucose is an important VA objective. Self-monitoring of blood glucose (SMBG) is advocated as a method to better achieve control. The Key Questions were: Key Question 1. Is regular SMBG effective in achieving target A1c levels for patients with type 2 diabetes? Key Question 2. Is regular SMBG effective in maintaining target A1c levels for patients with type 2 diabetes? Key Question 3. Does regular SMBG reduce the frequency of hypoglycemia in patients with type 2 diabetes? Key Question 4. Is there evidence that different frequencies of testing result in differences in improvements in A1c? METHODS: We searched PubMed from 2004-2006 using standard search terms. We performed an update search in July 2007. Titles, abstracts, and articles were reviewed in duplicate by physicians trained in the critical analysis of literature. Data were extracted by quantitative analysts. Pooled analyses were performed for trials with A1c outcomes at six months and 12 months or greater of follow-up. All other data were narratively summarized. RESULTS: We screened 52 titles, 14 were rejected, and we performed a more detailed review on 38 articles. From this, we identified 14 randomized controlled trials (RCTs) that measured the effect of SMBG compared to a group not receiving SMBG and monitored A1c levels with at least three months of follow-up. Four trials were excluded; one because it presented duplicate data and three because they evaluated SMBG in both the control and intervention groups, leaving 10 trials contributing to the efficacy analysis. We identified five observational studies assessing effectiveness in diabetic Veterans.

Download or read book Motivational Interviewing in Diabetes Care written by Marc P. Steinberg and published by Guilford Publications. This book was released on 2015-08-14 with total page 257 pages. Available in PDF, EPUB and Kindle. Book excerpt: People with diabetes often struggle to make healthy choices and stay on top of managing their illness. Filling a vital need, this is the first book to focus on the use of motivational interviewing (MI) in diabetes care. The uniquely qualified authors--physician Marc P. Steinberg has devoted much of his career to diabetes care, and renowned clinical psychologist William R. Miller is the codeveloper of MI--present proven counseling techniques that can make any conversation with a patient more efficacious and motivating. Numerous sample dialogues illustrate specific ways to elicit patients' strengths and help them overcome barriers to change in such areas as eating habits, physical activity, medication use, insulin treatment, substance abuse, psychological issues, and more. This book is in the Applications of Motivational Interviewing series, edited by Stephen Rollnick, William R. Miller, and Theresa B. Moyers. Winner (First Place)--American Journal of Nursing Book of the Year Award, Adult Primary Care Category