An examination of the socio-demographic correlates of patient adherence to self-management behaviors and the mediating roles of health attitudes and self-efficacy among patients with coexisting type 2 diabetes and hypertension

Type 2 diabetes is a global epidemic, and many people feel stigmatized for having this disease. The stigma is a relevant barrier to diabetes management. However, evidence in this regard is scarce in Latin America. This study aimed to analyze the level of stigma surrounding type 2 diabetes in the Colombian population and its relationships with sociodemographic, clinical, psychosocial variables and behaviors related to management of the disease (self-management behaviors). This cross-sectional study included 501 Colombian adults with type 2 diabetes. We estimated the relation between stigma and selected variables through linear regression models. Additionally, we analyzed the mediator role of psychosocial variables in the relationship between stigma and self-management behaviors through structural equation models. A total of 16.4% of patients showed concerning levels of stigma. The time elapsed since diagnosis (β = −0.23) and socioeconomic status (β = −0.13) were significant predictors of the level of stigma. Stigma was negatively correlated with self-efficacy (β = −0.36), self-esteem (β = −0.37), and relationship with health care provider (β = −0.46), and positively correlated with stress (β = 0.23). Self-efficacy, self-esteem, and the relationships with health care providers had a mediation role in the relationship between stigma and self-management behaviors. These variables would be part of the mechanisms through which the perception of stigma harms self-management behaviors. The stigma of type 2 diabetes is frequent in the Colombian population and negatively associated with important aspects of disease management.

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Influence of Relationship Partners on Self-Efficacy for Self-Management Behaviors Among Adults With Type 2 Diabetes

Diabetes Spectrum ◽

10.2337/ds17-0069 ◽

2018 ◽

Vol 32 (1) ◽

pp. 6-15 ◽

Cited By ~ 2

Author(s):

Jennalee S. Wooldridge ◽

Krista W. Ranby

Keyword(s):

Type 2 Diabetes ◽

Self Efficacy ◽

Self Management ◽

Relationship Partners ◽

Management Behaviors

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The Effect of Depression on Poor Glycemic Control in Adults with Type 2 Diabetes: The Mediating Roles of Self-Efficacy and Self-Management Behaviors

International Journal of Diabetes and Metabolism ◽

10.1159/000502126 ◽

2019 ◽

Vol 25 (3-4) ◽

pp. 80-89 ◽

Cited By ~ 1

Author(s):

Golnaz Azami ◽

Kim Lam Soh ◽

Shariff-Ghazali Sazlina ◽

Md. Said Salmiah ◽

Afra Khosravi ◽

...

Keyword(s):

Type 2 Diabetes ◽

Glycemic Control ◽

Self Efficacy ◽

Linear Regression Analysis ◽

Skills Training ◽

Poor Glycemic Control ◽

Self Management ◽

Equation Modeling ◽

Management Behaviors

Background: High levels of depression and poor self-efficacy and self-management are associated with worse glycemic control, but the linkage and pathway between these variables are poorly understood. We conducted this study to investigate the hypothesis that self-efficacy and self-management mediate the influence of depression on poor glycemic control. Methods: We studied a purposive sample of 142 adults with type 2 diabetes attending a public clinic in Ilam, Iran. Hierarchical linear regression analysis and structural equation modeling were used to explore the relationships among the variables of interest. Result: Depression directly and negatively affects self-efficacy and indirectly affects self-management behaviors, which in turn have direct effects on hemoglobin A1c (HbA1c). Self-efficacy mediates the relationship between depression and self-management behaviors. Self-efficacy and self-management behaviors partially mediate the effect of depression on HbA1c. These results confirmed that the data fit the hypothesized model very well. Conclusion: Careful monitoring of glycemic control might be important in those individuals who exhibit clinical signs of depression. Effective treatment programs should probably pay close attention to not only screening and treatment of depression but also skills training to enhance patient self-efficacy and self-management of diabetes to improve HbA1c.

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Self-Efficacy as a Predictor of Self-Management Behavior Practice Among People with Type 2 Diabetes Mellitus (T2DM)

KnE Life Sciences ◽

10.18502/kls.v6i1.8633 ◽

2021 ◽

pp. 440-453

Author(s):

Hertuida Clara ◽

Dewi Irawaty ◽

Debie Dahlia

Keyword(s):

