Illness representations of type 2 diabetes patients are associated with perceptions of diabetes threat in relatives

Esch, Suzanne C. M. van; Nijkamp, Marjan D.; Cornel, Martina C.; Snoek, Frank J.

doi:10.1177/1359105312470853

Cited by 11 publications

(18 citation statements)

References 36 publications

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“…The results from the quantitative studies show that patients did not report major consequences of type 2 diabetes (IPQ-R: M score= 16.23 [33]; M=2.49, [39]; M=2.49, [36]). One study showed that the recollections of family members' social and general consequences of type 2 diabetes were associated with patients' own representations of social and general consequences (p=.01 and p=05 respectively) [38].…”

Section: Consequencesmentioning

confidence: 92%

“…Eight studies explored patients' perceptions of type 2 diabetes timeline and showed mixed results [14,16,18,25,32,33,36,39]. The majority of patients in six of the studies believed that type 2 diabetes is permanent and life-long [16,18,25,33,36,39]. Fifty percent of the patients in one study said that type 2 diabetes is a long term condition but some people expected it to be cured [14].…”

Section: Timelinementioning

confidence: 99%

“…Patients associated type 2 diabetes with control but they were ambivalent as to whether they control the disease or the disease controls them [35]. Many patients believed that type 2 diabetes can be controlled through own behaviour, such as diet regulation and exercise [16,23,33,36,39], through medication and by health professionals [16,24,25,36,39,32,33], through traditional home remedies [23,25,32] and by God [16,25]. Others believed that type 2 diabetes cannot be controlled [16,20] but it can be cured if one denies its existence [20].…”

Section: Controlmentioning

confidence: 99%

“…One study found gender differences in emotional representations, showing that female patients reported high levels of anxiety and depression [46]. Some patients did not report major emotional impact of type 2 diabetes (IPQ-R: M score= 16.99, [33]; M=2.49, [39]; M=2.17, [36]), concerns associated with stigma [27] or worries of complications (IPQ-R: M=3, [30]). Emotional representations appeared to depend on the presence of family history of diabetes, the route to diagnosis, the experience of symptoms and the beliefs about the cause of type 2 diabetes.…”

Section: Emotional Representationsmentioning

confidence: 99%

See 3 more Smart Citations

Patients’ Illness Perceptions of Type 2 Diabetes: A Scoping Review

Dimova

Ward

Swanson

et al. 2018

CDR

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Section: Consequencesmentioning

confidence: 92%

Section: Timelinementioning

confidence: 99%

Section: Controlmentioning

confidence: 99%

Section: Emotional Representationsmentioning

confidence: 99%

See 2 more Smart Citations

Patients’ Illness Perceptions of Type 2 Diabetes: A Scoping Review

Dimova

Ward

Swanson

et al. 2018

CDR

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“…In a recent study of familial risk perception of diabetes threat in relatives, van Esch et al (2013) reported that patients with coherent illness understanding reported positive beliefs regarding type 2 diabetes prevention in relatives. They also reported the presence of subgroups (e.g., those with high disease burden) that had elevated family risk perception.…”

Section: Discussionmentioning

confidence: 99%

Unreliable item or inconsistent person? A study of variation in health beliefs and belief-anchors to biomedical models

Saldana

Chen

et al. 2013

J Health Psychol

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Several models for health beliefs grounded in social theories have been extensively used in health-related research. However, the measurement of beliefs, especially the stability of beliefs, is still an understudied area. For example, reliability of an item designed to measure health belief is often confounded with response consistency at the person level, and the problem is often ignored in social research in medicine. To delineate discordant responses to the same item of belief in diabetes, which could be due to item unreliability or to respondent inconsistency, we applied contemporary measurement methods to an inventory of common sense beliefs about diabetes and tested the hypothesis that individuals whose health beliefs are congruent with a biomedical model are more consistent in their item responses. Approximately equal numbers of Whites, African Americans, and American Indians (total N=563) with diabetes were recruited into the study from rural areas in North Carolina. The Common Sense Model of Diabetes Inventory, which contained 31 items across six clinical domains, was administered to the participants at baseline and then one month later. Concordance between responses was analyzed using item response theory. Item-level analysis revealed that items in the domains of Causes of Diabetes and Medical Management of Diabetes were less reliable compared to items from other domains. Person-level analysis showed that respondents who held views congruent with the biomedical model were more consistent than people who did not. Item response theory facilitates a process to evaluate item unreliability and differences in distinguishing response consistency. People with diabetes who had beliefs regarding diabetes not congruent with the biomedical model tended to be less stable in their beliefs and should be more amenable to diabetes education and other interventions.

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Interventions for prevention of type 2 diabetes in relatives: A systematic review

Dimova

Mohan

Swanson

et al. 2017

Primary Care Diabetes

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The relatives and partners of people with type 2 diabetes are at increased risk of developing type 2 diabetes. This systematic review examines randomized controlled trials, written in English that tested an intervention, which aimed to modify behaviors known to delay or prevent type 2 diabetes, among the relatives or partners of people with type 2 diabetes. Study quality was assessed using the Cochrane Collaboration's tool for assessing risk of bias. Seven studies met the inclusion criteria. The majority of studies were at low risk of bias. Six studies tested an intervention in first-degree relatives of people with type 2 diabetes and one in partners. Intervention components and intervention intensity across studies varied, with those targeting diet and physical activity reporting the most significant changes in primary outcomes. Only one study did not observe significant changes in primary outcomes. There were three main recruitment approaches: advertising in the community, recruiting people through their relatives with diabetes, or identifying people as high risk by screening of their own health care contacts. Some evidence was found for potentially successful interventions to prevent type 2 diabetes among the relatives and partners of people with type 2 diabetes, although finding simple and effective methods to identify and recruit them remains a challenge. Future studies should explore the effect of patients' perceptions on their family members' behavior and capitalize on family relationships in order to increase intervention effectiveness.

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Illness representations of type 2 diabetes patients are associated with perceptions of diabetes threat in relatives

Cited by 11 publications

References 36 publications

Patients’ Illness Perceptions of Type 2 Diabetes: A Scoping Review

Patients’ Illness Perceptions of Type 2 Diabetes: A Scoping Review

Unreliable item or inconsistent person? A study of variation in health beliefs and belief-anchors to biomedical models

Interventions for prevention of type 2 diabetes in relatives: A systematic review

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