Identifying the Predictors of Self-Management Behaviors in Patients with Diabetes Based on Ecological Approach: A Systematic Review

Background: Recognizing and promoting the factors that affect the self-management behaviors of diabetes leads to a reduction in the number of patients and an improvement in the quality of care. The ecological approach focuses on the nature of people's interactions with their physical and socio-cultural environments. Objective: The purpose of this study was to identify the predictors of self-management behaviors with a comprehensive approach in these patients. Methods: The Keywords were investigated in the relevant national and international databases, including PubMed, Google Scholar, Science Direct, Scopus, and Scientific Information Database, Magiran, and Iran Medex to obtain the articles published from 2009 to 2019. The search and article selection strategy was developed based on the Prisma checklist and was carried out in three steps. Results: Most studies have shown that personal factors had the highest prediction power for the self-management of diabetes. Then, the interpersonal factors, society and policy-making factors, and group and organization factors were most frequently reported predictors of self-management behaviors in diabetic patients. Conclusion: Self-management of diabetes is necessary for controlling it because 95% of care is done by the patient. When designing self-management interventions, factors based on the individual level that increasing self-management behaviors should be taken into account.

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Theoretical and contextual considerations for self-management strategies of children and adolescents with chronic diseases: An integrative review

Journal of Child Health Care ◽

10.1177/13674935211013697 ◽

2021 ◽

pp. 136749352110136

Author(s):

Logan J Camp-Spivey ◽

Ayaba Logan ◽

Michelle Nichols

Keyword(s):

Children And Adolescents ◽

Chronic Diseases ◽

Management Strategies ◽

Healthcare Providers ◽

Integrative Review ◽

Self Management ◽

Intervention Delivery ◽

Management Interventions ◽

Technological Platforms ◽

Management Behaviors

The primary aim of this integrative review was to critically evaluate and synthesize published, peer-reviewed research to better understand self-management strategies of children and adolescents with chronic diseases. This review was guided by Whittemore and Knafl’s methodological framework. The Pediatric Self-management Model provided the theoretical framework for understanding how self-management behaviors operate within the domains of individual, family, community, and healthcare systems. In June 2019, the electronic databases of EBSCOhost, PubMed, and Scopus, along with reference lists of applicable studies, were searched for appropriate publications. The initial searches yielded 920 citations. Of these, 11 studies met inclusion criteria. A key finding was that involving children and adolescents in the design and delivery phases of interventions was most effective in improving self-management when the interventions did not outweigh cognitive ability or maturity level. In addition, incorporating self-efficacy promotion into self-management interventions may lead to greater sense of responsibility and improved health outcomes. In terms of intervention delivery of self-management strategies, the use of technological platforms and devices was revealed as a promising avenue for youth. A final implication was the importance of family members, peers, and healthcare providers in supporting children and adolescents in adopting self-management behaviors.

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Diabetes management in Senegalese families: A dyadic-narrative illustration

Chronic Illness ◽

10.1177/1742395317719141 ◽

2017 ◽

Vol 14 (3) ◽

pp. 182-193 ◽

Cited By ~ 1

Author(s):

R BeLue ◽

K Ndiaye ◽

PY Miranda ◽

F Ndao ◽

P Canagarajah

Keyword(s):

Family Caregivers ◽

Diabetes Prevention ◽

Diabetes Management ◽

Self Management ◽

Healthy Behaviors ◽

Management Interventions ◽

Dietary Sugar ◽

Sub Saharan ◽

Family Based ◽

Management Behaviors

Objectives In many Sub-Saharan African cultures, diabetes self-management behaviors such as dietary adherence do not occur in isolation but are carried out in the context of local culture, a significant factor in shaping those health behaviors. Methods Using a family-based narrative approach, we explore how Senegalese families manage diabetes. We interviewed twenty people living with diabetes and selected family caregivers from MBour, Senegal. Results We found that people living with diabetes experienced physical, emotional, and financial stressors as a result of managing their condition. In addition, family caregivers play an important role in managing their family member's diabetes. Discussion The act of caregiving affects caregiver diabetes prevention behaviors. In some cases, this caregiving role leads to an increase of healthy behaviors such as reducing dietary sugar; however, in some cases, caregivers do not see the need to engage in healthy behaviors. Diabetes prevention and management interventions that support both Senegalese people living with diabetes and their family caregivers are warranted.

