The Association Between Self‐Management Barriers and Self‐Efficacy in Chinese Patients with Type 2 Diabetes: The Mediating Role of Appraisal

Cheng, Li; Sit, Janet W H; Leung, Doris Y. P.; Li, Xiaomei

doi:10.1111/wvn.12159

Cited by 16 publications

(18 citation statements)

References 44 publications

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“…32 On the other hand, persons with low self-efficacy are less likely to participate in problem-solving actions and have high levels of resistance on medication usage and healthy eating. 8 Negotiating behavioural change by setting personal goals, action planning and reflecting to help persons work through ambivalence, was a key concept of persons' empowerment intervention programmes. Strategies such as the above can be useful to enhance persons' commitment to diabetes self-management.…”

Section: Discussionmentioning

confidence: 99%

“…Strategies such as the above can be useful to enhance persons' commitment to diabetes self-management. 8 It is known that chronic illnesses, such as DM, require intensive care, both by healthcare professionals and by the patients themselves. Observational studies have shown that adherence to healthy lifestyle behaviours is associated with substantially reduced risks of CVD, complications and death in people with DM.…”

Section: Discussionmentioning

confidence: 99%

“…35 A patient-centred empowerment-based programme can improve the quality life of persons with poorly controlled DM. 8 The study of Chan et al shows that participants who received the person-centred empowerment-based programme, demonstrated a reduction in HbA1c of 0.476%, which is approaching a clinically meaningful improvement in glycaemic control. 36…”

Section: Empowerment Of Persons With Dmmentioning

confidence: 99%

“…Intervention programmes for persons' empowerment, can facilitate participants to achieve significant changes on diet management and blood glucose self-monitoring. 8,60 Persons' empowerment helps increasing their awareness as well as encourages the mutual trust and open communication between patients and healthcare providers. In this way, the empowerment of persons with DM will improve their self-efficacy and self-care behaviours in order to be actively involved in making decisions and improving their health status.…”

Section: Self-efficacy and Self-care Behavioursmentioning

confidence: 99%

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Lifestyle factors, self-management and patient empowerment in diabetes care

Lambrinou

Hansen

Beulens³

2019

Eur J Prev Cardiolog

157

101

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Although management of diabetes mellitus is improving, inadequately managed cases still exist. Prevention of diabetes mellitus requires an integrated and holistic approach based on the origin of the disease. In Europe only half of diagnosed patients with diabetes mellitus have good glycaemic control. Inadequate glycaemic control is significantly increasing the use of healthcare resources, the medical costs and mortality rates. A review was conducted in order to summarise and discuss central themes for prevention. A search of the databases PubMed, CINAHL, Cochrane and Google Scholar between January 2010–May 2019 was undertaken. The following keywords: ‘diabetes mellitus’, ‘cardiovascular diseases’, ‘empowerment’, ‘self-management education’ and ‘lifestyle factors’ were used in different combinations to identify eligible articles. Important variables for the prevention of diabetes mellitus and its complications are self-management of diabetes mellitus and the management of risk factors. Education and support for self-management are fundamental when caring for people with a chronic disease like diabetes mellitus. In order to achieve effective self-management including lifestyle modification it is also crucial to motivate people. In this review, the role of the three main pillars in diabetes care are identified and discussed; patient empowerment, self-management education and lifestyle modification in the management of people with diabetes mellitus.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Empowerment Of Persons With Dmmentioning

confidence: 99%

Section: Self-efficacy and Self-care Behavioursmentioning

confidence: 99%

See 2 more Smart Citations

Lifestyle factors, self-management and patient empowerment in diabetes care

Lambrinou

Hansen

Beulens³

2019

Eur J Prev Cardiolog

157

101

View full text Add to dashboard Cite

show abstract

“…This is similar with the other pilot of diabetes education in mainland China (Fu et al, ). Diabetes knowledge lays the basis of behaviour change for patients with T2DM, and self‐efficacy was positively associated with diabetes self‐management behaviours (Cheng, Sit, Leung, & Li, ; Xu et al, ). Provider‐patient communication will indirectly affect diabetes self‐management behaviours through self‐efficacy as well (Xu et al, ).…”

Section: Discussionmentioning

confidence: 99%

A culturally sensitive nurse‐led structured education programme in patients with type 2 diabetes

Liu

Jiang

et al. 2019

Int J of Nursing Practice

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Aim To assess the feasibility, acceptability, and preliminary efficacy of a culturally sensitive nurse‐led structured education programme for patients with type 2 diabetes. Background A nurse‐led satisfactory diabetes education programme might be feasible. The structured education programme is considered a potential model that helps patients manage diabetes. Design A mixed‐method design. Methods A convenience sample of 44 participants received the programme. Feasibility was assessed using the recruitment rate and the retention rate. Acceptability was assessed by interviews to obtain the perception and experience of participants. Also, preliminary efficacy on diabetes knowledge, self‐efficacy, self‐management behaviours, and clinical outcomes was assessed. Finally, data were collected from April to December 2015. Results The recruitment rate and the retention rate were acceptable. Participants thought that the programme contributed to their positive changes. They enjoyed and accepted the programme, and they wanted to gain the ongoing support. Significant improvements in diabetes knowledge, self‐efficacy, self‐management behaviours, A1C, fasting blood glucose, low‐density lipoprotein cholesterol, weight, body mass index, and waist circumference were reported in 12‐week follow‐up. Conclusions This programme is feasible and acceptable, and its preliminary efficacy is promising. Ongoing support, a control group, and long‐term follow‐up are required in future studies to assess its effectiveness.

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Individualized care for older adults with diabetes and its relationship with communication, psychosocial self‐efficacy, resources and support for self‐management and socio‐demographics

et al. 2022

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Aim To examine the relationship between patient–provider communication, psychosocial patient self‐efficacy, resources and support for self‐management and socio‐demographics within individualized care of older adults with diabetes. Design A quantitative study with a cross‐sectional survey design. Methods Data were collected from September 2019 to January 2021 using: Individualized Care Scale, The Communication Assessment Tool, The Diabetes Empowerment Scale and The Resources and Support for Self‐Management Scale. Patients with either Type 1 or Type 2 diabetes mellitus that were 65 years old and over (N = 145) participated in the study. Results The most positive aspects of patient–provider communication were respect and creating a comfortable environment for the patient. A significant relationship was observed between patients' perceptions and support of individualized care and diabetes‐related measures. Effective communication was the main factor associated with support for individualizing care, and together with education level, empowerment and access to resources, explained 23% of the variance.

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The Association Between Self‐Management Barriers and Self‐Efficacy in Chinese Patients with Type 2 Diabetes: The Mediating Role of Appraisal

Cited by 16 publications

References 44 publications

Lifestyle factors, self-management and patient empowerment in diabetes care

Lifestyle factors, self-management and patient empowerment in diabetes care

A culturally sensitive nurse‐led structured education programme in patients with type 2 diabetes

Individualized care for older adults with diabetes and its relationship with communication, psychosocial self‐efficacy, resources and support for self‐management and socio‐demographics

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