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Type 2 Diabetes Mellitus ◽

Self Efficacy ◽

Diabetes Management ◽

Educational Background ◽

Self Management ◽

Management Behavior ◽

Management Behaviors

Diabetes mellitus is a major health challenge associated with morbidity and mortality. Self-management behaviors are a critical part of diabetes disease management. Empowered or activated patients are more likely to practice better implementation of self-management behaviors. However, self-management behavior practice has not always been applied effectively among these populations. Further investigations are necessary to evaluate the status and factors that influence the practice of selfmanagement behaviors among patients with diabetes. The purpose of this research is to identify the relationship between self-efficacy and self-management behaviors of people with type 2 Diabetes Mellitus. A cross-sectional research design was used in this study; 112 eligible people with type 2 Diabetes were recruited. Several questionnaires were used in this study including demographic and patient characteristics, Diabetes Management Self Efficacy Scale (DMSES), Summary Diabetes Self Care Activity (SDSCA), and Diabetes Knowledge (DKN) Scale. Data analysis was performed through univariate, bivariate, and multivariate analyzes. Most of the respondents studied were women, aged 34-74 years and the highest educational background was secondary education, 33.9% of respondents have a good level of knowledge, and 59.8% have good self-efficacy. The results show the significant relationship between self-efficacy and self-management behaviors (p-value < 0.001). The results of multivariate analysis showed that there was a relationship between self-efficacy and self-management behavior after being controlled by the knowledge and the duration of diabetes. Therefore, nurses need to improve the self-efficacy of people with type 2 Diabetes by providing education about the management of Diabetes, as well as supporting and motivating them. Keywords: self-efficacy, self-management behaviors, people with type 2 Diabetes Mellitus

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Mediating role diet self-efficacy plays in the relationship between social support and diet self-management for patients with type 2 diabetes

Archives of Public Health ◽

10.1186/s13690-021-00533-3 ◽

2021 ◽

Vol 79 (1) ◽

Author(s):

Li Yang ◽

Kun Li ◽

Yan Liang ◽

Qiuli Zhao ◽

Dan Cui ◽

...

Keyword(s):

Diabetes Mellitus ◽

Social Support ◽

Type 2 Diabetes ◽

Type 2 Diabetes Mellitus ◽

Self Efficacy ◽

Self Management ◽

Mediating Role ◽

Diet Behavior ◽

The Relationship

Abstract Background It has previously been established that patients who have strong barriers to their diet self-management are more likely to have weak social support; however, the key mechanisms underlying the association between these two variables have not yet been established. This study aims to examine the potential role that diet self-efficacy plays in the relationship between social support and diet behavior in patients with type 2 diabetes mellitus (T2DM). Methods It was a cross-sectional survey. Three hundred-eighty patients diagnosed with T2DM were recruited for this study from five community health centers in China. The Chronic Disease Resource Scale (CIRS), Cardiac Diet Self-efficacy Scale (CDSE), and Food Control Behavior Scale (FCBS) were used to estimate participants’ utilization of social resources, diet self-efficacy, and diet self-management, respectively. The data were analyzed utilizing structural equation modelling. Results The results suggest that both higher levels of social support and diet self-efficacy are related to higher levels of diet self-management. The mediating effect that diet self-efficacy has on the relationship between social support and diet self-management was significant (β = .30, p < .05), explaining 55.68% of the total effect of social support on diet self-management. Conclusions Diet self-efficacy plays a mediating role in the association between social support and diet behavior in patients with type 2 diabetes mellitus.

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Illness representations among patients with type 2 diabetes and their partners: Relationships with self-management behaviors

Journal of Psychosomatic Research ◽

10.1016/j.jpsychores.2007.02.006 ◽

2007 ◽

Vol 63 (2) ◽

pp. 175-184 ◽

Cited By ~ 54

Author(s):

Aidan Searle ◽

Paul Norman ◽

Rachel Thompson ◽

Kav Vedhara

Keyword(s):

Type 2 Diabetes ◽

Illness Representations ◽

Self Management ◽

Management Behaviors

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Predictors of Diabetes Self-Management Behaviors in Type 2 Diabetes Patients

Iranian journal of diabetes and obesity ◽

10.18502/ijdo.v12i4.5180 ◽

2021 ◽

Author(s):

Golnaz Azami ◽

Soh Kim Lam ◽

Sazlina Shariff-Ghazali ◽

Salmiah Mohd Said ◽

Sanaz Aazami ◽

...

Keyword(s):

Quality Of Life ◽

Type 2 Diabetes ◽

Linear Regression Analysis ◽

Self Management ◽

P Value ◽

Efficacy Expectation ◽

The Mean ◽

Management Behaviors

Objective: Type 2 diabetes mellitus (T2DM) is a chronic condition that requires consistent medical care to help control glycemic indices. Diabetes self-management is found to be essential for optimal glycemic control. This study aimed to investigate the predictors of diabetes self-management in adult with T2DM. Materials and Methods: A cross-sectional study was conducted. A purposive sample of 142 adults with T2DM attended an outpatient endocrine clinic in an academic hospital in Ilam, Iran was invited to participate in this study from September to October 2016. The data were collected using a combination of validated questionnaires and the blood sample. IBM SPSS software version 22 used to conduct the analysis. Hierarchical linear regression analysis with the stepwise method was used to explore the predictors of diabetes self-management. Results: The mean age of participants was 54.2 ± (11.8) years. The mean duration of diabetes was 8.9 ± (7.4). Hierarchical linear regression analysis determined that self-management behaviors had positive relationship with efficacy expectation (B= 0.445, P-value< 0.01), quality of life (B= 0.222, P-value= 0.02), and has a negative relationship with HbA1c (B= -0.194, P-value= 0.01). Conclusion: The result of our study indicate that better diabetes self-management behaviors can be predicted by higher efficacy expectation, the better quality of life and lower HbA1c levels. Future interventions should focus on enhancing efficacy expectation, quality of life and optimizing glycemic control to improve self-management of diabetes.

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