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Diabetic patients' willingness to use tele-technology to manage their disease

Online Journal of Public Health Informatics ◽

10.5210/ojphi.v7i2.6011 ◽

2015 ◽

Vol 7 (2) ◽

Cited By ~ 9

Author(s):

Basema Saddik ◽

Norah Al-Dulaijan

Keyword(s):

Diabetes Mellitus ◽

Saudi Arabia ◽

National Guard ◽

The Self ◽

Health Concern ◽

Self Management ◽

Diabetic Patients ◽

Eastern Region ◽

Targeted Interventions ◽

Willingness To Use

Objectives: Diabetes mellitus is a public health concern worldwide. TeleHealth technology may be an effective tool for empowering patients in the self-management of diabetes mellitus. However despite the great impact of diabetes on healthcare in Saudi Arabia, no research has investigated diabetic patients’ willingness to use this technology. This study investigates diabetic patients’ willingness to use tele-technology as a tool to monitor their disease.Methods: Data were collected from diabetic patients attending the diabetes education clinic at the Ministry of National Guard Health Affairs (MNGHA) in the Eastern region of Saudi Arabia over a three month period. A survey was developed which measured patients’ willingness to use tele-technology in the self-management of their diabetes as well as their perceived expectations from the technology.Results: The study found that the majority of patients were willing to use tele-technology to self- monitor their diabetes. However, a minority (11.3%) indicated willingness to use the system daily and only half indicated preference to use it once a week (53.8%). Patients who were younger, had higher education levels, were employed, had internet access and had Type II diabetes were significantly more likely to report willingness to use the technology.Conclusions: Diabetic patients could be ready to play a more active role in their care if given the opportunity. Results from this study could serve as a baseline for future studies to develop targeted interventions by trialing tele-technology on a sample of the diabetic population. Patients with diabetes need to be in charge of their own care in order to improve health outcomes across the country. Keywords: diabetes, self-management, tele-technology, willingness.Abbreviations: Ministry of National Guard Health Affairs (MNGHA), Kingdom of Saud Arabia (KSA)

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Prevalence of Poor Diabetes Self-Management Behaviors among Ethiopian Diabetes Mellitus Patients: A Systematic Review and Meta- Analysis

Ethiopian Journal of Health Sciences ◽

10.4314/ejhs.v30i4.18 ◽

2020 ◽

Vol 30 (4) ◽

Author(s):

Teshome Tesfaye Habebo ◽

Ebrahim Jaafari Pooyan ◽

Ali Mohammad Mosadeghrad ◽

Getachew Ossabo Babore ◽

Blen Kassahun Dessu

Keyword(s):

Quality Assessment ◽

Addis Ababa ◽

Meta Analysis ◽

Glucose Monitoring ◽

Blood Glucose Monitoring ◽

Self Management ◽

Diabetic Patients ◽

Pooled Prevalence ◽

Meta Analyses ◽

Management Behaviors

BACKGROUND: Diabetes has no cure so far, but appropriate self-management contributes to delay or control its progression. However, poor self-management by diabetic patients adds to disease burden. The pooled prevalence of overall, and its main components of poor self-management among Ethiopian diabetic patients remain elusive. Hence, this study aimed to determine the prevalence of poor diabetes self-management behaviors among diabetic patients in Ethiopia.METHOD: by using different combinations of search terms, we accessed articles done until February 15, 2020 through Pubmed, Scopus, Web of Science and Embase databases. Newcastle-Ottawa quality assessment scale was used for quality assessment, and STATA version 14 software along with the random-effects model was employed for statistical analyses. The Preferred Reporting Items for Systematic Reviews and Meta Analyses (PRISMA.) guideline was followed to report the results.RESULT: Twenty-one studies with 7,168 participants were included in this meta-analysis. The overall pooled prevalence of poor self-management behavior among diabetic patients in Ethiopia was 49.79% (95% CI: 43.58%, 56.01%). Based on subgroup analysis, the estimated magnitudes of poor selfmanagement by regions were 68.58% in Tigray, 55.46% in Harari, 54.74%, in Amhara, 40.90%, in SNNPRS and 37.06% in Addis Ababa. The worst (80.91%) and relatively better (24.65%) self-management components were observed on self-blood glucose monitoring and medication adherence, respectively.CONCLUSION: One in two diabetic patients in Ethiopia had poor self-management. Thus, we strongly recommend to the ministry of health and universities to train diabetes health educators, and the health facilities to deliver tailored diabetes health education.

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Self-Management Behaviors of Diabetes Control Among Diabetic Patients in Indonesia

International Journal of Studies in Nursing ◽

10.20849/ijsn.v6i2.863 ◽

2021 ◽

Vol 6 (2) ◽

pp. 18

Author(s):

Wisnu Sadhana ◽

Rong, Jiin-Ru

Keyword(s):

Life Experience ◽

Care Center ◽

Self Management ