Impact of communicative and critical health literacy on understanding of diabetes care and self-efficacy in diabetes management: a cross-sectional study of primary care in Japan

Diabetes mellitus is a major public health issue that considerably impacts mortality, morbidity, and healthcare costs worldwide. The COVID-19 pandemic has created havoc in diabetes management, too, like other spectrums of life. A descriptive, cross-sectional study was adopted to determine the effect of Social Support, Self-Care Behaviour and Self-Efficacy in Type 2 Diabetes Mellitus (T2D) during this COVID-19 pandemic. Two hundred T2D patients who satisfied the inclusion criteria were chosen using a convenient sampling procedure. The tool consists of four sections, including socio-demographic characteristics, Multidimensional Scale of Perceived Social Support (MSPSS), revised Summary of Diabetes Self-Care Activities (SDSCA) Scale and modified Diabetes Management Self-Efficacy Scale (DMS). Descriptive and inferential statistics were used to analyze the obtained data. The mean and SD of diabetic management self-efficacy is 5.74 (1.95) and 4.37 (1.4), respectively, for patients with HbA1c < 6.5% and HbA1c ≥ 6.5%. The self-care activities of the patients who had good glycemic control were 4.31 (2.06) compared to 3.50 (1.73) who did not. The social support received by the patients was 6.13 (2.13) vs. 5.31 (1.67) among patients with glycemic control vs. no control. The results show that social support (p = 0.04), self-efficacy (p =0.01) and self-care activities (p = 0.001) were significantly related to the level of glycemic control of the T2D patients. A significant relationship was also identified between gender (p = 0.036), age (p = 0.001) and education status (p = 0.000) with HbA1c control of the participants. This study demonstrates a significant relationship between social support, self-care behaviours, self-efficacy and glycemic management in T2D patients. During this COVID-19 pandemic, interventions to enhance the self-care activities like exercise and social support to boost their self-efficacy; for better diabetes management, reducing diabetes complications or prolonging their onset are the need of the hour.

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Hypertension and diabetes care among primary care doctors in Germany: results from an epidemiological cross-sectional study

Public Health in Europe ◽

10.1007/978-3-642-18826-8_21 ◽

2004 ◽

pp. 203-217 ◽

Cited By ~ 1

Author(s):

David Pittrow ◽

◽

Wilhelm Kirch ◽

Hans-Ulrich Wittchen

Keyword(s):

Primary Care ◽

Diabetes Care ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Primary Care Doctors

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Association between MS-related knowledge, health literacy, self-efficacy, resilience, and quality of life in a large cohort of MS community members: a cross-sectional study

Multiple Sclerosis and Related Disorders ◽

10.1016/j.msard.2021.103158 ◽

2021 ◽

pp. 103158

Author(s):

Suzi B. Claflin ◽

Shannon Klekociuk ◽

Julie A. Campbell ◽

Barnabas Bessing ◽

Andrew J. Palmer ◽

...

Keyword(s):

Quality Of Life ◽

Health Literacy ◽

Self Efficacy ◽

Cross Sectional Study ◽

Large Cohort ◽

Sectional Study ◽

Community Members ◽

Cross Sectional

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Primary Care Professionals’ Self-Efficacy Surrounding Advance Care Planning and Its Link to Sociodemographics, Background and Perceptions: A Cross-Sectional Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18179034 ◽

2021 ◽

Vol 18 (17) ◽

pp. 9034

Author(s):

Cristina Lasmarías ◽

Amor Aradilla-Herrero ◽

Cristina Esquinas ◽

Sebastià Santaeugènia ◽

Francisco Cegri ◽

...

Keyword(s):

Primary Care ◽

Logistic Regression ◽

Advance Care Planning ◽

Self Efficacy ◽

Cross Sectional Study ◽

Stepwise Logistic Regression ◽

Care Planning ◽

Sectional Study ◽

Cross Sectional ◽

Advance Care

Primary care (PC) professionals have been considered the most appropriate practitioners for leading Advance care planning (ACP) processes with advanced chronic patients. Aim: To explore how PC doctors’ and nurses’ self-efficacy surrounding ACP is linked to their sociodemographic characteristics, background and perceptions of ACP practices. Methods: A cross-sectional study was performed. Sociodemographics, background and perceptions about ACP in practice were collected using an online survey. The Advance Care Planning Self-Efficacy Spanish (ACP-SEs) scale was used for the self-efficacy measurement. Statistical analysis: Bivariate, multivariate and backward stepwise logistic regression analyses were performed to identify variables independently related to a higher score on the ACP-SEs. Results: N = 465 participants, 70.04% doctors, 81.47% female. The participants had a mean age of 46.45 years and 66.16% had spent >15 years in their current practice. The logistic regression model showed that scoring ≤ 75 on the ACP-SEs was related to a higher score on feeling sufficiently trained, having participated in ACP processes, perceiving that ACP facilitates knowledge of preferences and values, and perceiving that ACP improves patients’ quality of life. Conclusion: Professionals with previous background and those who have a positive perception of ACP are more likely to feel able to carry out ACP processes with patients.

