Illness uncertainty and treatment motivation in type 2 diabetes patients

Apóstolo, João; Viveiros, Catarina Sofia Castro; Nunes, Helena; Domingues, Helena Raquel Faustino

doi:10.1590/s0104-11692007000400009

Cited by 15 publications

(16 citation statements)

References 10 publications

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“…(16) The monitoring of patients by diabetes specialists with clear guidelines and achievable goals is critical in reducing blood glucose, HbAc1 and smoking, in comparison to those accompanied by health professionals with no specialized training. (28) The creation of support groups composed of qualified professionals, people with type 2 diabetes mellitus (compliant and non-compliant) and their families can be an alternative to share successful experiences and also the barriers faced by patients and professionals to achieve adherence to medication therapy, diet and physical exercise.…”

Section: Discussionmentioning

confidence: 99%

Fatores associados à adesão ao tratamento de pacientes com diabetes mellitus

et al. 2013

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Objective: Investigating the association between adherence to treatment of type 2 diabetes mellitus and sociodemographic, clinical and metabolic control variables. Methods: Cross-sectional study with 423 patients with diabetes mellitus. The Fisher's exact test and logistic regression models were used to investigate the association between adherence to treatment and the studied variables.Results: There was no association between adherence to treatment of T2DM and socio-demographic and clinical variables. It was found that total cholesterol and HbA1c were significantly associated with adherence to diet (p = 0.036) and exercise (p = 0.006). Conclusion: The chance of a patient with cholesterol within the recommended level adhering to diet is almost five times the chance of the patient in poor lipid control. The chance of patients with poor glycemic control adhering to exercise is almost twice the chance of those who keep adequate glycemic control. ResumoObjetivo: Investigar associação entre adesão ao tratamento do diabetes mellitus tipo 2 e variáveis sociodemográficas, clínicas e controle metabólico. Métodos: Desenho cross seccional com 423 portadores de diabetes mellitus. Para verificar a associação entre adesão ao tratamento e as variáveis estudadas, utilizou-se teste exato de Fisher e modelos de regressão logística. Resultados: Não houve associação entre adesão ao tratamento do DM2 e variáveis sociodemográficas e clínicas. Verificou-se que o colesterol total e a HbA1c apresentaram associação estatisticamente significativa com a adesão ao plano alimentar (p = 0.036) e de exercício físico (p = 0.006). Conclusão: A chance do paciente com colesterol dentro do valor recomendado apresentar adesão ao plano alimentar é quase cinco vezes a chance do paciente em mau controle lipídico. A chance dos pacientes com mau controle glicêmico apresentarem adesão ao exercício físico é quase duas vezes a chance daquele sem controle adequado da glicemia.

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Section: Discussionmentioning

confidence: 99%

Fatores associados à adesão ao tratamento de pacientes com diabetes mellitus

et al. 2013

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“…The research hypothesis of this study is that is no significant relationship between motivation and treatment seeking behavior among periodontal patients. Hence this study is an attempt to assess the role of motivation in periodontal care by using the Dental Treatment Motivation Scale (DTMS) which in itself is a shortened version of a self-regulation questionnaire for dental treatment [7] subsequently modified based on a questionnaire used for assessing motivation in Type-2 diabetic patients [9,10].…”

Section: Introductionmentioning

confidence: 99%

Motivation in Periodontal Therapy: Assessment Using Novel Dental Treatment Motivation Scale (DTMS)

Nagarajan¹,

Reddy²,

Viswa³

et al. 2014

Dentistry

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Purpose: To assess motivation in patients undergoing periodontal treatment by using the novel Dental Treatment Motivation Scale (DTMS). Materials and Methods:The study is a questionnaire study, consisting of 15 questions using a motivation scale to test what factors motivate the patient to undergo periodontal therapy. 212 patients attending the Department Of Periodontics for periodontal therapy in the month of May, 2014 were evaluated through the questionnaire.Results: All patients showed high degree of motivation for undergoing treatment. Intrinsic motivation scored higher than extrinsic motivation. Conclusions:Motivation plays an important role in treatment seeking behavior. Dentists can play a vital role in motivating and counseling patients to undergo periodontal therapy.

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“…Unpredictable health and uncertainty about the future has been described as a defining feature of people with chronic illnesses [42, 43, 70]. In this study, diabetes patients indicated a failure to plan in advance and organize their days due to the unpredictability of their health condition.…”

Section: Discussionmentioning

confidence: 88%

Illness experiences of diabetes in the context of malaria in settings experiencing double burden of disease in southeastern Tanzania

et al. 2017

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BackgroundTanzania is doubly burdened with both non-communicable and infectious diseases, but information on how Tanzanians experience the co-existence of these conditions is limited. Using Kleinman’s eight prompting questions the study synthesizes explanatory models from patients to describe common illness experiences of diabetes in a rural setting where malaria is the predominant health threat.MethodsWe conducted 17 focus group discussions with adult members of the general community, diabetes patients, neighbours and relatives of diabetes patients to gain insight into shared experiences. To gain in-depth understanding of the individual illness experiences, we conducted 41 in-depth interviews with malaria or diabetes patients and family members of diabetes patients. The analysis followed grounded theory principles and the illness experiences were derived from the emerging themes.ResultsThe illness experiences showed that malaria and diabetes are both perceived to be severe and fatal conditions, but over the years people have learned to live with malaria and the condition is relatively manageable compared with diabetes. In contrast, diabetes was perceived as a relatively new disease, with serious life-long consequences. Uncertainty, fear of those consequences, and the increased risk for severe malaria and other illnesses impacted diabetes patients and their families’ illness experiences. Unpredictable ailments and loss of consciousness, memory, libido, and functional incapability were common problems reported by diabetes patients. These problems had an effect on their psychological and emotional health and limited their social life. Direct and indirect costs of illness pushed individuals and their families further into poverty and were more pronounced for diabetes patients.ConclusionThe illness experiences revealed both malaria and diabetes as distressing conditions, however, diabetes showed a higher level of stress because of its chronicity. Strategies for supporting social, emotional, and psychological well-being that build on the patient accounts are likely to improve illness experiences and quality of life for the chronically ill patient.

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Illness uncertainty and treatment motivation in type 2 diabetes patients

Cited by 15 publications

References 10 publications

Fatores associados à adesão ao tratamento de pacientes com diabetes mellitus

Fatores associados à adesão ao tratamento de pacientes com diabetes mellitus

Motivation in Periodontal Therapy: Assessment Using Novel Dental Treatment Motivation Scale (DTMS)

Illness experiences of diabetes in the context of malaria in settings experiencing double burden of disease in southeastern Tanzania

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