Health suggestibility, optimism and sense of responsibility for health in diabetic patients

Jaworski, Mariusz; Adamus, Mirosława

doi:10.1007/s13410-015-0435-8

Cited by 6 publications

(12 citation statements)

References 7 publications

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“…Some studies emphasize that diabetic patients become more actively involved in the therapeutic process after suffering from medical complications resulting from untreated diabetes or the development of concurrent diseases, since the patient can no longer deny his or her own disease. 6 , 7 Underestimation of the patient’s disease can be attributed to the lack of perceived negative consequences of the disease and, in turn, can trigger numerous defense mechanisms. Such defense mechanisms include unconscious personal beliefs, which seek to prevent the perception of negative emotional states and protect the patient’s personality.…”

Section: Introductionmentioning

confidence: 99%

“…Several papers have been published on psychological, social, and medical factors related to adherence of diabetic patients to medical recommendations. 6 , 7 , 9 , 17 Nevertheless, only a few studies have analyzed the relationship between the attitude toward the disease and following the dietary recommendations by diabetic patients. 14 , 16 , 18 A considerably greater number of studies have analyzed the relationship between psychological factors and adherence to dietary recommendations.…”

Section: Introductionmentioning

confidence: 99%

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Adherence to dietary recommendations in diabetes mellitus: disease acceptance as a potential mediator

Jaworski

Pańczyk

Cedro

et al. 2018

PPA

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BackgroundAdherence by diabetic patients to dietary recommendations is important for effective therapy. Considering patients’ expectations in case of diet is significant in this regard. The aim of this paper was to analyze the relationship between selected independent variables (eg, regular blood glucose testing) and patients’ adherence to dietary recommendations, bearing in mind that the degree of disease acceptance might play a mediation role.Subjects and methodsA cross-sectional study was conducted in 91 patients treated for type 2 diabetes mellitus in a public medical facility. Paper-and-pencil interviewing was administered ahead of the planned visit with a diabetes specialist. Two measures were applied in the study: the Acceptance and Action Diabetes Questionnaire and the Patient Diet Adherence in Diabetes Scale. Additionally, data related to sociodemographic characteristics, lifestyle-related factors, and the course of the disease (management, incidence of complications, and dietician’s supervision) were also collected. The regression method was used in the analysis, and Cohen’s methodology was used to estimate partial mediation. Significance of the mediation effect was assessed by the Goodman test. P-values of <0.05 were considered statistically significant.ResultsPatients’ non-adherence to dietary recommendations was related to a low level of disease acceptance (standardized regression coefficient =−0.266; P=0.010). Moreover, failure to perform regular blood glucose testing was associated with a lack of disease acceptance (standardized regression coefficient =−0.455; P=0.000). However, the lack of regular blood glucose testing and low level of acceptance had only partially negative impacts on adherence to dietary recommendations (Goodman mediation test, Z=1.939; P=0.054). This dependence was not seen in patients treated with diet and concomitant oral medicines and/or insulin therapy.ConclusionEffective dietary education should include activities promoting a more positive attitude toward the disease. This may be obtained by individual counseling, respecting the patient’s needs, and focus on regular blood glucose testing.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Adherence to dietary recommendations in diabetes mellitus: disease acceptance as a potential mediator

Jaworski

Pańczyk

Cedro

et al. 2018

PPA

Self Cite

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“…Dietary behaviors of patients with diabetes may depend on the perceived necessity to take care of one’s health [ 16 ], which was disrupted with the development of the disease. It is believed that the above-mentioned care is directly reflected in the intensification of the sense of responsibility for one’s health (HSR) [ 17 ]. HSR should be defined as a cognitive variable referring to self-awareness and self-evaluation, concerning motivation and the use of various behavioral strategies aiming at health maintenance [ 18 ].…”

