Social barriers to Type 2 diabetes self-management: the role of capital

2014 ◽  
Vol 21 (4) ◽  
pp. 336-345 ◽  
Author(s):  
Julie Henderson ◽  
Christine Wilson ◽  
Louise Roberts ◽  
Rebecca Munt ◽  
Mikaila Crotty
Keyword(s):  
Type 2 Diabetes ◽  
Self Management ◽  
Social Barriers

The Role of Digital Engagement in the Self-Management of Type 2 Diabetes

2016 ◽  
Vol 31 (12) ◽  
pp. 1557-1565 ◽  
Author(s):  
Sora Park ◽  
Sally Burford ◽  
Christopher Nolan ◽  
Leif Hanlen
Keyword(s):  
Type 2 Diabetes ◽  
The Self ◽  
Self Management ◽  
Digital Engagement

The Impact of Partnership Status on Diabetes Control and Self-Management Behaviors

2018 ◽  
Vol 45 (5) ◽  
pp. 668-671 ◽  
Author(s):  
Lindsay Haines ◽  
Natalie Coppa ◽  
Yael Harris ◽  
Juan P. Wisnivesky ◽  
Jenny J. Lin
Keyword(s):  
Type 2 Diabetes ◽  
Glucose Monitoring ◽  
The United States ◽  
Diabetes Control ◽  
Self Management ◽  
Partnership Status ◽  
The Impact ◽  
Management Behaviors

According to the Centers for Disease Control and Prevention, diabetes affects 29.1 million people in the United States. Marriage has been suggested to have a protective effect on overall health outcomes, but few studies have evaluated the role of partnership status on patients with type 2 diabetes. This study aimed to assess this role of partnership status on diabetes control and self-management behaviors. Patients with type 2 diabetes taking at least one oral hypoglycemic agent were assessed over a 3-month period to measure hemoglobin A1c (HbA1c) changes and adherence to medication, exercise, diet, and glucose monitoring. Partnered participants were more likely to adhere to their medications, but there was no significant difference in HbA1c changes over 3 months or exercise, diet, or glucose monitoring adherence. This study suggests that being partnered improves medication adherence; further analysis with a larger population is required to fully assess the role of partner support for patients with type 2 diabetes.

Diabetes Self-Management in African Americans: An Exploration of the Role of Fatalism

2003 ◽  
Vol 29 (1) ◽  
pp. 105-115 ◽  
Author(s):  
Leonard E. Egede ◽  
Ramita J. Bonadonna
Keyword(s):  
Type 2 Diabetes ◽  
African Americans ◽  
Self Management ◽  
Spiritual Beliefs ◽  
Management Behavior ◽  
Four Dimensions ◽  
Psychology Theory ◽  
The Individual

PURPOSE This study was conducted to explore the concept of fatalism in relation to diabetes self-management behavior in African Americans with type 2 diabetes. METHODS Participants (n=39) were recruited from a clinic sample of African Americans with type 2 diabetes. Seven focus groups were conducted; the sessions were recorded, transcribed, and analyzed to identify themes related to fatalism and diabetes self-management. The ISAS paradigm (individual, symbols, audience, situation), a social psychology theory, provided the theoretical framework for the study. RESULTS Four dimensions of fatalism were identified: the meaning of diabetes, the illness experience, the individual's coping response, and the individual's religious and spiritual beliefs. For the participants in this study, fatalism seemed to characterize the nature of the interaction between the individual with diabetes and others, the meanings they attached to such interactions, and the decision to adopt an effective or ineffective diabetes self-management behavior. CONCLUSIONS Fatalism was associated with diabetes self-management in African Americans with diabetes and was multidimensional in this population; the construct appeared to differ conceptually from the perspective of current measures.

