Specific cognitive abilities are associated with diabetes self-management behavior among patients with type 2 diabetes

Primožič, Simona; Tavčar, Rok; Avbelj, Magdalena; Dernovšek, Mojca Zvezdana; Oblak, Maja Ravnik

doi:10.1016/j.diabres.2011.09.004

Cited by 66 publications

(48 citation statements)

References 29 publications

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“…Indeed, self-care and cognition are closely interconnected. Diabetes selfmanagement was found to be influenced by specific cognitive functions like immediate memory, visuospatial/constructional abilities, attention, and specific executive functions (i.e., planning and problem solving) (3). In a study conducted among 1,398 older community-dwelling adults with diabetes, participants' adherence to each diabetes self-care task deteriorated as cognitive impairment worsened, with incremental increases in diabetes comorbidity (4).…”

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confidence: 99%

“…Rachel Natovich, 1,2 Talma Kushnir, 1,3 Ilana Harman-Boehm, 1,4 Daniella Margalit, 3,5 Itzhak Siev-Ner, 5 Daniel Tsalichin, 1,6 Ilia Volkov, 1,6 Shmuel Giveon, 6,7 Deborah Rubin-Asher, 8 and Tali Cukierman-Yaffe 2,9,10 and treatment procedures, self-manage his/her foot condition (e.g., self-inspection, setting up medical appointments), and strictly follow recommendations regarding changes in medications and lifestyle habits. It should be noted that such an increase in self-care burden also represents a significant increase in the cognitive demands needed for optimal adherence to medical recommendations.…”

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confidence: 99%

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Cognitive Dysfunction: Part and Parcel of the Diabetic Foot

et al. 2016

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OBJECTIVEThe presence of a foot ulcer increases the self-treatment burden imposed on the individual with diabetes. Additionally, this condition increases the cognitive demands needed for adherence to medical recommendations. A potential gap could exist between medical recommendations and the individual's ability to implement them. Hence, the goal of this study was to examine whether the cognitive profile of people with diabetic foot ulcers differs from that of people with diabetes without this complication. RESEARCH DESIGN AND METHODSThis was a case-control study. Ninety-nine individuals with diabetic foot ulcers (case patients) and 95 individuals with type 2 diabetes (control subjects) (age range 45-75 years), who were matched for diabetes duration and sex, underwent extensive neuropsychological evaluation using a NeuroTrax computerized battery, digit symbol, and verbal fluency tests. A global cognitive score after standardization for age and education was computed as well as scores in the following six cognitive domains: memory, executive function, reaction time, attention, psychomotor abilities, and estimated premorbid cognition. RESULTSIndividuals with diabetic foot ulcers had significantly (P < 0.001) lower cognitive scores than individuals with diabetes without this complication, in all tested cognitive domains, excluding estimated premorbid cognition. Individuals with diabetic foot ulcers demonstrated a significant difference between precognitive and current cognitive abilities, as opposed to the nonsignificant difference among control subjects. The differences persisted in multivariable analysis after adjusting for depression and smoking. CONCLUSIONSIndividuals with diabetic foot ulcers were found to possess fewer cognitive resources than individuals with diabetes without this complication. Thus, they appear to face more self-treatment challenges, while possessing significantly fewer cognitive resources.The presence of a foot ulcer increases the self-care burden imposed on the individual with diabetes. Recently, the American Diabetes Association and the International Working Group on the Diabetic Foot published a global consensus, evidence-based guidance, on the management and prevention of the diabetic foot (DF) (1,2). These documents emphasize patients' education on appropriate self-care practices and participation in an integrated foot care program as essential elements of the prevention of ulcers and their recurrence. The implications of this guidance is that the individual with a DF is expected to learn and understand new information

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confidence: 99%

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confidence: 99%

Cognitive Dysfunction: Part and Parcel of the Diabetic Foot

et al. 2016

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“…Furthermore, a positive attitude linked specifically to diabetes was associated with specific self‐management behaviors26. The financial incentive as a reward resulted in a positive attitude (e.g., higher motivation and better self‐regulation) than more temporally distant, long‐term goals25, and produced higher goal commitment and fostered enthusiasm amongst the participants. Diabetes is a patient‐managed disease.…”

Section: Discussionmentioning

confidence: 96%

Reward‐based, task‐setting education strategy on glycemic control and self‐management for low‐income outpatients with type 2 diabetes

Guo

Tian

et al. 2013

J of Diabetes Invest

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Aims/IntroductionThe purpose of the study was to determine the feasibility and effect of a reward‐based, task‐setting strategy for low‐income outpatients with type 2 diabetes.Materials and MethodsIndigent diabetes outpatients without glucometers were eligible to participate in this trial. A total of 132 cases were randomly recruited. Participants in group B used glucometers for self‐monitoring at no cost. Group A participants could keep the glucometers only if the glycosylated hemoglobin level declined compared with the baseline visit; for those not achieving a reduction in the glycosylated hemoglobin level, the glucometers would have to be returned. Group C served as the control group without self‐monitoring setout. Diabetes education was provided to all groups. Metabolic indices and self‐management were evaluated after 6 months of follow up.ResultsGroup A had a significant decline in the glycosylated hemoglobin level (−0.97%) and medical costs (−159 yuan) compared with the baseline visit, whereas groups B and C had a decrease in the glycosylated hemoglobin levels alone (−0.62 and −0.57%, respectively). The body mass index did not change significantly in any group. There was a statistical difference in the glycosylated hemoglobin level of group A compared with groups B and C. Self‐management in group A improved the outcome relative to groups B and C.ConclusionsThis preliminary evidence suggests that the program is feasible, acceptable for improving patient self‐management, and cost‐effective in reducing the glycosylated hemoglobin level and medical costs.

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“…Greater selfregulation skills have been shown to be associated with a greater frequency of implementing these strategies. For example, a recent study of self-management behaviors in those with T2DM found that participants who displayed stronger cognitive abilities, such as planning and problem solving, were more likely to engage in recommended selfmanagement strategies than those whose skills are less well-developed (Primozic, Tavcar, Avbelj, Dernovsek, & Oblak, 2012). Those who use SMBG in a self-regulatory manner, thus demonstrating a skill set, may also display more frequent engagement in SMBG behaviors.…”

Section: Self-monitoring and Self-regulationmentioning

confidence: 99%

“…behaviors and perceptions by gender, duration since diagnosis (Gomersall et al, 2011;Primozic et al, 2012), and insulin prescription status (Hampson et al, 1990). Gender differences are typically thought to interact with the process of self-regulation while age differences are thought to interact more directly with the common sense model.…”

Section: Consideration Of Background Variables and Their Associationsmentioning

confidence: 99%

Self-regulation theory and self-monitoring of blood glucose behavior in type 2 diabetes mellitus.

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Specific cognitive abilities are associated with diabetes self-management behavior among patients with type 2 diabetes

Cited by 66 publications

References 29 publications

Cognitive Dysfunction: Part and Parcel of the Diabetic Foot

Cognitive Dysfunction: Part and Parcel of the Diabetic Foot

Reward‐based, task‐setting education strategy on glycemic control and self‐management for low‐income outpatients with type 2 diabetes

Self-regulation theory and self-monitoring of blood glucose behavior in type 2 diabetes mellitus.

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