Adhering to lifestyle change recommendations via the trans-theoretical model: a mixed-methods study among type 2 diabetes patients

Nor, Noraishah Mohamed; Sidek, Suriati; Saad, Nurulwahidah; Jaafar, Nurul Hazirah; Shukri, Nor Azwani Mohd

doi:10.1108/nfs-02-2020-0043

Cited by 2 publications

(3 citation statements)

References 30 publications

(26 reference statements)

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“…Our study showed that respondents who were using proper medicine were more likely to have good glycemic control compared to the patients not following proper medicine. This finding is supported by previous studies in diabetes, where an increase in patient compliance was associated with good glycemic control (Lee and Leung, 2003;Deiss et al, 2006;Alqudah et al, 2019;Nor et al, 2020). It has been suggested that greater effort should be made in counseling and improving compliance of patients to proper medication rather than changing the medication or altering the doses.…”

Section: Glycemic Controlsupporting

confidence: 78%

Glycemic control and its associated factors among patients with diabetes mellitus: a cross-sectional study in Bangladesh

Reza

Hasan

Sultana

et al. 2020

NFS

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Purpose Diabetes mellitus is becoming a growing concern worldwide. Hence, the purpose of this study is to assess the magnitude of poor glycemic control and to identify the determinants of poor glycemic control among diabetic patients attending a tertiary care hospital in Bangladesh. Design/methodology/approach This cross-sectional study was conducted among 732 diabetes patients seeking care at the outpatient department of Bangladesh Institute of Health Sciences Hospital, Dhaka, Bangladesh. Information, including glycemic status, was collected from patients’ medical records using a structured questionnaire. Findings About 87.6% of the patients were found to have poor glycemic control (glycosylated hemoglobin = 7%). Variables that were significant in bivariate analysis were put into a multivariate model where the factors associated with poor glycemic control were patients aged 41–60 years (odds ratio (OR)=2.26; 95% confidence interval (CI): 1.19–4.32, p = 0.013), suffering from diabetes for > 7 years (OR = 1.84; 95% CI: 1.12–2.99, p = 0.015), using insulin (OR = 2.34; 95% CI: 1.23–4.47; p = 0.010) or diet alone (OR = 0.20; 95% CI: 0.05–0.80, p = 0.023) as a type of diabetes treatment and proper use of medicine (OR = 0.37; 95% CI: 0.17–0.82, p = 0.015). Originality/value The high prevalence of poor glycemic control among diabetic patients is evident; therefore, strategic management and proper attention focusing on the predictors of poor glycemic control are necessary to reduce the long-term complications of diabetes.

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Section: Glycemic Controlsupporting

confidence: 78%

Glycemic control and its associated factors among patients with diabetes mellitus: a cross-sectional study in Bangladesh

Reza

Hasan

Sultana

et al. 2020

NFS

View full text Add to dashboard Cite

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“…A study by [ 17 ] identified four major themes regarding adherence to lifestyle change (stumbling block, self-care belief, knowledge implementation, and self-empowerment) and advised healthcare providers to identify patients' stages of change before implementing lifestyle change. Also, Selçuk-Tosun and Zincir [ 18 ] revealed that the TTM-based motivational interview method increased the self-efficacy level of participants with type 2 DM, which helped them improve their metabolic control and health behavior stages over 6 months.…”

Section: Resultsmentioning

confidence: 99%

“…This, in turn, led to improvements in both their metabolic control and overall health behaviors. Through these interviews, patients were able to identify which stage of change they were in and received personalized recommendations for lifestyle modifications [ 17 ].…”

Section: Discussionmentioning

confidence: 99%

Transtheoretical-Based Model of Intervention for Diabetes and Prediabetes: A Scoping Review

Miezah,

Amoadu,

Opoku

et al. 2024

Journal of Diabetes Research

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Diabetes is considered a public health problem worldwide, fostered by population growth, an increase in the overall quality of life, changes in dietary patterns, modifications in lifestyle habits, and the natural process of getting older. To properly control diabetes, the transtheoretical model (TTM) may be useful. This scoping review is aimed at identifying TTM interventions for diabetes. The study followed Arksey and O’Malley’s six steps in conducting the scoping review. Four main databases (PubMed, Central, JSTOR, and ScienceDirect), Google Scholar, Google, and a reference list of identified articles were searched for literature. The study included peer-reviewed articles published online from 2000 to 2023 and published in the English language. At the end of the search, 3,514 entries were found in the four main databases, and 23 records were identified through Google, Google Scholar searches, and reference lists. After a thorough screening, 22 records were used for this review. The study found that the primary interventions based on the TTM for managing diabetes and prediabetes were educational materials to promote physical activity among diabetes and prediabetes individuals, health education, exercise, motivational interviews, self-tracking, and dietary changes. Further interventions on diabetes and prediabetes management could adopt the identified transtheoretical interventions to improve the health of their patients.

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Adhering to lifestyle change recommendations via the trans-theoretical model: a mixed-methods study among type 2 diabetes patients

Cited by 2 publications

References 30 publications

Glycemic control and its associated factors among patients with diabetes mellitus: a cross-sectional study in Bangladesh

Glycemic control and its associated factors among patients with diabetes mellitus: a cross-sectional study in Bangladesh

Transtheoretical-Based Model of Intervention for Diabetes and Prediabetes: A Scoping Review

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