Correlates of perceived self-care activities and diabetes control among Dutch type 1 and type 2 diabetics

Raaijmakers, L.G.M.; Martens, Mark; Bagchus, Charlotte; Weerdt, Inge de; Vries, Nanne K. de; Kremers, Stef

doi:10.1007/s10865-014-9609-y

Cited by 20 publications

(20 citation statements)

References 35 publications

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“…This approach aligns patients’ values to their choice of medications by taking into account medication side effects, diet-based therapy as well as guided meal-based dose adjustments. It requires the examination of unique psychosocial factors, such as autonomy support, to potentially explain current gaps in knowledge of the unacceptably high non-adherence to prescribed therapy in chronic disease conditions especially those requiring a high level of self-care such as diabetes (Raaijmakers et al, 2015; Williams, Freedman, & Deci, 1998). …”

Section: Introductionmentioning

confidence: 99%

Health care providers’ support of patients’ autonomy, phosphate medication adherence, race and gender in end stage renal disease

Umeukeje¹,

Merighi²,

Browne³

et al. 2016

J Behav Med

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This study was designed to assess dialysis subjects’ perceived autonomy support association with phosphate binder medication adherence, race and gender. A multi-site cross-sectional study was conducted among 377 dialysis subjects. The Health Care Climate (HCC) Questionnaire assessed subjects’ perception of their providers’ autonomy support for phosphate binder use, and adherence was assessed by the self-reported Morisky Medication Adherence Scale (MMAS). Serum phosphorus was obtained from the medical record. Regression models were used to examine independent factors of medication adherence, serum phosphorus, and differences by race and gender. Non-white HCC scores were consistently lower compared with white subjects’ scores. No differences were observed by gender. Reported phosphate binder adherence was associated with HCC score, and also with phosphorus control. No significant association was found between HCC score and serum phosphorus. Autonomy support, especially in non-white end stage renal disease subjects, may be an appropriate target for culturally informed strategies to optimize mineral bone health.

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Section: Introductionmentioning

confidence: 99%

Health care providers’ support of patients’ autonomy, phosphate medication adherence, race and gender in end stage renal disease

Umeukeje¹,

Merighi²,

Browne³

et al. 2016

J Behav Med

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show abstract

“…By the most recent estimates, worldwide around 415 million people have been diagnosed with diabetes mellitus (DM), and the number is expected to increase to 642 million by 2040 [ 1 ], making it one of the leading non communicable health care problem worldwide [ 2 ]. Pakistan has been ranked 7th in diabetes disease burden in the world with prevalence rate of 7.6% to 11% in 2011, and it is projected to reach 15% (14 million) by year 2030.…”

Section: Introductionmentioning

confidence: 99%

Psychometric properties of the Diabetes Self-Management Questionnaire (DSMQ) in Urdu

Bukhsh

Lee

Pusparajah

et al. 2017

Health Qual Life Outcomes

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BackgroundNumerous study tools on diabetes self-care have been introduced; however, most existing tools do not show expectable and meaningful correlations with patients’ glycaemic control. The Diabetes Self-Management Questionnaire (DSMQ) was designed to appraise self-care activities which can predict glycaemic control outcomes. However, this tool has not been validated in Pakistan. Therefore, the aim of this study was to translate and examine the psychometric properties of the Urdu version of DSMQ among type 2 diabetes patients.MethodStandard forward-backward translation was used to translate the DSMQ into Urdu language. A convenience sample of 130 patients with type 2 diabetes was collected to assess the Urdu version’s psychometric properties. Reliability was assessed by Cronbach’s coefficient α and validity was assessed using confirmatory factor analysis and criterion-related correlations.ResultsHigh internal consistency was found for all DSMQ scales (Sum scale: α = 0.96, Glucose Management: 0.91; Dietary Control: 0.88; Physical Activity: 0.89; Health-Care Use: 0.73). The DSMQ subscales showed significant correlations with HbA1c (Glucose Management: −0.75; Dietary Control: −0.76; Physical Activity: −0.71; Health-Care Use: −0.64; Sum Scale: −0.78; all p < 0.001). However, when associations with HbA1c were assessed in one multiple linear regression model, only Glucose Management and Dietary Control were significantly associated with lower HbA1c values (Beta = −0.42, p = 0.004 and Beta = −0.30, p = 0.028, respectively), while Physical Activity and Health-Care Use were not (p > 0.05). Adequate fit to the data was achieved for single factor model after successively modelling all significant correlations between the items’ error terms, with Chi2 = 106.6, df = 84, p = 0.049; TLI = 0.98, CFI = 0.99 and RMSEA = 0.05 (90% CI 0.01–0.07). Whereas a comparatively lower fit indices to data were observed in case of four factor model.ConclusionThe findings support the Urdu version of the DSMQ as a reliable and valid instrument for assessing self-care activities associated with glycaemic control in type 2 diabetes patients.Electronic supplementary materialThe online version of this article (10.1186/s12955-017-0776-8) contains supplementary material, which is available to authorized users.

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“…Diabetes, one of the most common non-communicable disease worldwide (1). According to International Diabetes Federation, approximately 415 million people living with diabetes mellitus (DM) worldwide, which is expected to reach 642 million by 2040 (2).…”

Section: Introductionmentioning

confidence: 99%

Psychometric Properties of the Urdu Version of Diabetes Knowledge Questionnaire

Bukhsh

Lee

Pusparajah

et al. 2017

Front. Public Health

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ObjectivePatient education is a key element in the treatment of diabetes. Assessment of diabetes knowledge is important for optimum treatment. For the assessment of diabetes knowledge, validated tool is essential. None of such validated tool is available in Urdu language. Therefore, the aim of this study was to translate and examine the psychometric properties of the 24-item Urdu version of Diabetes Knowledge Questionnaire (DKQ) among type 2 diabetes patients.MethodsStandard “forward–backward” process was used to translate DKQ into Urdu language. Later, it was validated on a convenience sample of 130 patients with type 2 diabetes, between July and September 2016. Internal consistency was assessed by reliability analysis, one-way analysis of variance was applied for known group validity and multivariate linear logistic regression was applied for identifying significant predictors for patients’ DKQ score.ResultsGood internal consistency was observed for DKQ (Cronbach’s α = 0.702). The mean HbA1c of the patients was 8.55% (±1.91). DKQ scores of patients’ with “good glycemic control” (14.22 ± 2.4) were observed significantly higher (P < 0.05) than patients with “poor glycemic control” (12.56 ± 2.75). Multiple linear regression revealed that patients’ HbA1c (OR −0.17, CI −1.111, −0.023) and patients’ education (OR 0.17, CI −0.032, 0.758) were significant predictors for DKQ sum score.ConclusionUrdu version of the DKQ is a valid and reliable instrument for adequate estimation of disease knowledge and its association with glycemic control in type 2 diabetes patients in Pakistan.

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Correlates of perceived self-care activities and diabetes control among Dutch type 1 and type 2 diabetics

Cited by 20 publications

References 35 publications

Health care providers’ support of patients’ autonomy, phosphate medication adherence, race and gender in end stage renal disease

Health care providers’ support of patients’ autonomy, phosphate medication adherence, race and gender in end stage renal disease

Psychometric properties of the Diabetes Self-Management Questionnaire (DSMQ) in Urdu

Psychometric Properties of the Urdu Version of Diabetes Knowledge Questionnaire

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