Section: Introductionmentioning

confidence: 99%

“…It is believed that the appropriate level of this psychological trait translates into engaging in behaviors aimed at enhancing health. Nevertheless, the mechanism of developing a high level of responsibility for one’s own health is not clear [ 16 , 17 , 18 , 19 , 20 , 21 , 22 ]. Moreover, the extent of research conducted to characterize the mechanism of action of this variable in health or disease has not been fully elucidated.…”

Section: Introductionmentioning

confidence: 99%

“…It is due to the fact that a suitable level of intensity of this variable determines a higher index of motivation as regards treatment during a disease [ 21 , 26 ]. Preliminary research conducted on a group of patients with diabetes revealed that the sense of responsibility for one’s health played an important role in adhering to therapeutic recommendations [ 17 , 27 ]. However, the research was conducted on a small patient sample.…”

Section: Introductionmentioning

confidence: 99%

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Undertaking Healthy Nutrition Behaviors by Patients with Type 1 Diabetes as an Important Element of Self-Care

Sińska

Dłużniak-Gołaska

Jaworski

et al. 2022

IJERPH

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Background: Self-control/self-care means the active participation of a diabetic patient in therapy. It involves making numerous decisions and undertaking actions independently. The primary activities under the patient’s control include adherence to medication regimens and maintenance of a health-promoting lifestyle, especially a healthy diet. However, the sense of responsibility for one’s own health, i.e., high sense of responsibility (HSR), is an important element in the treatment of diabetes and in undertaking pro-health behaviors. The study aimed at analyzing adherence to dietary recommendations in the context of HSR in patients with type 1 diabetes. Methods: The cross-sectional study was conducted on a group of 394 adults. The assessment of adherence to dietary recommendations was performed with the present authors’ Diabetes Dietary Guidelines Adherence Index (DDGA Index). The measurement of HSR was performed with the standardized Sense of Responsibility for Health Scale (HSRS). The assessment of the multifactorial influence of independent variables on the DDGA Index, including the “responsibility for health” variable, was conducted with the use of a linear regression model. Results: The mean DDGA value was 18.68 (SD = 3.97). The patients significantly more often avoided unhealthy products than included recommended products into the diet at a required frequency. A positive correlation was demonstrated between HSR and adherence to dietary recommendations (βstd. = 0.43, p < 0.001). Conclusions: The sense of responsibility for one’s health plays a main role in adherence to dietary recommendations in diabetes. Our study showed that a higher sense of responsibility for health was associated with a higher level of adherence to dietary recommendations. Patients with a high sense of responsibility for one’s health will be more involved in the therapeutic process, including adherence to dietary recommendations. Therefore, all education actions should comprise not only dietary knowledge transfer and shaping appropriate skills, but they should also strengthen the sense of responsibility for one’s health.

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The Sense of Responsibility for the Health as an Important Element of Health Education

Jaworski¹,

Adamus²,

Bojar³

2017

dtssehs

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Abstract. Health education is a very important aspect of modern public health, because it should promote health-related lifestyle. Epidemiological data suggest that a significant percentage of both adolescents and adults are characterized by unhealthy lifestyle, especially bad food habits, wrong body posture, physical inactivity, and disturbed biological clock. In the literature, there are a lot of papers which analyzed the effectiveness of lifestyle modification programs. The most important predictors of the effectiveness of these programs could be psychosocial factors which have a strong influence on shaping health behavior, attitude towards health and disease, and lifestyle. One of these factors is the sense of responsibility for the health.

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Health suggestibility, optimism and sense of responsibility for health in diabetic patients

Cited by 6 publications

References 7 publications

Adherence to dietary recommendations in diabetes mellitus: disease acceptance as a potential mediator

Adherence to dietary recommendations in diabetes mellitus: disease acceptance as a potential mediator

Undertaking Healthy Nutrition Behaviors by Patients with Type 1 Diabetes as an Important Element of Self-Care

The Sense of Responsibility for the Health as an Important Element of Health Education

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