Understanding Challenges, Strategies, and the Role of Support Networks in Medication Self-management Among Patients With Type 2 Diabetes

2017 ◽  
Vol 43 (2) ◽  
pp. 190-205 ◽  
Author(s):  
Gerda Bernhard ◽  
Dominik Ose ◽  
Ines Baudendistel ◽  
Hanna M. Seidling ◽  
Marion Stützle ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Health Care ◽  
Support Networks ◽  
The Self ◽  
Self Management ◽  
Medication Regimen ◽  
Self Help ◽  
Self Help Groups

Purpose The purpose of this qualitative study was to investigate the challenges and strategies of patients with type 2 diabetes mellitus (T2DM) regarding daily management of their medication regimen focusing on the role of their support networks. Methods A purposeful sample of 25 patients with T2DM was recruited from local self-help groups, general practitioner practices, and a university hospital in southwestern Germany. Four semi-structured focus groups were conducted to identify the challenges patients experienced, the strategies they used, and their collaboration with support networks to assist them in self-managing their medication regimen. Sessions were audio- and video-recorded, fully transcribed, and subjected to computer-aided qualitative content analysis, guided by the Self- and Family Management Framework (SFMF). Results Patients with T2DM experienced numerous challenges affecting medication self-management arising from their personal situation, health status and resources, characteristics of their regimen, and how health care is currently organized. Patients’ self-initiated strategies included activating health care, community, social, and online resources; taking ownership of medication-related needs; and integrating medication-taking into daily life. Patients drew on self-help groups, family, and friends to discuss concerns regarding medication safety and receive experience-based information and advice for navigating within the health care system as well as practical hands-on support with daily medication self-management. Conclusions Understanding the challenges and building on strategies patients with T2DM devised help diabetes educators to better address patients’ needs and priorities and guide patient-centered interventions to support patients’ self-management activities. Community and social support networks operating in patients’ lives need to be engaged in the self-management support.

The Mediating Role of Self‐Efficacy in Shaping Self‐Management Behaviors Among Adults With Type 2 Diabetes

2019 ◽  
Vol 16 (2) ◽  
pp. 151-160 ◽  
Author(s):  
Xinjun Jiang ◽  
Hua Jiang ◽  
Mingzi Li ◽  
Yanhui Lu ◽  
Keke Liu ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Self Efficacy ◽  
Self Management ◽  
Mediating Role ◽  
Management Behaviors

scholarly journals The Motivating Function of Healthcare Professional in eHealth and mHealth Interventions for Type 2 Diabetes Patients and the Mediating Role of Patient Engagement

2016 ◽  
Vol 2016 ◽  
pp. 1-10 ◽  
Author(s):  
Guendalina Graffigna ◽  
Serena Barello ◽  
Andrea Bonanomi ◽  
Julia Menichetti
Keyword(s):  
Type 2 Diabetes ◽  
Patient Engagement ◽  
Healthcare Professionals ◽  
Patient Adherence ◽  
Self Management ◽  
Cross Sectional ◽  
Perceived Ability ◽  
Diabetes Patients

eHealth and mHealth interventions for type 2 diabetes are emerging as useful strategies to accomplish the goal of a high functioning integrated care system. However, mHealth and eHealth interventions in order to be successful need the clear endorsement from the healthcare professionals. This cross-sectional study included a sample of 93 Italian-speaking type 2 diabetes patients and demonstrated the role of the perceived ability of healthcare professionals to motivate patients’ initiative in improving the level of their engagement and activation in type 2 diabetes self-management. The level of type 2 diabetes patients’ activation resulted also in being a direct precursor of their attitude to the use of mHealth and eHealth. Furthermore, patient engagement has been demonstrated to be a mediator of the relationship between the perceived ability of healthcare professionals in motivating type 2 diabetes patients and patients’ activation. Finally, type 2 diabetes patients adherence did not result in being a direct consequence of the frequency of mHealth and eHealth use. Patient adherence appeared to be directly influenced by the level of perceived healthcare professionals ability of motivating patients’ autonomy. These results offer important insights into the psychosocial and organizational elements that impact on type 2 diabetes patients’ activation in self-management and on their willingness to use mHealth and eHealth devices.

Sign in / Sign up

Export Citation Format

Share Document