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Factors associated with patient activation in inflammatory arthritis: a multisite cross-sectional study

Rheumatology Advances in Practice ◽

10.1093/rap/rkab053 ◽

2021 ◽

Vol 5 (Supplement_2) ◽

pp. ii35-ii44

Author(s):

Bethan Jones ◽

Mwidimi Ndosi ◽

Andrew Hunt ◽

Diana Harcourt ◽

Emma Dures

Keyword(s):

Health Literacy ◽

Self Efficacy ◽

Multivariable Analysis ◽

Patient Activation ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Factors Associated ◽

Rheumatic Conditions ◽

Multivariable Analyses

Abstract Objectives Patient activation covers the skills, abilities and behaviour that impact how able and willing someone is to take an active role in self-managing their health. This study explored clinical and psychosocial factors associated with patient activation in rheumatology patients. Methods This was a cross-sectional study using postal survey methods. Participants with inflammatory rheumatic conditions were from six rheumatology centres in England. Patient activation was captured using the Patient Activation Measure (PAM). Twenty-nine explanatory factors were tested for potential association with patient activation in univariable and multivariable analyses. In preliminary multivariable analyses, factors found to have an association with patient activation at a P < 0.1 level were entered into the final multivariable model. Those that remained significant at a P < 0.05 level were considered associated with patient activation. Results The sample comprised 251 participants (74% female) with a mean age of 59.31 years (s.d. 12.69), disease duration of 14.48 years (s.d. 12.52) and a PAM score of 58.3 (s.d. 11.46). Of the 29 candidate factors, 25 were entered into a preliminary multivariable analysis. In the final multivariable analysis, four factors (self-efficacy, the illness belief that treatment will control participants’ condition and two dimensions of health literacy) were significantly associated with patient activation. This final model accounted for 40.4% of the variance in PAM scores [F(4, 246) = 41.66, P < 0.001]. Conclusions Patient activation is important in managing rheumatic conditions. Our data confirm that self-efficacy and health literacy are particular targets for patient activation interventions.

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Prescription Practice for Diabetes Management among a Female Population in Primary Health Care

International Journal of Family Medicine ◽

10.1155/2014/103853 ◽

2014 ◽

Vol 2014 ◽

pp. 1-7 ◽

Cited By ~ 2

Author(s):

Fouzia A. ALHreashy ◽

Abdulelah F. Mobierek

Keyword(s):

Primary Care ◽

Diabetes Care ◽

Diabetes Management ◽

Antihypertensive Drugs ◽

Cross Sectional Study ◽

Diabetic Patients ◽

Sample Population ◽

Cross Sectional ◽

Female Population ◽

Prescription Practice

Introduction. Prescription for diabetes care is an important practice in primary care. Methods. This is a descriptive study carried out on at primary care clinics over a five-month period at Al Imam Medical Complex, Riyadh, Saudi Arabia. It was cross-sectional study of 160 female diabetic patients, who visited the services between January and May, 2012. Data were collected from the medical records on the clinical characteristics and drugs prescribed for their diabetic management. Results. The majority of the sample population (82%) was older than 40 years old. Half of them had concomitant hypertension, hyperlipidemia, and obesity. There were 500 prescriptions for diabetes management. More than 57% of participants were on two or more drugs for hyperglycemia. Metformin was the most common drug prescribed. Metformin and sulphonylurea were the most common combined medications. Most of cases ( 70%) were on a combination of antihypertensive drugs. ACE or ARBs and diuretic was the most common combined prescriptions. Statins and aspirin were used by 41% and 23.8% of the research population, respectively. Conclusion. Polypharmacy is a feature in diabetes care. Most of the prescription practice for diabetic care follows the recommended guidelines for hyperglycemia and hypertension. Management of dyslipidemia among diabetic patients, however, is an area that needs to be developed.

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