Common dyadic coping is indirectly related to dietary and exercise adherence via patient and partner diabetes efficacy.

Johnson, Matthew D.; Anderson, Jared R.; Walker, Ann F.; Wilcox, Alison; Lewis, Virginia L.; Robbins, David C.

doi:10.1037/a0034006

Cited by 60 publications

(68 citation statements)

References 48 publications

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“…Likewise, researchers have highlighted the importance of considering age when examining chronic illness as older adults are more likely to have multiple chronic illnesses and increased likelihood of developing age-related chronic conditions (e.g., Roper & Yorgason, 2009). Finally, a longer time since diagnosis of Type 2 diabetes was found to be associated with lower patient diabetes self-efficacy (Johnson et al, 2013). …”

Section: Methodsmentioning

confidence: 99%

“…The link between diabetes self-efficacy and patient dietary and exercise adherence has also been found for spouses. Johnson et al (2013) used reports of both patient and spouse diabetes self-efficacy and found both were related to better patient dietary and exercise adherence. Our study extends the work of Johnson and colleagues by including multiple patient and spouse factors that could be related to patient dietary and exercise adherence through patient and spouse diabetes self-efficacy.…”

Section: Introductionmentioning

confidence: 99%

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A dyadic multiple mediation model of patient and spouse stressors predicting patient dietary and exercise adherence via depression symptoms and diabetes self-efficacy

et al. 2016

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Using dyadic data from 117 married couples in which one partner was diagnosed with Type 2 diabetes, the purpose of this study was to determine whether a number of specific patient and spouse stressors (chronic life stress, diabetes-specific stress, and physical health stress in the form of the number of comorbidities) were associated with Type 2 diabetes patients' dietary and exercise adherence through two potentially modifiable patient and spouse factors-depression symptoms and diabetes self-efficacy. We found that patient and spouse stressors, particularly patient and spouse diabetes stress and the number of patient comorbidities, were related to patient dietary and exercise adherence through patient depression symptoms and both patient and spouse diabetes self-efficacy. These conclusions were strengthened by incorporating a number of relevant control variables in our models and by testing four alternative models which supported our proposed model. These results are important because they provide further evidence of the significant role spouses' play in managing diabetes and they provide diabetes educators and clinicians with specific targets for intervention programming.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A dyadic multiple mediation model of patient and spouse stressors predicting patient dietary and exercise adherence via depression symptoms and diabetes self-efficacy

et al. 2016

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“…A study showed that patients with type 2 diabetes had better compliance with their diets. Compliance with diet is one of the self-care behaviors [49]. In another study, no significant correlation was observed between compliance with diet and self-care agency score [18].…”

Section: Discussionmentioning

confidence: 99%

Effect of Activities of Daily Living on Self-Care Agency in Individuals with Type 2 Diabetes

Istek¹,

Karakurt²

2016

JDM

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Background: Diabetes mellitus continues to be a global health problem with increasing importance across the world by affecting the activities of daily living and self-care ability of patients due to its incidence and troubles caused by it. The present study aims at determining the effect of activities of daily living of patients with type 2 diabetes mellitus on their self-care agency. Methods: The population of this descriptive study consisted of patients with type 2 diabetes mellitus who were being treated at the internal medicine clinic of a provincial state hospital between July 2014 and November 2015 and its sample consisted of 150 diabetic patients who volunteered to take part in the study and who were open to communication. A personal information form, the Activities of Daily Living (ADL) Scale, the Instrumental Activities of Daily Living (IADL) Scale and the Self-Care Ability Scale (CAS) were used as data collecting tools. The data were analyzed using descriptive statistics (numbers, percentages, mean, standard deviation, mean rank and frequencies), the Shapiro-Wilk, KruskalWallis Variance Analysis, Mann-Whitney U test and Cronbach's alpha formula and correlation analysis. Results: Approximately 97.3% of the patients with type 2 diabetes stated that they were independent in ADL and 75.3% of them in IADL. The patients' mean self-care ability score was found to be 83.85 ± 17.87 ADL and IADL were found to be affected by age, marital status, education, duration of disease, willingness to receive further education, and presence of another disease besides diabetes. There was a significant correlation between the self-care agency score and marital status, education, duration of disease, willingness to receive further education, presence of another disease besides diabetes, regular checking of blood sugar and compliance with diet. A significant positive correlation was found between the patients' activities of daily living and their self-care agency. Conclusion: The patients' activities of daily living were found to affect their self-care agency. The personal and disease-related characteristics of patients should be identified so that their self-care behaviors can be increased.

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“…This pattern of results was evident for spouse and patient emotional distress and diabetes efficacy. These findings underscore the buffering effect of intimate relationships for those with chronic illnesses and highlights how intimate unions may serve as a protective factor for diabetic individuals (Berg & Upchurch, ; Johnson et al, ). Our study also extends research on the dyadic experience of couples facing economic pressure (Conger et al, ; Masarik et al, ) by identifying a growing subpopulation of couples who may experience high levels of economic pressure due to the direct and indirect costs accrued from living with type 2 diabetes.…”

Section: Discussionmentioning

confidence: 67%

Associations Between Economic Pressure and Diabetes Efficacy in Couples with Type 2 Diabetes

et al. 2017

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Objective The purpose of this study was to explore dyadic associations between economic pressure and diabetes self-efficacy via emotional distress in patients with type 2 diabetes and their partners. Background Understanding how economic pressure is associated with successful diabetes management is an important area for research, as couples with type 2 diabetes can incur heavy economic pressures that could likely influence diabetes outcomes. Method Data from 117 married couples were used to test actor–partner associations using moderated mediation analyses in a structural equation modeling framework. Problem-solving communication was tested as a possible moderator of the economic pressure–emotional distress pathway. Results Results revealed that greater patient economic pressure was associated with lower patient and spouse confidence in the patient’s diabetes management ability through higher levels of patient emotional distress. The deleterious association between economic pressure and emotional distress was less pronounced when spouses reported more effective problem-solving communication. Conclusion These results provide evidence that the economic pressure couples with type 2 diabetes face may reduce the patient and spouse’s confidence in the patient’s diabetes management ability. Implications This study demonstrates the importance of couple’s relationship processes in buffering the impact of economic pressure on diabetes management, providing a clear target for intervention and education efforts.

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Common dyadic coping is indirectly related to dietary and exercise adherence via patient and partner diabetes efficacy.

Cited by 60 publications

References 48 publications

A dyadic multiple mediation model of patient and spouse stressors predicting patient dietary and exercise adherence via depression symptoms and diabetes self-efficacy

A dyadic multiple mediation model of patient and spouse stressors predicting patient dietary and exercise adherence via depression symptoms and diabetes self-efficacy

Effect of Activities of Daily Living on Self-Care Agency in Individuals with Type 2 Diabetes

Associations Between Economic Pressure and Diabetes Efficacy in Couples with Type 2 Diabetes

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