Pathways of empowerment perceptions, health literacy, self-efficacy, and self-care behaviors to glycemic control in patients with type 2 diabetes mellitus

Lee, Yau-Jiunn; Shin, Shyi–Jang; Wang, Ruey‐Hsia; Lin, Kun‐Der; Lee, Yu-Li; Wang, Yi-Hsien

doi:10.1016/j.pec.2015.08.021

Cited by 186 publications

(235 citation statements)

References 30 publications

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“…Empowerment perceptions strongly influence self-efficacy and self-care and thus affect metabolic control in patients with type 2 diabetes [21]. Therefore, to improve patients' health behavior, an empowerment-type therapy should be used instead of an authoritative-type approach.…”

Section: The Effects Of Empowerment Therapy In Type 2 Diabetes Andmentioning

confidence: 99%

Empowerment in the Treatment of Diabetes and Obesity

Łuczyński

Głowińska-Olszewska

Bossowski

2016

Journal of Diabetes Research

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As the available therapies for diabetes and obesity are not effective enough, diabetologists and educators search for new methods to collaborate with patients in order to support their health behaviors. The aim of this review is to discuss perspectives for the development of new empowerment-type therapies in the treatment of diabetes/obesity. Empowerment is a process whereby patients gain the necessary knowledge to influence their own behavior to improve the quality of their lives. It is carried out in five stages: (1) identify the problem, (2) explain the feelings and meanings, (3) build a plan, (4) act, and (5) experience and assess the execution. Although many years have passed since the advent and popularization of the concept of empowerment, the area remains controversial, mainly with regard to the methodology of therapy. Some previous studies have confirmed the positive effect of empowerment on body weight, metabolic control, and quality of life of patients with type 2 diabetes; however, few studies have been conducted in patients with type 1 diabetes. There is still a need to confirm the effectiveness of empowerment in accordance with Evidence Based Medicine by performing long-term observational studies in a large group of patients. In future, empowerment may become part of the standard of care for patients with diabetes and/or obesity.

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Section: The Effects Of Empowerment Therapy In Type 2 Diabetes Andmentioning

confidence: 99%

Empowerment in the Treatment of Diabetes and Obesity

Łuczyński

Głowińska-Olszewska

Bossowski

2016

Journal of Diabetes Research

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“…Thus, a more self-confident patient would have better selfcare practices that lead to better glycemic control. In line with this, a recent study in Taiwan set a valid model showing the influence of empowerment perceptions, self-efficacy, and self-care behaviors on the control of glycated hemoglobin (HbA1c) levels in patients with type 2 diabetes [34]. Additionally, Gao et al in 2013 [35] in China and Walker et al in 2014 in the United States found that the patients with higher self-efficacy had better control of their HbA1c.…”

Section: Itemsmentioning

confidence: 89%

Effect of Self-Efficacy Enhancing Intervention Training on Clinical Health Status of Diabetic Patients at High-Risk for Leg Problems

