Social Support and Physical Activity in Type 2 Diabetes A Social-Ecologic Approach

2008 ◽  
Vol 34 (6) ◽  
pp. 1037-1044 ◽  
Author(s):  
JoAnn Gleeson-Kreig
Keyword(s):  
Physical Activity ◽  
Type 2 Diabetes ◽  
Health Care ◽  
Health Care Professionals ◽  
Community Support ◽  
Health Care Team ◽  
Community Context ◽  
Personal Support ◽  
Social Environmental

Purpose This study utilized social-ecology to describe sources of social-environmental support for physical activity perceived by people with type 2 diabetes, and examined the relationship between support and physical activity. Methods Multidimensional support and physical activity were measured in 58 people with diabetes. Descriptive and correlational statistics were used. Results Support from the media scored highest, followed by the health care team, personal support, workplace, family and friends, and lowest for the community. Physical activity was related to personal, media, and community support. Conclusions Using a social-ecological approach, health care professionals must focus on enhancing support from media sources, strengthening community context, and bolstering personal self-management. Professionals must also critically examine patient-provider interactions to motivate lifestyle change.

scholarly journals Black Women’s Recommendations for Developing Effective Type 2 Diabetes Programming

2017 ◽  
Vol 4 ◽  
pp. 233339361771533 ◽  
Author(s):  
Tera R. Hurt ◽  
Asani H. Seawell ◽  
Carolyn Cutrona ◽  
Margaret C. O’Connor ◽  
Randie D. Camp ◽  
...  
Keyword(s):  
Physical Activity ◽  
Type 2 Diabetes ◽  
Health Care ◽  
Black Women ◽  
Focus Groups ◽  
Health Care Professionals ◽  
Diabetes Management ◽  
Diabetes Knowledge ◽  
Des Moines

The purpose of this study was to learn from 29 Black women how to develop effective Type 2 diabetes programming. Three focus groups were held in Des Moines, Iowa, during fall 2012. Results highlighted themes related to diabetes knowledge, diabetes management and prevention, physical activity, diet, and diabetes management programming. Opinions were shared as to whether family members should be included in programs for supporting those diagnosed with diabetes. These results provided guidance and ideas to scholars and health care professionals aiming to improve effectiveness of diabetes programs for Black women and families.

scholarly journals Black female patients with type 2 diabetes mellitus: knowledge, attitudes and physical activity

2001 ◽  
Vol 57 (3) ◽  
pp. 20-27
Author(s):  
A. J. Van Rooijen ◽  
P. Rheeder ◽  
C. J. Eales ◽  
P. Becker
Keyword(s):  
Physical Activity ◽  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Health Care ◽  
Type 2 Diabetes Mellitus ◽  
Health Care Professionals ◽  
Psychosocial Impact ◽  
Diabetic Patients ◽  
Control Of Diabetes

The aim of this study was to obtain baseline data from female Type 2 Diabetes Mellitus (Type 2 DM) patients on their general health status, demographics, their knowledge of and attitudes towards diabetes and exercise, as well as their present physical activity levels.The sample of convenience consisted of 93 patients between the ages of 36 and 70 years, who were attending the Mamelodi Hospital Diabetic Outpatient Clinic.Demographic, clinical, diabetes knowledge, diabetes attitude and physical activity data were captured. Data were summarized with descriptive statistics. Pearson product-moment correlation was employed to assess relationships and Cronbach’s alpha measured reliability.It was found that the sample had a low educational level. (84% schooling up to St 7) Several risk factors for the control of diabetes were identified in the sample. (Class I obesity, HbAI c-levels acceptable to compromised, 75% on treatment for hypertension) They had low scores on knowledge of diabetes ( mean,SD =4.72,2.05 out of 15) and low levels of physical activity. (mean, SD—2.85,2.09) Patients agreed with the attitude in the scale that the health care professionals require skills to educate and counsel diabetic patients, as well as bring about behavioral changes in the patients.( r=0.62) They also agreed that diabetes has a substantial psychosocial impact on their lives. (r=0.41) The highest correlation between to sub-scales was between the need for special training of health care professionals who care for diabetic patients and the psychosocial impact of the disease. (r=0.41) Patients should be educated about the basic physiology of diabetes, insulin action and causes of hypoglycaemia. They should also be motivated to increase physical activity on a continuous basis.Culturally sensitive research is needed to identify health beliefs, motivation for the control of diabetes and environmental and personal barriers to exercise and physical activity in this population.

