Predictors of Successful Diabetes Management in Low-Income Hispanic People

Latham, Christine L; Calvillo, Evelyn Ruiz

doi:10.1177/0193945908328263

Cited by 19 publications

(29 citation statements)

References 27 publications

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“…Longer duration since diagnosed with diabetes can also mean that such participants have received more DSME compared with those with shorter duration of diabetes, putting them in a better position to develop self-efficacy and the confidence to self-manage their diabetes. Further, because a diagnosis of diabetes carries its own psychological and social burdens, patients with diabetes require time to accept and adapt to the new lifestyle changes [46,47]. Participants with longer duration of diabetes may have developed better adaptation strategies to self-manage diabetes compared to those with shorter duration of diabetes.…”

Section: Discussionmentioning

confidence: 99%

Diabetes self-management (DSM) in Omani with type-2 diabetes

Alrahbi¹

2014

International Journal of Nursing Sciences

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Self-managementSelf-care Oman Patient education Glycemic control Type-2 diabetes a b s t r a c t Objective: The aim of this study was to assess the status of diabetes self-management (DSM) among Omanis with type-2 diabetes and its relationship with glycemic control and demographic variables. Methods: A correlational descriptive design using questionnaire was conducted with a convenience sample of 266 Omani patients with type-2 diabetes to collect the data. Results: The findings indicated that DSM among the study subject is sub-optimal. Only 1% of them were regular on SMBG; 9.5% of them exercise regularly; and 18% of them maintain healthy diet practices. No significant relationship between DSM and glycemic control (p >0.05) was found. DSM was found to be associated with age, gender, level of education, and duration of diabetes. Examining the differences between two regions in Oman (Muscat & Aldhakiliyah) indicated that participants from Muscat differ only in practicing SMBG. Conclusion: Results indicated that many Omani patients with type-2 diabetes do not perform DSM consistently. Practice implications: The findings of this study set the stage to develop teaching strategies that will improve DSM and subsequently improve diabetes management in patient with type-2 diabetes in Oman.

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Section: Discussionmentioning

confidence: 99%

Diabetes self-management (DSM) in Omani with type-2 diabetes

Alrahbi¹

2014

International Journal of Nursing Sciences

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“…Additionally, we propose that for Hispanics with diabetes, other individual factors such as trust, acculturation, and years living with disease may also provide additional influence on an individual’s healthcare experience and in turn affect the attitudes and behaviors related specifically to diabetes control (Figure 1). Latham and Calvillo, 26 in their Hispanic Health Protection Model, showed that greater acculturation was associated with greater knowledge of diabetes and improved diabetes-related quality of life, but they were unable to include self-care indices in their final analysis. Taken in concert, these models raise additional questions regarding the factors that promote self-care among low income Hispanic adults with diabetes.…”

Section: Theoretical/conceptual Frameworkmentioning

confidence: 99%

Health Literacy, Physician Trust, and Diabetes-related Self-care Activities in Hispanics with Limited Resources

White¹,

Osborn²,

Gebretsadik³

et al. 2013

hpu

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Background Hispanics with diabetes often have deficits in health literacy (HL). We examined the association among HL, psychosocial factors, and diabetes-related self-care activities. Methods Cross-sectional analysis of 149 patients. Data included patient demographics and validated measures of HL, physician trust, self-efficacy, acculturation, self-care behaviors, and A1c. Results Participants (N=60) with limited HL were older and less educated, and had more years with diabetes compared with adequate HL participants (N=89). Limited HL participants reported greater trust in their physician, greater self-efficacy, and better diet, foot care, and medication adherence. Health literacy status was not associated with acculturation or A1c. In adjusted analyses, HL status remained associated with physician trust, and we observed a notable but nonsignificant trend between HL status and medication adherence. Discussion Lower HL was associated with greater physician trust and better medication adherence. Further research is warranted to clarify the role of HL and physician trust in optimizing self-care for Hispanics.

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“…However, the literature suggests that a complete conceptualization of family involvement in diabetes care is two-dimensional, consisting of the degree of involvement in the patient’s care and the type of involvement (i.e., helpful vs. harmful; Figure 1). To date, quantitative studies often operationalize “family support” as a unidimensional construct, either by assessing only the helpful aspects of family involvement [14, 21] or by subtracting harmful family involvement from helpful family involvement and treating what’s left as a single variable [8, 12, 22]. Both approaches preclude examination of the independent and co-occurring role of supportive and obstructive family involvement.…”

Section: Introductionmentioning

confidence: 99%

Family involvement is helpful and harmful to patients’ self-care and glycemic control

Mayberry

Osborn

2014

Patient Education and Counseling

106

144

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Objective We assessed the relationships between supportive and obstructive family behaviors and patients’ diabetes self-care activities and HbA1C, and potential interaction effects and differences by demographic characteristics. Methods In a cross-sectional study, 192 adults with type 2 diabetes completed the Diabetes Family Behavior Checklist-II, the Summary of Diabetes Self-Care Activities, and a glycemic control (HbA1C) test. Results Participants reported similar rates of supportive and obstructive behaviors that were positively correlated (rho=0.61, p<.001). In adjusted analyses, supportive family behaviors were associated with adherence to different self-care behaviors (β=0.20–0.50, p<.05), whereas obstructive family behaviors were associated with less adherence to self-care behaviors (β=−0.28–−0.39, p<.01) and worse HbA1C (β=0.18, p<.05). Supportive behaviors protected against the detrimental effect of obstructive behaviors on HbA1C (interaction β=−0.22, p<.001). Non-Whites reported more supportive and obstructive behaviors than Whites, but race did not affect the relationships between family behaviors and self-care or HbA1C. Conclusion Involving family members in patients’ diabetes management may compromise patients’ self-care and glycemic control unless family members are taught to avoid obstructive behaviors. Practice Implications Our findings endorse interventions that help family members develop actionable plans to support patients’ self-care and train them to communicate productively about diabetes management.

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Predictors of Successful Diabetes Management in Low-Income Hispanic People

Cited by 19 publications

References 27 publications

Diabetes self-management (DSM) in Omani with type-2 diabetes

Diabetes self-management (DSM) in Omani with type-2 diabetes

Health Literacy, Physician Trust, and Diabetes-related Self-care Activities in Hispanics with Limited Resources

Family involvement is helpful and harmful to patients’ self-care and glycemic control

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