Diabetes distress and self-management in primary care in Singapore: explorations through illness perception

Background: Singapore was recently ranked the second highest in the percentage of diabetic individuals among developed countries’ populations. This study explored possible associations among type 2 diabetes mellitus (T2DM) patients’ perception of having this condition (illness perception), diabetes-related distress, and diabetes self-management with a view to understanding potentially useful emphases in health education and counselling for these patients in primary health care.Methods: A cross-sectional sample of 75 adults diagnosed with T2DM at five primary care clinics under National Healthcare Group Polyclinics completed three research questionnaires in English and Mandarin which assessed the participants’ perception of their own diabetic condition, experience of diabetes distress, and self-management behaviour.Results: Illness perception has specific dimensions (identity, consequence, and emotional representation) that correlated with specific aspects of diabetes distress (emotional burden, interpersonal distress, regimen distress, and overall diabetes distress). Further, overall diabetes distress correlated negatively with dietary control, physical activity, and overall self-management.Conclusions: Patients with TSDM may benefit most from health education and guidance that aim to reduce both their perception of diabetes’ impact on their lives and emotional reactivity in managing their diabetic condition.

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COPD patients need more information about self-management: a cross-sectional study in Swedish primary care

Scandinavian Journal of Primary Health Care ◽

10.1080/02813432.2019.1684015 ◽

2019 ◽

Vol 37 (4) ◽

pp. 459-467 ◽

Cited By ~ 5

Author(s):

Hanna Sandelowsky ◽

Ingvar Krakau ◽

Sonja Modin ◽

Björn Ställberg ◽

Anna Nager

Keyword(s):

Primary Care ◽

Cross Sectional Study ◽

Self Management ◽

Sectional Study ◽

Cross Sectional ◽

Copd Patients

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Self-management support for chronic pain in primary care: a cross-sectional study of patient experiences and nursing roles

Journal of Advanced Nursing ◽

10.1111/jan.12717 ◽

2015 ◽

Vol 71 (11) ◽

pp. 2551-2562 ◽

Cited By ~ 13

Author(s):

Julia Lukewich ◽

Elizabeth Mann ◽

Elizabeth VanDenKerkhof ◽

Joan Tranmer

Keyword(s):

Primary Care ◽

Chronic Pain ◽

Cross Sectional Study ◽

Patient Experiences ◽

Self Management ◽

Management Support ◽

Sectional Study ◽

Cross Sectional ◽

Nursing Roles

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Knowledge and perception of treatment among tuberculosis patients attending primary care clinics in Malaysia

The Journal of Infection in Developing Countries ◽

10.3855/jidc.12891 ◽

2021 ◽

Vol 15 (08) ◽

pp. 1205-1211

Author(s):

Nesamalar Balakrishnan ◽

Ezura Madiana Md Monoto ◽

Noorlaili Mohd Tohit ◽

Asrul Abdul Wahab

Keyword(s):

Primary Care ◽

Health Education ◽

Cross Sectional Study ◽

Health Concern ◽

Cross Sectional ◽

Negative Perception ◽

Tuberculosis Patients ◽

Primary Care Clinics ◽

Recommended Treatment ◽

The Mean

Introduction: Tuberculosis is a disease of public health concern. It can be treated effectively with good knowledge about the disease and complete adherence to the recommended treatment regime. This study is intended to assess the level of knowledge and perception of treatment among tuberculosis patients attending primary care clinics. Methodology: We conducted a cross-sectional study using a validated self-administered questionnaire among tuberculosis patients attending primary care clinics in Johor Bahru district. A total of 208 tuberculosis patients were enrolled in this study through convenience sampling. We assessed the general knowledge, transmission, causes, and prevention of tuberculosis, where higher scores indicated better knowledge. For the perception of treatment, a higher mean score indicated a more negative perception. Results: The mean score for knowledge on tuberculosis was 54.33 ± 12.78, ranging from 25 to 88.9%. The mean score for perception was 2.75±0.52, ranging from 2.15-3.39. We found that although 88.9% of respondents knew a person could be infected with TB through inhalation of tuberculosis bacilli, a majority believed that smoking (68.2%), sharing food (69.2%), and eating from the same plate (66.8%) are causes of tuberculosis. Moreover, there was still a negative perception regarding the treatment of tuberculosis with the highest mean score for the statement ‘I am afraid if I am told I am tuberculosis positive’. Conclusions: We found that there were gaps in knowledge among tuberculosis patients. Intermittent counseling during the treatment re-enforces the knowledge of tuberculosis. An updated standardized counseling sheet of tuberculosis Health Education should be included along with staff training to update their knowledge as part of their important role in health education in tuberculosis prevention.