Ali¹

2017

J Pat Care

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Egypt has more diabetic individuals than any other country, with high incidence of foot problems and amputations. This study was aimed at evaluating the effect of a self-efficacy enhancing intervention training (SEEIP) on the clinical health status of diabetic patients at high risk for leg problems. The study was conducted in the diabetic outpatient clinic in Ain-Shams Specialized University Hospital in using a randomized controlled trial study design. It included a sample of 60 diabetic patients randomized an intervention group of 30 patients to attend the program and an equal control group following the routine diabetic care in the setting. The data collection tools were an interview questionnaire sheet, and adiabetes clinical/lab form, the self-efficacy assessment form for diabetic patients, and a leg physical assessment sheet. The study was carried out through preparatory, assessment, planning, implementation, and evaluation phases. The training intervention consisted of five efficacy-enhancing sessions at weekly intervals. For evaluation, two posttests were carried out at one and six months after the end of the program. The work was from September 2014 to August 2015. The study revealed statistically significant improvements in the study group at the post-and follow-up in lower limb physical findings (p<0.001), compliance with medications, more days of intake of medications, of following diet, exercise, and practicing foot care during last week (p<0.001), perception of health, and self-confidence (p<0.001), hypertension (p<0.001), random blood sugar (p<0.001), glycated Hb (p<0.001), and total cholesterol (p=0.001). There were statistically significant positive correlation between the scores of self-confidence and foot self-care (r=0.96), and between the number of abnormal signs and the level of HbA1c, while the total number of abnormal signs correlated negatively with the score of self-confidence and foot self-care. The level of HbA1c, it correlated negatively with the scores of self-confidence and foot self-care. In conclusion, increasing diabetic patients' self-confidence and self-efficacy can improve their self-care practices, with subsequent positive impacts on their general and feet health status and diabetic control. The implementation of self-efficacy enhancing training programs is recommended with the use of the developed illustrated booklet as an educational aid for diabetic patients whom at risk for leg problems. More research is needed to investigate the longterm effect of such educational interventions.

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“…En ese escenario, la referida enfermedad crónica es considerada uno de los principales problemas de salud pública debido a la alta morbimortalidad proveniente de sus complicaciones crónicas, ocasionando gastos elevados de los servicios de salud para control y tratamiento de estos problemas, además de la reducción del personal trabajador y del impacto biosicosocial en las personas afectadas (4)(5) .…”

Section: Nº 45 Enero 2017unclassified

Autocuidado em Diabetes Mellitus: estudo bibliométrico

Oliveira

Costa

Ferreira

et al. 2016

eglobal

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RESUMENObjetivo: Para asignar la literatura científica nacional e internacional sobre el auto-cuidado para las personas con diabetes mellitus.Método: Se realizó un estudio bibliométrico, cuya muestra constaba de 85 artículos publicados en el periodo 2005-2015, disponible en Scielo, Lilacs, Medline y Scopus.Resultados: Los estudios se centran en los últimos cinco años; Son publicados principalmente en revistas internacionales, destacando The Diabetes Educator Journal. En cuanto a los nacionales, 20 (23,4%) trabajos están distribuidos en revistas de investigación en enfermería; 51 (67,1%) autores son enfermeros y 53 (69,7%) son médicos; 78 (91,8%) estudios son artículos originales, 55 (64,7%) transversales, 60 (80,0%) cuantitativos, 37 (43,5%) están en Inglés; 51 (64,6%) se realizaron en ambulatorios y 55 (64,7%) con personas con diabetes tipo 2; el instrumento más utilizado fue el genérico, 26 (34,2%); seguido del Summary of Diabetes Self-care activities, 24 (31,6%); el tema más discutido fue el efecto de la educación en el autocuidado, 13 (15,3%); el páis con mayor número de estudios fue Brasil, con 33 (39,1%). Conclusión:Las investigaciones sobre el autocuidado de la DM son lideradas por enfermeras, con especial atención a la enseñanza. Se hace hincapié en la falta de estudios analíticos y experimentales que muestran la necesidad de estudios con este tipo de corte de manera que las hipótesis que han surgido en los estudios de observación puedan ser probadas y así avanzar en la investigación, contribuyendo a la adherencia para el auto-cuidado.Palabras clave: diabetes mellitus; autocuidado; bibliometría.

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Pathways of empowerment perceptions, health literacy, self-efficacy, and self-care behaviors to glycemic control in patients with type 2 diabetes mellitus

Cited by 186 publications

References 30 publications

Empowerment in the Treatment of Diabetes and Obesity

Empowerment in the Treatment of Diabetes and Obesity

Effect of Self-Efficacy Enhancing Intervention Training on Clinical Health Status of Diabetic Patients at High-Risk for Leg Problems

Autocuidado em Diabetes Mellitus: estudo bibliométrico

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