Lifestyle Change in Type 2 Diabetes

Whittemore, Robin; Chase, Susan K.; Mandle, Carol Lynn; Roy, Callista

doi:10.1097/00006199-200201000-00004

Cited by 67 publications

(86 citation statements)

References 19 publications

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“…45,46 In this study, the main barriers across most self-care behaviors were cost and depression. These 2 variables were highly correlated with each other.…”

Section: Discussionmentioning

confidence: 79%

An Assessment of Attitudes, Behaviors, and Outcomes of Patients with Type 2 Diabetes

Daly¹,

Hartz²,

Xu³

et al. 2009

The Journal of the American Board of Family Medicine

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Objectives: Patient self-care behaviors, including taking medication, following a meal plan, exercising regularly, and testing blood glucose, influence diabetes control. The purpose of this research was to identify (1) which barriers to diabetes management are associated with problem behaviors and (2) which patient behaviors and barriers are associated with diabetes control.Methods: This was a cross-sectional study of linked medical record and self-reported information from patients with type 2 diabetes. A randomly selected sample of 800 clinic patients was mailed an investigator-developed survey. The study sample consisted of 253 (55%) individuals who had measured glycosylated hemoglobin (HbA1c) within 3 months of the survey date.Results: The barriers to each diabetes self-care behavior differed. Cost was the most common barrier to the 4 self-care behaviors. In a multivariable regression model, the belief that type 2 diabetes is a serious problem and depression were strongly associated with higher HbA1c levels. Lower HbA1c levels were significantly associated with being married and greater self-reported adherence-satisfaction with taking medication and testing blood glucose.Conclusion: This study expanded earlier research by focusing on 4 specific self-care behaviors, their barriers, and their association with HbA1c. Barriers that were significantly associated with HbA1c were specific to the behavior and varied across behaviors. Although the importance of glycemic control is well established, 1 it is often not achieved. 2 Factors contributing to poor control include inadequacies in patient self-care behaviors, medical management, or both. [3][4][5][6][7] Physicians know that patient self-care behaviors influence diabetes control but may lack training for and interest in motivating their patients to improve these behaviors. 8 Contributing to poor control is a paucity of information available about the frequency of problem behaviors, barriers to appropriate care behaviors, or the relationship of specific patient self-care behaviors to glycemic control. 9,10 Our conceptual model for this study is shown in Figure 1, adapted from the works of Glasgow. 11Factors that influence diabetes adherence in our model include personal factors, such as type and duration of diabetes, illness, and other health conditions and psychosocial factors. Glasgow's model places primary emphasis on the variables of the patient-health care provider interactions, compliance, and outcomes. The patient-provider interactions are composed of the patient's perspective and participation, appropriateness of prescriptions, and clarity and specificity of recommendations. The social/environmental influences included barriers to adherence, community resources, social support, and economic factors. The primary emphases of this study were the performance of 4 primary self-care behaviors and specific barriers to these behaviors: (1) medication use, (2) meal plans, (3) exercise, and (4) home glucose testing. In addition, our model attempts to include many ...

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“…45,46 In this study, the main barriers across most self-care behaviors were cost and depression. These 2 variables were highly correlated with each other.…”

Section: Discussionmentioning

confidence: 79%

An Assessment of Attitudes, Behaviors, and Outcomes of Patients with Type 2 Diabetes

Daly¹,

Hartz²,

Xu³

et al. 2009

The Journal of the American Board of Family Medicine

View full text Add to dashboard Cite

show abstract

“…Studies such as Royle and Walsh (1992) and Whittemore et al (2002) indicated that a healthy diet constitutes the foundation of diabetes management. High intake of fruits and vegetables has been reported to be associated with a lower incidence of chronic diseases such as cardiovascular disease (Ikram et al, 2009), cancer (Riboli and Norat, 2003) and DM (Kaisoon et al, 2011).…”

Section: Taxa Involvedmentioning

confidence: 99%

Ethnobotanical survey of medicinal plants used by Bapedi healers to treat diabetes mellitus in the Limpopo Province, South Africa

Semenya

Potgieter

Erasmus

2012

Journal of Ethnopharmacology

130

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“…An important aspect of integration for this population is that of the effect of a chronic illness like stroke on the individual. This includes absorbing the reality of a diagnosis of a chronic condition into one's self-concept and the processes involved in assimilating this knowledge and then learning to live with the chronic disease and disability (Hernandez, 1995(Hernandez, , 1996Loeb, Penrod, Falkenstern, Gueldner, & Poon, 2003;Michael, 1996;Westra & Rodgers, 1991;Whittemore, 2005;Whittemore, Chase, Mandle, & Roy, 2002).…”

Section: Review Of the Literaturementioning

confidence: 99%

The Relationship of Physical Function to Social Integration After Stroke

Baseman

Fisher

Ward

et al. 2010

Journal of Neuroscience Nursing

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Stroke is a leading cause of death and a serious long-term disability in this country. Much of the research on stroke rehabilitation has focused on physical/functional recovery as the predominant measure of outcome. There is a gap in knowledge of social issues and integration into societal, family, and community roles after stroke. A descriptive, correlational survey design was used to examine the relationships of functional status, depression, and overall stroke recovery to social integration in a convenience sample of ischemic stroke survivors. The survey response rate was 21.4%. Results showed that functional status, overall stroke recovery, and depression are highly significant predictors of social integration, explaining 62% of the variance (adjusted R 2 ). Comorbid depression was negatively (j.74) and significantly (.01, two-tailed) correlated to social integration, such that higher levels of depression are associated with lower levels of social integration. Finally, employment status after stroke dropped from 48% to 4.2%, and poststroke employment status was correlated to social integration (significance = .03). Care for patients with chronic conditions like stroke should address all domains of the individualVphysical, psychosocial, and environmental. Factors including depression and perceptions of overall stroke recovery are significant and should be addressed in the rehabilitation process to better promote social integration. Social integration is an important and understudied aspect of stroke recovery that warrants further research.

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Lifestyle Change in Type 2 Diabetes

Cited by 67 publications

References 19 publications

An Assessment of Attitudes, Behaviors, and Outcomes of Patients with Type 2 Diabetes

An Assessment of Attitudes, Behaviors, and Outcomes of Patients with Type 2 Diabetes

Ethnobotanical survey of medicinal plants used by Bapedi healers to treat diabetes mellitus in the Limpopo Province, South Africa

The Relationship of Physical Function to Social Integration After Stroke

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