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EVALUATION OF DIABETES SELF-MANAGEMENT EDUCATION IN PATIENTS WITH CONCOMITANT CHRONIC KIDNEY DISEASE

Wiadomości Lekarskie ◽

10.36740/wlek202010112 ◽

2020 ◽

Vol 73 (10) ◽

pp. 2170-2174

Author(s):

Oleksii M. Korzh

Keyword(s):

Primary Care ◽

Primary Care Physicians ◽

Management Training ◽

Cross Sectional Study ◽

Self Management ◽

Average Score ◽

Cross Sectional ◽

Self Monitoring ◽

Diabetes Educators

The aim: Was to evaluate the quality of DSME provided by primary care physicians to people with diabetes mellitus. Materials and methods: A descriptive cross-sectional study was conducted among 120 primary care physicians. The quality of diabetes self-management training provided by physicians was assessed on a personal scale of 39 Likert questions obtained from the American Association of Diabetes Educators in seven areas of diabetes self-monitoring. The Cronbach’s reliability coefficient for each domain / subscale was ≥ 0.7. The data were analyzed using an independent selective t-test and one-way ANOVA. Results: More than half of the doctors provided “inadequate quality” of diabetes self-management in all areas. Doctors had the highest average score in the domain of “drug intake” (4.46 ± 0.61). Average scores in the “problem-solving domain” (3.52 ± 0.63) and “ being active domain” (3.46 ± 0.75) were low. The quality of DSME provided by physicians was not related to any of the characteristics of the physician. Conclusions: The quality of doctors’ communication on DSME in this study was suboptimal. Most adequately informed cases of diabetic behavior associated with self-management have been associated with reduced risk factors and an orientation towards disease. Thus, training of primary care physicians in diabetic self-management is recommended because of the key role that these doctors play in managing diabetes.

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Monitoring the Dissemination of an Educational Protocol on Pediatric Asthma in Family Practice: A Test of Associations between Dissemination Variables

Health Education & Behavior ◽

10.1177/109019819902600109 ◽

1999 ◽

Vol 26 (1) ◽

pp. 103-120 ◽

Cited By ~ 23

Author(s):

Ilse Mesters ◽

Ree M. Meertens

Keyword(s):

Primary Care ◽

Diffusion Of Innovation ◽

Family Practice ◽

Family Physicians ◽

Self Management ◽

Education Programs ◽

Cross Sectional ◽

Diffusion Of Innovation Theory ◽

Perceived Success ◽

Continued Use

Many asthma education programs aim at reducing morbidity. Now that effective programs are available, the next step is the nationwide dissemination to achieve morbidity reduction. A dissemination of a tested program has been undertaken in Dutch primary care, guided by the Diffusion of Innovation theory. It was hypothesized that greater awareness and concern and/or receptivity about asthma self-management would make it more likely that family physicians would adopt the program. Family physicians were considered more likely to adopt the program if they saw it as an improvement on their current way of providing education, as easy to use, and as having observable outcomes. It was expected that once the program had been adopted, and as it was being implemented, it would increasingly be perceived by its users as successful. Finally, more perceived success of performance was expected to be related to continued use. Both longitudinal and cross-sectional data largely confirmed the hypotheses.

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Diabetes distress in Indonesian patients with type 2 diabetes: a comparison between primary and tertiary care

BMC Health Services Research ◽

10.1186/s12913-019-4515-1 ◽

2019 ◽

Vol 19 (1) ◽

Cited By ~ 2

Author(s):

Bustanul Arifin ◽

Antoinette D. I. van Asselt ◽

Didik Setiawan ◽

Jarir Atthobari ◽

Maarten J. Postma ◽

...

