Influences of spousal support and control on diabetes management through physical activity.

Khan, Cynthia M.; Stephens, Mary Ann Parris; Franks, Melissa M.; Rook, Karen S.; Salem, James K.

doi:10.1037/a0028609

Cited by 122 publications

(140 citation statements)

References 41 publications

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“…Indeed, research exploring illness-specific support in couples coping with diabetes has found a sense of “being in this together,” regular communication about the diabetes care regimen, providing encouragement, and joint participation in self-care behaviors are associated with improved patient dietary and exercise adherence (Beverly & Wray, 2010; Khan, Stephens, Franks, Rook, & Salem, in press; Stephens et al, in press). We hypothesize that a general pattern of frequently handling stress by working through problems together and helping each other relax would likely influence patient management of type 2 diabetes, which is conceptualized as one specific stressor couples face (e.g., Schokker et al, 2010).…”

Section: Introductionmentioning

confidence: 99%

“…Other research has found moderated effects between spouse coping efforts and patient self-efficacy. A daily diary study found spousal support increased exercise-specific efficacy when high levels of support are accompanied by high levels of control, such as prompting the patient to engage in exercise and monitoring the patient to ensure that he or she exercised (Khan et al, in press). A study of patients diagnosed with type 2 diabetes or asthma found that partners’ not openly communicating worries about the patient’s illness was actually associated with higher patient self-efficacy when patient symptoms were low (de Ridder, Shcreurs, & Kuijer, 2005) and overprotective coping efforts from a spouse were associated with less self-efficacy, especially when glycemic control was poor (Schokker et al, 2011).…”

Section: Introductionmentioning

confidence: 99%

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Common dyadic coping is indirectly related to dietary and exercise adherence via patient and partner diabetes efficacy.

Johnson¹,

Anderson²,

Walker³

et al. 2013

Journal of Family Psychology

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Using cross-sectional data from 117 married couples in which one member is diagnosed with type 2 diabetes, the current study sought to explore a possible indirect association between common dyadic coping and dietary and exercise adherence via the mechanism of patient and spouse reports of diabetes efficacy. Results from the structural equation model analysis indicated common dyadic coping was associated with higher levels of diabetes efficacy for both patients and spouses which, in turn, was then associated with better dietary and exercise adherence for the patient. This model proved a better fit to the data than three plausible alternative models. The bootstrap test of mediation revealed common dyadic coping was indirectly associated with dietary adherence via both patient and spouse diabetes efficacy, but spouse diabetes efficacy was the only mechanism linking common dyadic coping and exercise adherence. This study highlights the importance of exploring the indirect pathways through which general intimate relationship functioning might be associated with type 2 diabetes outcomes.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Common dyadic coping is indirectly related to dietary and exercise adherence via patient and partner diabetes efficacy.

Johnson¹,

Anderson²,

Walker³

et al. 2013

Journal of Family Psychology

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“…21 Marital status is significant to consider regarding older African American women's chronic illness self-management because research demonstrates that marriage may be a protective factor against poverty for many women 20 and spouses can be an important source of social support for chronic illness self-management. 22,23 A qualitative study conducted with five HIV positive African American women ages 29-49, reveals that women's perceptions of receiving emotional support from their spouses positively contributes to women's HIV coping and self-management strategies. 24 It is also important to note that many older African American women commonly assume traditional gender roles including that of family health manager and often place their health care needs behind the needs of other family members including spouses, children, and grandchildren.…”

Section: Chronic Illness Self-managementmentioning

confidence: 99%

Taking It One Day at a Time: African American Women Aging with HIV and Co-Morbidities

Warren-Jeanpiere

Dillaway

Hamilton

et al. 2014

AIDS Patient Care and STDs

125

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Self-managing HIV/AIDS presents challenges for anyone infected. These challenges may be further complicated for older HIV-infected African American women who acquired the disease at younger ages and now have comorbidities. Little is known regarding how women's age identity, social responsibilities, co-morbidities, and romantic relationship status influence their HIV self-management. Five focus groups were conducted in Washington DC, with HIV-positive African American women aged 52-65. Topics included HIV and co-morbidity self-management, social support needs, medication adherence, and future plans for old age. A constant comparison approach was applied during data analysis. Co-morbidities, including diabetes and hypertension, were perceived to be more difficult to self-manage than HIV. This difficulty was not attributed to aging but to daily struggles such as lack of income and/or health insurance, an inflexible work schedule, and loneliness. Social responsibilities, including caring for family, positively impacted participants' ability to self-manage HIV by serving as motivation to stay healthy in order to continue to help family members. In contrast, inflexible work schedules negatively impacted women's ability to sustain medication adherence. Overall, this study demonstrates that HIV and co-morbidity self-management are inextricably linked. We can no longer afford to view engagement in HIV care as a single-disease issue and hope to attain optimal health and well-being in our HIVaffected populations. Optimal HIV self-management must be framed within a larger context that simultaneously addresses HIV and co-morbidities, while considering how social and cultural factors uniquely intersect to influence older African American women's self-management strategies.

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“…On the other hand, family members as a primary source of social support can make great contributions to patients' disease management. To date, only a few studies have shown that spouse's behavior and attitude can affect patient management of diabetes[24], [25], stroke[26], and osteoarthritis[27] rehabilitation therapy. For the dialysis population, although previous studies have indicated the significant impact of social support on satisfaction, psychological status, quality of life, hospitalization, and mortality for PD and HD patients[7]–[11], the association between a specific aspect of family members, such as education status and PD outcome has rarely been explored.…”

Section: Discussionmentioning

confidence: 99%

The Associations between the Family Education and Mortality of Patients on Peritoneal Dialysis

et al. 2014

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AimsTo investigate whether education level of family members predicts all-cause and cardiovascular death and initial-episode peritonitis in patients on peritoneal dialysis (PD).MethodsA total of 2264 patients on chronic PD were collected from seven centers affiliated with the Socioeconomic Status on the Outcome of Peritoneal Dialysis (SSOP) Study. All demographic, socioeconomic and laboratory data of patients and the education level of all family members were recorded at baseline. Multivariate Cox regression was used to calculate the hazard ratio (HR) of all-cause and cardiovascular mortality, and initial-episode peritonitis with adjustments for recognized traditional factors.ResultsThere were no significant differences in baseline characteristics between patients with (n = 1752) and without (n = 512) complete education information. According to the highest education level of patients' family, included 1752 patients were divided into four groups, i.e. elementary or lower (15%), middle (27%), high (24%) and more than high school (34%). The family highest education (using elementary school or lower group as reference, hazard ratio and 95% confidence interval of middle school group, high school group and more than high school group was 0.68[0.48–0.96], 0.64[0.45–0.91], 0.66[0.48–0.91], respectively) rather than their average education level or patients' or spouse's education was significantly associated with the higher mortality. Neither patients' nor family education level did correlate to the risk for cardiovascular death or initial-episode peritonitis.ConclusionsFamily members' education level was found to be a novel predictor of PD outcome. Family, as the main source of health care providers, should be paid more attention in our practice.

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Influences of spousal support and control on diabetes management through physical activity.

Abstract: Findings suggest that spousal exercise support on its own or in conjunction with spousal exercise control may facilitate daily diabetes management through physical activity.

Cited by 122 publications

References 41 publications

Common dyadic coping is indirectly related to dietary and exercise adherence via patient and partner diabetes efficacy.

Common dyadic coping is indirectly related to dietary and exercise adherence via patient and partner diabetes efficacy.

Taking It One Day at a Time: African American Women Aging with HIV and Co-Morbidities

The Associations between the Family Education and Mortality of Patients on Peritoneal Dialysis

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