Illness perceptions and perceived barriers to self-care in patients with type 2 diabetes mellitus: an exploratory study from India

Abraham, Anisha Mary; Sudhir, Paulomi M.; Philip, Mariamma; Bantwal, Ganapathi

doi:10.1007/s13410-014-0266-z

Cited by 15 publications

(30 citation statements)

References 29 publications

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“…In this study there was no significant correlation between HbA1c with age, education, income, duration of diabetes diagnosis and self-care barrier score in the multivariate analysis. These findings failed to support earlier studies [ 102 – 106 ] where number years of education, income, duration of diabetes diagnosis or self-care barrier were correlated with glycaemic control.…”

Section: Discussioncontrasting

confidence: 99%

Higher body mass index and lower intake of dairy products predict poor glycaemic control among Type 2 Diabetes patients in Malaysia

2017

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This cross-sectional study was designed to determine factors contributing to glyceamic control in order to provide better understanding of diabetes management among Type 2 Diabetes patients. A pre-tested structured questionnaire was used to obtain information on socio-demographic and medical history. As a proxy measure for glycaemic control, glycosylated haemoglobin (HbA1c) was obtained as secondary data from the medical reports. Perceived self-care barrier on diabetes management, diet knowledge and skills, and diet quality were assessed using pretested instruments. With a response rate of 80.3%, 155 subjects were recruited for the study. Mean HbA1c level of the subjects was 9.02 ± 2.25% with more than 70% not able to achieve acceptable level in accordance to WHO recommendation. Diet quality of the subjects was unsatisfactory especially for vegetables, fruits, fish and legumes as well as from the milk and dairy products group. Higher body mass index (BMI), poorer medication compliance, lower diet knowledge and skill scores and lower intake of milk and dairy products contributed significantly on poor glycaemic control. In conclusion, while perceived self-care barriers and diet quality failed to predict HbA1c, good knowledge and skill ability, together with appropriate BMI and adequate intake of dairy products should be emphasized to optimize glycaemic control among type 2 diabetes patients.

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Section: Discussioncontrasting

confidence: 99%

Higher body mass index and lower intake of dairy products predict poor glycaemic control among Type 2 Diabetes patients in Malaysia

2017

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“…Adherence to diabetes therapy can improve patients’ blood glucose control and help them avoid long-term complications [1, 7–9]. Furthermore, many studies have shown a strong association between diabetes perception and diabetes control [10–12].…”

Section: Introductionmentioning

confidence: 99%

The relationship between patients’ perception of type 2 diabetes and medication adherence: a cross-sectional study in Japan

Hashimoto

Urata

Yoshida

et al. 2019

J Pharm Health Care Sci

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BackgroundThe self-management of type 2 diabetes mellitus (T2DM), which involves adherence to medical instructions on diet and nutritional advice, physical activity, medication regimen, and weight and stress management, is necessary for the treatment of T2DM.In this study, we investigated the relationship between patients’ perceptions of their disease and their adherence to their medications. And we attempted to determine whether distinct subphenotypes of behavioral change of medication adherence can be discerned based on a patients’ perceptions.MethodA cross-sectional study using a questionnaire was conducted among 157 patients with T2DM from October 2015 to September 2017. Questionnaires were administered to assess the participants’ demographic and clinical characteristics, medication adherence, diabetes knowledge, and perception of being diabetic. Principal component analysis (PCA) and cluster analyses were performed to classify medication adherence patterns in the total cohort. Multiple regression analyses were performed to identify the determinant factors of medication adherence.ResultsPCA showed the interpretable medication adherence of patients with diabetes by using component 1 (“accessibility to medical treatment”) and component 2 (“status of taking medicines”). We identified four groups that show significantly different medication adherence by using cluster analysis on the basis of the two components. Multiple regression analysis showed that body mass index (BMI), family history of diabetes, one factor of patient’s perception (living an orderly life), and diabetes knowledge were found to be significant predictors of medication adherence in patients with T2DM.ConclusionsIn patients with T2DM, the patient’s diabetes perception of “living an orderly life” is associated with medication adherence. A poor adherence group may be able to change their adherence to diabetes treatment by developing the perception of “living an orderly life.”Electronic supplementary materialThe online version of this article (10.1186/s40780-019-0132-8) contains supplementary material, which is available to authorized users.

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“…However, it has been observed among a sample of Ghanaians living with diabetes that their overall illness perception influences their level of psychological distress [ 10 ]. Further evidence has suggested a strong link between diabetes perception and self-care practices [ 11 – 13 ]. For example, Broadbent et al [ 12 ] found that patients’ diabetes perceptions influence their adherence to medication, diet and exercise.…”

Section: Introductionmentioning

confidence: 99%

Illness perception, diabetes knowledge and self-care practices among type-2 diabetes patients: a cross-sectional study

2017

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BackgroundSelf-care practices among persons living with type-2 diabetes are very crucial in diabetes manages as poor self-care results in complications. However, little research exists within the Ghanaian context. This study examined whether type-2 diabetes patients’ illness perception and diabetes knowledge significantly predict diabetes self-care practices.MethodsA cross-sectional survey design was employed and a total of 160 participants (45 males and 115 females) were sampled from a general hospital in Accra. A self-administered questionnaire measuring illness perception, diabetes knowledge and diabetes self-care practices as well as demographic checklist were used collect data.ResultsResults showed that illness perception and diabetes knowledge significantly predicted overall diabetes self-care practices. Analysis of domain specific self-care practices showed that patients’ diet was significantly predicted by illness perception and diabetes knowledge. Exercise was significantly predicted by only illness perception while blood sugar testing and diabetes foot-care were significantly predicted by diabetes knowledge.ConclusionCognitive and emotional representation of diabetes and diabetes knowledge are key determinants of patients’ diabetes self-care practices. It is therefore important that appropriate psychosocial interventions are developed to help patients’ adherence to recommended self-care practices.

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Illness perceptions and perceived barriers to self-care in patients with type 2 diabetes mellitus: an exploratory study from India

Cited by 15 publications

References 29 publications

Higher body mass index and lower intake of dairy products predict poor glycaemic control among Type 2 Diabetes patients in Malaysia

Higher body mass index and lower intake of dairy products predict poor glycaemic control among Type 2 Diabetes patients in Malaysia

The relationship between patients’ perception of type 2 diabetes and medication adherence: a cross-sectional study in Japan

Illness perception, diabetes knowledge and self-care practices among type-2 diabetes patients: a cross-sectional study

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