Reducing Risks in Diabetes Self-management

Boren, Suzanne Austin; Gunlock, Teira L.; Schaefer, Judith; Albright, Ann

doi:10.1177/0145721707309809

Cited by 30 publications

(7 citation statements)

References 56 publications

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“…Our results showed that self-care behaviors were linked to microvascular damage in any form, with deeper reductions in Hazard Ratios for physical activity and blood sugar testing. Previous studies have also found similar results, both cross-sectionally as longitudinally [ 49 , 50 ]. However, our study was collected based on self-report data at the time of the interview, and cross-sectionally analyzed.…”

Section: Discussionsupporting

confidence: 81%

Influence of social determinants, diabetes knowledge, health behaviors, and glycemic control in type 2 diabetes: an analysis from real-world evidence

Silva-Tinoco¹,

Cuatecontzi-Xochitiotzi²,

Torre-Saldaña³

et al. 2020

BMC Endocr Disord

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Background: Although important achievements have been done in type 2 diabetes mellitus (T2D) treatment and glycemic control, new strategies may take advantage of non-pharmacological approaches and of other potential determinants of health (e.g., socioeconomic status, education, diabetes knowledge, physical activity, and self-care behavior). However, the relationships between these factors are not totally clear and have not been studied in the context of large urban settings. This study aimed to explore the relationship between these determinants of glycemic control (GC) in a low-income urban population from Mexico City, focused in exploring potential the mediation of self-care behaviors in the association between diabetes knowledge and GC. Methods: A multicenter cross-sectional study was conducted in patients with type 2 diabetes (T2D) from 28 primary care outpatient centers located in Mexico City. Using multivariable-adjusted models, we determined the associations between diabetes knowledge, self-care behaviors, and GC. The mediation analyses to determine the pathways on glycemic control were done using linear regression models, where the significance of indirect effects was calculated with bootstrapping.

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Section: Discussionsupporting

confidence: 81%

Influence of social determinants, diabetes knowledge, health behaviors, and glycemic control in type 2 diabetes: an analysis from real-world evidence

Silva-Tinoco¹,

Cuatecontzi-Xochitiotzi²,

Torre-Saldaña³

et al. 2020

BMC Endocr Disord

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show abstract

“…Placing higher emphasis on educating patients and equipping them with the tools they need to play an active role in self-care practices has been the recent trend of health care delivery for people with diabetes and other chronic illnesses. In collaboration with the health care team, optimal disease related outcomes, improved quality of life, and greater satisfaction with treatment are attainable for individuals who are empowered to take an active role in the management of their health 7 , 9 , 14 , 16 , 22 . Self-efficacy has been described as behavior specific and dynamic, and identifying a person's perception of their capability in a certain setting or with a certain behavior has often been noted as a preeminent indicator of self-care behavior performance [26] .…”

Section: Introductionmentioning

confidence: 99%

The relationship between self-efficacy and diabetic foot self-care

Wendling

Beadle

2015

Journal of Clinical & Translational Endocrinology

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AimsResearch has shown that the ongoing rate of diabetes-related amputations remains significant despite the existence of prevention methods and that amputation in most cases can be prevented. The purpose of the study was to assess the relationship between the level of self-efficacy and performance of foot self-care in those with diabetes as they relate to the prevention of lower extremity amputation (LEA).MethodsA descriptive correlational study was conducted using the theoretical framework of Bandura's social cognitive theory. The Foot Care Confidence Scale (FCCS) and the Nottingham Assessment of Functional Footcare (NAFF) survey instruments were distributed to individuals over 18 years old with diabetes Type 1 and 2 in the lower peninsula of Michigan (N = 223).ResultsNo significant correlation was identified between the level of self-efficacy and performance of foot self-care behaviors. Statistical significance was found between foot self-care behaviors and gender with males scoring higher than females.ConclusionsThis study adds to the body of knowledge regarding self-efficacy and diabetic foot self-care behaviors. Further research is needed to explore the relationship of gender, diabetes education attendance, and foot self-care behaviors as influencing factors in LEA prevention.

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“…11 Persons not receiving DSME/S have a 4-fold increase for developing major diabetes-related complications compared to individuals receiving DSME/S. 12 Despite DSME/S benefits, the majority of persons with diabetes who receive DSME/S is quite small. 11,13 Barriers to accessing DSME/S are substantial: 56% of persons with diabetes mellitus nationally and 54.9% of Arizonans report never having attended a DSME/S class.…”

mentioning

confidence: 99%

Effects of a Family-based Diabetes Intervention on Behavioral and Biological Outcomes for Mexican American Adults

et al. 2017

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Purpose The purpose of the study was to investigate the effects of a family-based self-management support intervention for adults with type 2 diabetes (T2DM). Methods Using a 2-group, experimental repeated measures design, 157 dyads (participant with T2DM and family member) were randomly assigned to an intervention (education, social support, home visits, and telephone calls) or a wait list control group. Data were collected at baseline, postintervention (3 months), and 6 months postintervention. A series of 2 × 3 repeated measures ANOVAs were used to test the hypotheses with interaction contrasts to assess immediate and sustained intervention effects. Results Significant changes over time were reported in diet self-management, exercise self-management, total self-management, diabetes self-efficacy for general health and total diabetes self-efficacy, physician distress, regimen distress, interpersonal distress, and total distress. There were likewise sustained effects for diet self-management, total self-management, diabetes self-efficacy for general health, total self-efficacy, physician distress, regimen distress, and interpersonal distress. Conclusions Results support and extend prior research documenting the value of culturally relevant family-based interventions to improve diabetes self-management and substantiate the need for intensive, longer, tailored interventions to achieve glycemic control.

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Reducing Risks in Diabetes Self-management

Cited by 30 publications

References 56 publications

Influence of social determinants, diabetes knowledge, health behaviors, and glycemic control in type 2 diabetes: an analysis from real-world evidence

Influence of social determinants, diabetes knowledge, health behaviors, and glycemic control in type 2 diabetes: an analysis from real-world evidence

The relationship between self-efficacy and diabetic foot self-care

Effects of a Family-based Diabetes Intervention on Behavioral and Biological Outcomes for Mexican American Adults

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