Illness perceptions and glycaemic control in diabetes: a systematic review with meta‐analysis

Abstract

Some Illness Perception Questionnaire dimensions had small significant associations with HbA(1c) , although the direction of these associations remains unclear. There was also tentative evidence that illness perceptions can be positively changed through targeted intervention and that these changes may also impact on glycaemic control. Future research could benefit from tailoring intervention content to perceptions that are most highly associated with HbA(1c).

Self-regulation theory and self-monitoring of blood glucose behavior in type 2 diabetes mellitus.

“…It was previously thought that treatment control has not been consistently supported in the literature, as relates to glycemic control, due to a lack of specification of treatment types (Mc Sharry et al, 2011), such as those using insulin and/or oral medications or diet alone; however, the present sample are all using insulin or daily injected diabetes medication, significantly minimizing this problem. It may be that the overall poor health of this sample, as evidenced by significant medical complications and poor glycemic control, makes testing associations with glycemic control difficult.…”

“…Prior research supports a two-dimension conceptualization, reflecting the cure and control as separate constructs. While personal control has been found to be negatively associated with glycemic control (R 2 = -0.12), treatment control has not been consistently supported in the literature as related to glycemic control; this is possibly due to a lack of specification of treatments or not comparing those with using different treatment strategies (Mc Sharry et al, 2011 (Lalic et al, 2012).…”

“…The CSM has been previously supported in the diabetes literature and examined for representational qualities that are unique to, or consistent with, diabetes (Grzywacz et al, 2011;Searle, Norman, Thompson, & Vedhara, 2007). For example, a 2011 systematic review showed that previous studies have found significant associations between illness perception domains (specifically consequences, identity, timelines, coherence and emotional representations) and A1c (Mc Sharry et al, 2011).…”

“…Surveys on awareness of diabetes complications suggest that many individuals with T2DM underestimate their risk for heart attack, heart disease and stroke (Bairey Merz, Buse, Tuncer, & Twillman, 2002). A recent meta-analytic review of illness perceptions and glycemic control highlighted consequences, measured by some form of the illness perceptions questionnaire (Broadbent, Petrie, Main, & Weinman, 2006), as one of the highest predictors of glycemic control and one of the highest predictors of psychological distress compared with other components of the CSM (Mc Sharry et al, 2011).…”

A new measure of multimorbid illness and treatment representations: The example of diabetes and depression

“…Moss-Morris et al, 2002, Lynch et al, 2011 and have been used to demonstrate an association between diabetes representations and glycated haemoglobin (HbA 1c ) an objective measure of blood glucose control (Mc Sharry et al, 2011). There is also a body of literature describing the assessment of the emotional aspects of living with diabetes through widely used and validated measures such as the Problem Areas in Diabetes scale (Polonsky et al, 1995) and the Diabetes Distress Scale (Polonsky et al, 2005).…”