Behavioral Analysis of Chinese Adult Patients with Type 1 Diabetes on Self-monitoring of Blood Glucose

Abstract

Background:The information-motivation-behavioral skills (IMB) model of health behavior is an effective tool to evaluate the behavior of diabetes self-management. The purpose of this study was to explore behavioral factors affecting the practice of self-monitoring of blood glucose (SMBG) within the frame of IMB model of health behavioral among adult patients with type 1 diabetes in a single diabetes clinic in China.Methods:A questionnaire with three subscales on SMBG information, motivation, and behavioral skills based on IMB model was developed. Validity and reliability of the measures were examined and guaranteed. Adult patients with type 1 diabetes visiting our diabetes clinic from January to March 2012 (n = 55) were consecutively interviewed. The self-completion questionnaires were administered and finished at face-to-face interviews among these patients. Both descriptive and correlational analyses were made.Results:Fifty-five patients finished the questionnaires, with the median duration of diabetes 4.5 years and the median of SMBG frequency 2.00. Specific SMBG information deficits, motivation obstacles, and behavioral skill limitations were identified in a substantial proportion of participants. Scores of SMBG motivation (r = 0.299, P = 0.026) and behavioral skills (r = 0.425, P = 0.001) were significantly correlated with SMBG frequency. The multiple correlation of SMBG information, SMBG motivation, and SMBG behavioral skills with SMBG frequency was R = 0.411 (R2 = 0.169, P = 0.023).Conclusions:Adult patients with type 1 diabetes in our clinic had substantial SMBG information deficits, motivation obstacles, and skill limitations. This information provided potential-focused education targets for diabetes health-care providers.

Establishment of a type 1 diabetes structured education programme suitable for Chinese patients: type 1 diabetes education in lifestyle and self adjustment (TELSA)

“…Part 1: Semi-structured interviews Theme 2: Self-monitoring of blood glucose (SMBG) The importance of SMBG has been greatly underestimated by most patients [18]. Over 60% patients in our T1D clinic tested blood glucose levels less than 4 times per day (data unpublished).…”

Factors Affecting Self-Care Performance in Adolescents with Type I Diabetes According to the PEN-3 Cultural Model

“…Since strips for blood glucose measurement are not under the protection of insurance in Iran, and not all families are able to afford patient check-ups regarding their blood sugar levels on daily basis and do not correctly recognize the time of insulin injections, the current researchers plan to have correspondences with Iran’s Ministry of Health through Iranian Diabetes Association and Tarbiat Modares University for paying due attention to the issue. In a study by Qin et al ( 42 ), 85.5% of the participants stated that costs of glucose test strips was high for them.…”

Establishment of a type 1 diabetes structured education programme suitable for Chinese patients: Type 1 Diabetes Education in Lifestyle and Self Adjustment (TELSA)

“…The importance of SMBG has been greatly underestimated by most patients [18]. Over 60% patients in our T1D clinic tested blood glucose levels less than 4 times per day (data unpublished).…”