Towards a better understanding of self-management interventions in type 2 diabetes: A concept analysis

Othman, Manal; Khudadad, Hanan; Dughmosh, Ragae; Furuya‐Kanamori, Luis; Abou‐Samra, Abdul‐Badi; Doi, Suhail A.R.

doi:10.1016/j.pcd.2021.09.001

Cited by 6 publications

(12 citation statements)

References 71 publications

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“…In this regard, a simple concept called diabetes selfmanagement education (DSME) is introduced, which means the promotion of self-determination and selfregulation [8]; And patients are encouraged to participate as much as possible in their treatment process by sharing information and cooperating in decision making [8]. The American Diabetes Association and the Academy of Nutrition and Dietetics also define DSME in a joint statement as a process that facilitates the knowledge, skills, and competencies necessary for diabetes self-management [9,10].…”

Section: Introductionmentioning

confidence: 99%

“…The American Diabetes Association and the Academy of Nutrition and Dietetics also define DSME in a joint statement as a process that facilitates the knowledge, skills, and competencies necessary for diabetes self-management [9,10]. As a result, DSME is recognized as an essential part of diabetes treatment [8]. To emphasize the need to teach self-management behaviors, it can be said that DSME is effective in improving the quality of life and reducing costs by preventing early and late complications of the disease and ensuring long life for the patient [8,11].…”

Section: Introductionmentioning

confidence: 99%

“…As a result, DSME is recognized as an essential part of diabetes treatment [8]. To emphasize the need to teach self-management behaviors, it can be said that DSME is effective in improving the quality of life and reducing costs by preventing early and late complications of the disease and ensuring long life for the patient [8,11].…”

Section: Introductionmentioning

confidence: 99%

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Socio-economic determinants of attendance at diabetes self-management education program: using Andersen’s behavioral model

Javan‐Noughabi

Tabatabaee

Vahedi

et al. 2022

BMC Health Serv Res

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Background Diabetes self-management education is an effective factor for improving outcomes and quality of life in patients with diabetes. However, little information is available on the factors associated with participation or non-participation in self-management education programs in people with diabetes. The aim of this study was to explore the factors affecting on the attendance of patients with diabetes in the diabetes self-management education program. Methods A cross-sectional study was conducted in 2019 on 384 patients with diabetes referred to the main comprehensive health centers of Mashhad, Iran. All patients were linked with a diabetes self-management education program that lasted three months and involved 12 sessions. We explore the factors affecting on attending in diabetes self-management education program using Andersen’s behavioral model. Data for independent variables (predisposing, enabling, and need factors) were gathered at the beginning of the training program using registration forms. Dependent variable (attendance of patients with diabetes in the training program) was checked at the end of the program. Univariate and multivariate analysis were done with SPSS v.25. Results The results of this study showed that women were less likely to participate in the self-management education program than men (OR=0.414; P<0.05). Also, age, travel time, health status and years with diabetes have negative significantly correlated with participation in the education program (P<0.05). The study showed that patients with diabetes aged≥65 were less participated in the training program than those ≤40 (OR=0.159; P<0.05). Also, patients who lived farther than 40 min away from training center were less likely to participate for this program than patients that live in an area<20 min away from training center (OR=0.196; P<0.05). Odds of attending in training program for patients with poor health status was less than patients with excellent health status (OR=0.282; P<0.05). Participation in training program were low in patients with more than 5-year diabetes duration compared to less than 1 year (OR=0.176; P<0.05). Conclusion The implementation of the classes at the right time and online, Reduce the distance between people and the place of the class, providing facilities and providing infrastructure may be appropriate to involve women and the elderly.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Socio-economic determinants of attendance at diabetes self-management education program: using Andersen’s behavioral model

Javan‐Noughabi

Tabatabaee

Vahedi

et al. 2022

BMC Health Serv Res

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“…This process comes hand in hand with the need to adopt lifestyle changes involving diet, physical activity, medication, and glucose monitoring. While healthcare providers aid in preventing metabolic and vascular complications, individuals are still responsible for making daily decisions and engaging in behaviors that shape their future well-being ( 4 ).…”

Section: Introductionmentioning

confidence: 99%

Lessons learned from a peer-supported diabetes education program in two dissimilar Mayan communities

Castillo-Hernandez,

Espinosa,

Molina-Segui

et al. 2024

Front. Endocrinol.

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BackgroundA steady rise in type 2 diabetes (T2D) in Mexico over the last 30 years has led to 11.5 million Mexicans being affected by this condition. There is an urgent need to develop interventions to prevent complications of T2D. Diabetes self-management education is the cornerstone of promoting self-care. Among all educational strategies, peer support has shown to be an effective method to encourage ongoing self-management. However, customization of interventions for distinct communities is imperative, as failure to do so can hinder the intervention’s effectiveness.MethodsWe implemented a two-year prospective randomized controlled community-based trial in Conkal, a Mayan community from Yucatan, Mexico. The intervention consisted of receiving either a culturally sensitive peer support on top of a diabetes self-management education group (PLG); or a diabetes self-management education group only (EOG; control group). The primary outcome was changes in glycated hemoglobin, while secondary outcomes encompassed changes in systolic and diastolic blood pressure, body mass index, and diabetes self-care practices. Data collection was performed at baseline and every four months during the study period.DiscussionOur experiences have highlighted the significance of peer-leader support in cultivating diabetes self-care skills, particularly within smaller, underserved communities characterized by strong social and cultural ties. However, when applied in larger or suburban settings, selecting peer leaders should be meticulous, considering sectorization within specific neighborhoods to foster a sense of belonging and familiarity among natural community clusters. In larger settlemnts, factors such as transportation challenges, time limitations, caregiving obligations, limited venue access, and changes in session locations can drive program discontinuation. Additionally, individuals with lower educational attainment are more susceptible to abandonment. Notably, those with lower education, uncontrolled diabetes, and extended diabetes duration exhibit a greater potential for improving glycemic control than their counterparts.Clinical registrationhttps://www.isrctn.com/ISRCTN96897082.

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“…Several studies have demonstrated the effectiveness of diabetes self-management education and support (DSMES) interventions in improving health outcomes, particularly glycemic control and the prevention of diabetes complications [5,6]. Although the goals of DSMES interventions are clearly defined, there is little consensus regarding which strategies should be adopted to achieve the desired goals, resulting in a heterogenous approach to T2D interventions [6,7].…”

Section: Introductionmentioning

confidence: 99%

A Delphi consensus study introducing a Problem And attRibutes‐bAsed DIabetes self‐manaGeMent (PARADIGM) intervention for patients with type 2 diabetes

Othman

Khudadad

Dughmosh

et al. 2022

Primary Care Diabetes

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Towards a better understanding of self-management interventions in type 2 diabetes: A concept analysis

Cited by 6 publications

References 71 publications

Socio-economic determinants of attendance at diabetes self-management education program: using Andersen’s behavioral model

Socio-economic determinants of attendance at diabetes self-management education program: using Andersen’s behavioral model

Lessons learned from a peer-supported diabetes education program in two dissimilar Mayan communities

A Delphi consensus study introducing a Problem And attRibutes‐bAsed DIabetes self‐manaGeMent (PARADIGM) intervention for patients with type 2 diabetes

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