Keyword(s):

Primary Care ◽

Tertiary Care ◽

Demographic Characteristics ◽

Diabetes Distress ◽

Cross Sectional ◽

Healthcare Facilities ◽

Increased Risk ◽

Clinical Conditions ◽

Distress Scale ◽

Bahasa Indonesia

Abstract Background The number of people living with diabetes mellitus (DM) in Indonesia has continued to increase over the last 6 years. Four previous studies in U.S have found that higher DD scores were associated with worse psychological outcomes, lower health-related quality of life (HRQoL) and increased risk of T2DM complications. In this study, we aimed to firstly compare DD scores in Indonesian T2DM outpatients treated in primary care versus those in tertiary care. Subsequently, we investigated whether socio-demographic characteristics and clinical conditions explain potential differences in DD score across healthcare settings. Methods A cross-sectional study was conducted on Java island in three primary care (n = 108) and four tertiary care (n = 524) facilities. The participants completed the Bahasa Indonesia version of the Diabetes Distress Scale questionnaire (DDS17 Bahasa Indonesia). Ordinal regression analysis was conducted with the quartile of the summation of the DD score as the dependent variable to investigate how the association between the level of healthcare facilities and DD altered when adding different variables in the model. Results The final adjusted model showed that the level of healthcare facilities was strongly associated with DD (p < .001), with participants in primary care having a 3.68 times (95% CI 2.46–5.55) higher likelihood of being more distressed than the participants in tertiary care. This association was detected after including the socio-demographic characteristics and clinical conditions as model confounders. Conclusions This is the first study in Indonesia to compare DD scores within different healthcare facilities. We recommend a regular DD assessment, possibly closely aligned with health-literacy partner programs, especially for T2DM patients in primary care settings.

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Improving the drug compliance of hypertensive patients in primary care: importance of health education and self-management

Archives of the Balkan Medical Union ◽

10.31688/abmu.2019.54.3.15 ◽

2019 ◽

Vol 54 (3) ◽

pp. 594-507 ◽

Cited By ~ 1

Author(s):

Oleksii KORZH ◽

◽

Sergiy KRASNOKUTSKIY ◽

Olena PANKOVA ◽

◽

...

Keyword(s):

Primary Care ◽

Health Education ◽

Self Management ◽

Drug Compliance ◽

Hypertensive Patients

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A Cross-Sectional Evaluation of Illness Perception About Asthma Among Asthma Patients at a Referral Tertiary Care Public Chest Hospital in Delhi, India

International Journal of User-Driven Healthcare ◽

10.4018/ijudh.2012070104 ◽

2012 ◽

Vol 2 (3) ◽

pp. 32-43

Author(s):

Sushil Shendge ◽

Barnali Deka ◽

Anita Kotwani

Keyword(s):

Inhaled Corticosteroids ◽

Tertiary Care ◽

Illness Perception ◽

Clinical History ◽

Self Management ◽

Cross Sectional ◽

The Public ◽

Co Morbidity ◽

Asthma Patients ◽

History Of

Adult patients visiting emergency room (March 2009-December 2009) of the public chest hospital for asthma exacerbation completed interviewer-administered questionnaires on sociodemographics, clinical history, disease beliefs, use of inhaled corticosteroids (ICS), and self-management of asthma after stabilization of their condition. Overall 87% patients believed that they had asthma when they are having symptoms, which is called as no symptoms, no asthma belief. No association was found between no symptoms, no asthma belief with gender, income, family history of asthma, and co-morbidity. Younger patients in the age group 18-29 years had four to five-fold greater odds and patients with education above 10th grade had three to four-fold greater odds of having the no symptoms, no asthma belief or the acute episodic belief. Acute episodic belief was negatively associated with beliefs about always having asthma, asthma being a serious condition, having lung inflammation, or the importance of using ICS, and was positively associated with expecting to be cured. All patients irrespective of their belief of acute or chronic nature of asthma had poor adherence to the treatment and other self-management behaviors.

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