Self-management practices among type 2 diabetes patients attending primary health-care centres in Medina, Saudi Arabia

Johani, K A Al; Kendall, Garth; Snider, Paul D.

doi:10.26719/2015.21.9.621

Cited by 34 publications

(73 citation statements)

References 17 publications

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“…This study found no association between age with self-care, and similar findings have been reported by other studies [35–38]. Age was not associated with self-efficacy, depression and diabetes distress in this study.…”

Section: Discussionsupporting

confidence: 91%

Depression, distress and self-efficacy: The impact on diabetes self-care practices

Cassidy

Chinna

2017

PLoS ONE

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The prevalence of type 2 diabetes is increasing in Malaysia, and people with diabetes have been reported to suffer from depression and diabetes distress which influences their self-efficacy in performing diabetes self-care practices. This interviewer administered, cross sectional study, conducted in the district of Hulu Selangor, Malaysia, involving 371 randomly selected patients with type 2 diabetes, recruited from 6 health clinics, aimed to examine a conceptual model regarding the association between depression, diabetes distress and self-efficacy with diabetes self-care practices using the partial least square approach of structural equation modeling. In this study, diabetes self-care practices were similar regardless of sex, age group, ethnicity, education level, diabetes complications or type of diabetes medication. This study found that self-efficacy had a direct effect on diabetes self-care practice (path coefficient = 0.438, p<0.001). Self-care was not directly affected by depression and diabetes distress, but indirectly by depression (path coefficient = -0.115, p<0.01) and diabetes distress (path coefficient = -0.122, p<0.001) via self-efficacy. In conclusion, to improve self-care practices, effort must be focused on enhancing self-efficacy levels, while not forgetting to deal with depression and diabetes distress, especially among those with poorer levels of self-efficacy.

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Section: Discussionsupporting

confidence: 91%

Depression, distress and self-efficacy: The impact on diabetes self-care practices

Cassidy

Chinna

2017

PLoS ONE

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“…8 Other factors that determine diabetes self-care behaviors include diabetes education, duration of disease, presence of comorbid conditions, body mass index (BMI), foot care, and smoking. 9 A recent study in Madinah by Al Johani et al 10 reported that only 15% of the participants had good glycemic control, 29% of participants were incapable of managing their diet, 47% did not exercise regularly, 85% did not monitor their blood glucose regularly, 41% were careless in their foot care, and 25% had poor compliance for their prescribed medication. They concluded that there is a tremendous scope to improve DM self-care practices in Saudi Arabia and increase the proportion of patients who achieve good glycemic control.…”

mentioning

confidence: 99%

“…Sample size calculation. In reference to the study of Al-Johani et al, 10 entitled "Self-management practices among type 2 diabetes patients attending primary health-care centres in Medina, Saudi Arabia" which reported a prevalence of poor self-care behavior of 29%. This prevalence was applied to find the optimal sample size.…”

mentioning

confidence: 99%

Frequency and factors associated with inadequate self-care behaviors in patients with type 2 diabetes mellitus in Najran, Saudi Arabia

Al-Qahtani

2020

SMJ

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To investigate the frequency and factors associated with inadequate self-care behaviors in patients with type 2 diabetes mellitus (T2DM). Methods: A cross-sectional study was conducted on a sample of 355 patients with T2DM, using multistage cluster sampling, attending the Najran University Original Article Hospital and Primary health care centres in Najran, Saudi Arabia, from January to May 2019. The assessment of self-care behaviors was conducted using the 16-item diabetes self-management questionnaire (DSMQ). Results: The majority (85.1%) of the patients with T2DM were uncontrolled, 42% were obese, and 5.9% were morbidly obese. Based on DSMQ criteria, the majority of patients (90.1%) had poor self-care behaviors. The mean sum of DSMQ was 5.04 out of 10. Among the DSMQ subscales, health care use had the highest mean score of 5.63, followed by glucose management with a score of 5.12, while dietary control had lower mean scores of 4.96 and physical activity had 4.46, all were inadequate. Being married (OR=2.178, p=0.035) and having DM for more than 5 years (OR=2.711, p<0.006) were the significant independent factors associated with poor self-care behavior. Conclusion: Inadequate self-care behavior is widely prevalent in Najran city, Saudi Arabia. All the DSMQ subscales were poorly managed by most of the diabetic patients. Furthermore, being married and having a longer DM duration are the significant independent factors associated with poor self-care behaviors.

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“…However, a recent clinical audit conducted across UNRWA's operational fields identified weaknesses in lifestyle counselling and limited evidence of self-management of NCDs (32). Consistently, self-management of diabetes in Jordan and Saudi Arabia is a particular problem (33,34). In Saudi Arabia, it is constrained by the exclusion of glucometers from patients' benefits packages (34).…”

Section: Self-management Supportmentioning

confidence: 99%

“…Consistently, self-management of diabetes in Jordan and Saudi Arabia is a particular problem (33,34). In Saudi Arabia, it is constrained by the exclusion of glucometers from patients' benefits packages (34). The same exclusion applies to UNRWA because of budget limitations.…”

Section: Self-management Supportmentioning

confidence: 99%

Primary healthcare reform in the United Nations Relief and Works Agency for Palestine Refugees in the Near East

Santoro

Abu-Rmeileh

Khader

et al. 2016

East Mediterr Health J

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Palestinian refugees served by the United Nation Relief and Works Agency for Palestine Refugees in the Near East (UNRWA) are experiencing increasing rates of diagnosis of non-communicable diseases. In response, in 2011 UNRWA initiated an Agency-wide programme of primary healthcare reform, informed by the Chronic Care Model framework. Health services were reorganized following a family-centred approach, with delivery by multidisciplinary family health teams supported by updated technical advice. An inclusive clinical information system, termed e-Health, was implemented to collect a wide range of health information, with a focus on continuity of treatment. UNRWA was able to bring about these wide-ranging changes within its existing resources, reallocating finances, reforming its payment mechanisms, and modernizing its drug-procurement policies. While specific components of UNRWA's primary healthcare reform are showing promising results, additional efforts are needed to empower patients further and to strengthen involvement of the community.

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Self-management practices among type 2 diabetes patients attending primary health-care centres in Medina, Saudi Arabia

Cited by 34 publications

References 17 publications

Depression, distress and self-efficacy: The impact on diabetes self-care practices

Depression, distress and self-efficacy: The impact on diabetes self-care practices

Frequency and factors associated with inadequate self-care behaviors in patients with type 2 diabetes mellitus in Najran, Saudi Arabia

Primary healthcare reform in the United Nations Relief and Works Agency for Palestine Refugees in the Near East

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