scholarly journals Type 2 diabetes management: Patient knowledge and health care team perceptions, South Africa

2012 ◽  
Vol 4 (1) ◽  
Author(s):  
Nombeko Mshunqane ◽  
Aimee V. Stewart ◽  
Allan D. Rothberg
Keyword(s):  
Type 2 Diabetes ◽  
Health Care ◽  
Chronic Disease ◽  
Focus Group ◽  
Behaviour Change ◽  
Health Care Professionals ◽  
Diabetes Management ◽  
Health Care Team ◽  
Care Team

Background: South African research indicates that the highest death rates between 2004 and 2005 were from diabetes mellitus. There is minimal research information on interactions between what patients know about their disease and what health professionals perceive that patients should know to control their disease well.Objectives: This study determined the knowledge that patients with type 2 diabetes have about the management of their disease, as well as the perceptions of the health care team about the services given to patients.Method: Qualitative data were collected using two focus groups and in-depth interviews. Patient focus group (n = 10) explored patients’ knowledge about management of type 2 diabetes. Patients were recruited from Dr George Mukhari Hospital outpatients’ diabetes clinic. Professional focus group (n = 8) explored the health care team’s experiences, barriers and facilitators in managing the disease. Professional focus group participants were recruited because of their expertise in chronic disease management, working in the community (public health) or working directly with patients with type 2 diabetes. Five health care professionals were interviewed using the same guide of questions as for the focus group.Results: Participants identified type 2 diabetes as a chronic disease that needs behaviour change for good control. Five major themes were identified: patients’ knowledge; education programmes; behaviour change; support; and a patient-centred approach.Conclusion: Management of type 2 diabetes may be enhanced by reinforcing patients’ knowledge, encouraging behaviour change whilst taking into consideration patients’ backgrounds. The health care team needs to utilise a patient-centred approach.

scholarly journals Making the Transition to Insulin Therapy: The Experiences of Samoan People with Type 2 Diabetes in New Zealand

2021 ◽  
Author(s):  
◽  
Sera Tapu-Ta'ala
Keyword(s):  
Type 2 Diabetes ◽  
Health Care ◽  
New Zealand ◽  
Insulin Therapy ◽  
Health Care Professionals ◽  
Pacific People ◽  
Qualitative Descriptive

<p>Background Pacific people are dying younger compared to other New Zealanders because of complications resulting from uncontrolled type 2 diabetes mellitus. Good diabetes control is achievable with early use of insulin because of its effectiveness, and proven long term benefits to quality of life. An understanding of how Samoan people with type 2 diabetes make their transition to insulin therapy will assist in understanding how insulin is perceived, which will inform health care professionals in their work with those diagnosed with diabetes. Aim of Research The aim of the research is to explore and describe how Samoan people with type 2 diabetes in New Zealand made the transition to insulin therapy for better glycaemic control. Design The Fonofale Model was used as the theoretical framework, from which to understand Samoan peoples' experiences. This research used a qualitative descriptive methodology. In-depth interviews were used to gather the stories of four Samoan participants over the age of 18 years diagnosed with type 2 diabetes. The data was analysed using thematic analysis. Findings Three major themes emerged from the analysis of the participants' stories. These were: living with diabetes, making the transition to insulin therapy and realisation. The findings led to the creation of the Ia Malu model, which describes the experiences of the participants in this study. Conclusion This study confirmed that there are immense challenges and struggles encountered by people with diabetes. Their adjustment to the illness as well as making the transition to using insulin takes time. As a result of this, it is fundamental for nurses/health care professionals to understand that this is the reality for these people, and they must therefore provide time for people to adjust.</p>

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