Self-Care Behaviors and Glycemic Control in Low-Income Adults in México With Type 2 Diabetes Mellitus May Have Implications for Patients of Mexican Heritage Living in the United States

Ortiz, Lidia Guadalupe Compeán; Pérez, Beatríz Del Angel; González, Eunice Reséndiz; Martínez, Socorro Piñones; González-Quirarte, Nora Hilda; Berry, Diane

doi:10.1177/1054773815586542

Cited by 15 publications

(8 citation statements)

References 39 publications

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“…This finding has also been reported in low-income adults with T2DM. 39 Participants were low income, had limited education, and had low dietary intake of fruits and vegetables as in our study. Dietary changes have consistently been reported to be the most difficult, especially in low-income persons with diabetes, as factors such as culture, lifelong habits, and family and socioeconomic resources influence dietary intake.…”

Section: Discussionmentioning

confidence: 93%

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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Section: Discussionmentioning

confidence: 93%

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

et al. 2017

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“…15 Several studies showed that training on self-care behaviors, drug use, self-monitoring of blood sugar, diet, exercise, and foot care, sufficient knowledge about self-care in diabetes was associated with lower HbA1c level. [16][17][18][19] The requirement of adherence to diabetes self-care behavior such as adherence to medication, exercise, diet, and self-monitoring of blood glucose familiarize diabetes patients to avoid, and free from fears that they have diabetes. This robust routine diabetes self-management leads to good glycaemic control and subsequently reduces the risk of diabetic complications.…”

Section: Introductionmentioning

confidence: 99%

“…Several studies showed that training on self-care behaviors, drug use, self-monitoring of blood sugar, diet, exercise, and foot care, sufficient knowledge about self-care in diabetes was associated with lower HbA1c level. 16 – 19 …”

Section: Introductionmentioning

confidence: 99%

<p>Predictors of Adherence to Self-Care Behavior Among Patients with Diabetes at Public Hospitals in West Ethiopia</p>

Oluma

Mosisa

Abadiga

et al. 2020

DMSO

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Background: Diabetes is a typical chronic disease that needs integrated and multifaceted approaches. Self-care practices are fundamental to achieve good blood glucose control and prevent long-term complications. Therefore, the aim of the study was to determine the level and predictors of adherence to self-care behavior among patients with diabetes on follow-up at public hospitals of western Ethiopia. Patients and Methods: The cross-sectional study design was employed on a sample of 423 diabetic patients on follow-up at public hospitals of western Ethiopia. A systematic random sampling method was employed. The data were entered into Epi data version 3.1 and exported into Statistical Package for the Social Sciences window version 24 for analysis. All variables significant at p-value <0.05 in the bivariable were entered in multivariate regression analysis. Backward stepwise goodness of fit was used to ascertain the suitable variables in multiple linear regression analysis. Finally, multivariate linear regression analysis with adjusted B, CI at 95%, and the significance level was set at p <0.05. All predictive variables were reported in terms of adjusted R2. Results: The overall mean and standard deviation of adherence to self-care behavior was 23.09 ±6.55. Among the study participants, 42.70% had good self-care behavior. Selfefficacy (B=0.106, p<0.001), home blood glucose test (B=0.075, p<0.001), exercise per week (0.035, P<0.002), meal planning (B=0.039, P<0.001), dietary restriction (B=0.077, P<0.001), duration of diabetes<4 years (B=0.030, P<0.013), non-pharmacological intervention (B=0.055, P<0.011), and good appetite (B=0.039, P<0.045) were significant variables associated with adherence to self-care behaviors. Conclusion: The overall level of adherence to self-care behavior was low. Therefore, we recommended that it is better if the national health policymaker focused on dietary management modality that engages patients' behavior change to develop self-care practices and closely monitoring of glucose level. Also, we recommended an additional longitudinal study incorporating a qualitative study that focused on behavioral changes.

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“…Different interventions have been developed to control diabetes in primary care without satisfactory results, showing the need for new strategies for management of this disease. Home visits are considered an economical and effective method for preventing and controlling chronic diseases, as they can provide benefits for the patient, their family and society in general, as well as improve the quality of life among old patients with chronic disease.…”

Section: Introductionmentioning

confidence: 99%

Are home visits an effective method for diabetes management? A quantitative systematic review and meta‐analysis

Han

Wei

et al. 2017

J of Diabetes Invest

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Aims/IntroductionPrevious reviews have revealed uncertainty regarding the effectiveness of home visit interventions for managing diabetes. Therefore, we carried out a quantitative systematic review and meta‐analysis to evaluate the effects of home visit interventions among patients with diabetes.Materials and MethodsWe searched various electronic databases (PubMed, EMBASE, Cochrane Library, Web of Science, CINAHL, Wanfang and Chinese scientific full‐text databases) from their inception until March 2016. We included randomized controlled trials that included patients with diabetes, and evaluated the effects of home visit programs on glycated hemoglobin concentrations. Two reviewers independently used the Cochrane Collaboration methods to assess the included studies’ risk of bias and quality.ResultsWe included seven randomized controlled trials with 686 participants. Compared with the usual care, the home visit group showed a greater reduction in glycated hemoglobin concentrations (mean difference −0.79% [−9 mmol/mol], 95% confidence interval [CI]: −0.93 to −0.25% [11 to −3 mmol/mol]; P < 0.05; I 2 = 0%), systolic blood pressure (mean difference −5.94 mmHg, 95% confidence interval −11.34 to −0.54 mmHg) and diastolic blood pressure (mean difference −6.32 mmHg, 95% confidence interval −12.00 to −0.65 mmHg). Furthermore, home visits improved quality of life, high‐density lipoprotein, low‐density lipoprotein, total triglycerides and self‐management. However, there were no significant differences between the two groups in their bodyweight, total cholesterol, body mass index and self‐efficacy.ConclusionHome visits were associated with improved glycemic control and reduced cardiovascular risk factors, which shows that it is an effective method for diabetes management.

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Self-Care Behaviors and Glycemic Control in Low-Income Adults in México With Type 2 Diabetes Mellitus May Have Implications for Patients of Mexican Heritage Living in the United States

Cited by 15 publications

References 39 publications

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

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

<p>Predictors of Adherence to Self-Care Behavior Among Patients with Diabetes at Public Hospitals in West Ethiopia</p>

Are home visits an effective method for diabetes management? A quantitative systematic review and meta‐analysis

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