The influence of participant's self-perceived role on metabolic outcomes in a diabetes group education program

Sarkadi, Anna; Vég, Anikó; Rosenqvist, Urban

doi:10.1016/j.pec.2004.08.002

Cited by 14 publications

(15 citation statements)

References 44 publications

(49 reference statements)

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“…Consistent with the work by Sarkadi and colleagues (2005), individuals in our study who reported they perceived their role in self‐care as active had better self‐care scores compared to those who took a passive role. A passive role in self‐care, which emerged in our study as ‘relies on the direction of others’ has been associated with poorer self‐care outcomes among people with diabetes (Sarkadi et al. 2005, Veg et al.…”

Section: Discussionmentioning

confidence: 84%

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Whose job is it? Gender differences in perceived role in heart failure self-care

Dickson

Worrall‐Carter

Kühn

et al. 2011

Journal of Nursing and Healthcare of Chronic Illness

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dickson vv, worrall‐carter l, kuhn l & riegel b (2011) Journal of Nursing and Healthcare of Chronic Illness3, 99–108 Whose job is it? Gender differences in perceived role in heart failure self‐care Aim. To describe gender differences in perceived role in heart failure (HF) self‐care and to explore how an individual’s perception of their role influences self‐care behaviours. Specifically, two hypotheses were tested: (1) there are gender‐specific differences in perceived self‐care roles in HF and (2) there are differences in self‐care secondary to a patient’s perceived role. Background. Gender differences in roles are ubiquitous in all societies. Rarely have these roles been examined as they contribute to performance of self‐care in adults with chronic illnesses. Methods. Secondary analysis of three mixed methods studies (n = 99) of adults with chronic heart failure. Data were collected between 2006–2008. Conclusions. Two dominant perceived roles in self‐care were identified: (1) active and (2) passive. These were further categorised according to the degree of independence described by participants in self‐care decision making: (1) primary responsibility (27%), (2) collaboration (22%) and (3) reliant upon direction from others (51%). Relevance to clinical practice. Clinicians are encouraged to assess the individual’s perceived role in HF self‐care as part of the self‐care education process. Understanding patient perceptions of their role may help guide education, which may be particularly useful for those patients most likely to defer to others for HF management advice.

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Section: Discussionmentioning

confidence: 84%

“…In diabetes, self‐care including diet adherence, glucose monitoring and symptom management is viewed as a mediating factor in achieving the desired endpoint of HbA1c. Individuals who described an active role in diabetes self‐care had better HbA1c levels compared to those who assumed a passive role (Sarkadi et al. 2005).…”

Section: Discussionmentioning

confidence: 99%

Whose job is it? Gender differences in perceived role in heart failure self-care

Dickson

Worrall‐Carter

Kühn

et al. 2011

Journal of Nursing and Healthcare of Chronic Illness

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“…In our study, a higher level of perception of self-influence on the course of the disease was related to a lower intensity of problems with adherence. Similarly, Sarkadi et al29 observed that patients belonging to the “active” category of their self-perceived role in diabetes management have better outcomes compared to those having a “passive” attitude. Indeed, perceived control of diabetes was found to be a significant predictor of engagement in diabetes and desirable health behaviors that strongly influence adherence to the therapy 30,31…”

Section: Discussionmentioning

confidence: 95%

Treatment adherence in patients with type 2 diabetes mellitus correlates with different coping styles, low perception of self-influence on disease, and depressive symptoms

Kokoszka¹

2017

PPA

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BackgroundInsulin analogs are regarded as more convenient to use than human insulin; however, they require a different administration scheme due to their unique pharmacokinetic and pharmacodynamic properties. This study aimed to assess difficulties with adherence to treatment with insulin analogs in patients with type 2 diabetes mellitus (T2DM), who had previously been treated with human insulin. The associations between difficulties with adherence and clinical, demographic, and psychological characteristics were also evaluated.Patients and methodsThe study was conducted on 3,467 consecutively enrolled patients with T2DM (54.4% women), mean age 63.9 years (SD =9.57), who had recently undergone a physician-directed change in treatment from human insulin to insulin analogs. The questionnaires addressed difficulties with switching the therapy, coping styles, well-being, and perception of self-influence on the disease.ResultsNo adherence problems in switching therapy were reported in 56.6% of patients. Specific moderate difficulties were reported in 10.4%–22.1% of patients, major difficulties in 0.7%–6.9% of patients, and very significant difficulties in 0.03%–1.3% of patients. Overall, remembering to modify the insulin dose in the case of additional meals was the most frequently reported difficulty, and problems with identifying hypoglycemic symptoms were the least frequently reported. The increased risk of difficulties was moderately related to low perception of self-influence on diabetes and poor well-being. The intensity of problems was higher among those who were less-educated, lived in rural areas, had complications, and/or reported maladaptive coping styles.ConclusionSwitching from human insulin to an insulin analog did not cause adherence problems in more than half of the patients. In the remaining patients, difficulties in adherence correlated with maladaptive coping styles, low perception of self-influence on disease course, and depressive symptoms.

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“…A total of 23 articles reporting on 16 separate studies met the inclusion criteria for this review (see Table 2). [17–39] We located 12 published pieces related to the included studies. These publications were specifically examined to determine whether they included additional details on the communication component of the original study.…”

Section: Resultsmentioning

confidence: 99%

Do researchers use pharmacists' communication as an outcome measure? A scoping review of pharmacist involvement in diabetes care

Babinec

Rock²,

Lorenzetti

et al. 2010

International Journal of Pharmacy Practice

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The influence of participant's self-perceived role on metabolic outcomes in a diabetes group education program

Cited by 14 publications

References 44 publications

Whose job is it? Gender differences in perceived role in heart failure self-care

Whose job is it? Gender differences in perceived role in heart failure self-care

Treatment adherence in patients with type 2 diabetes mellitus correlates with different coping styles, low perception of self-influence on disease, and depressive symptoms

Do researchers use pharmacists' communication as an outcome measure? A scoping review of pharmacist involvement in diabetes care

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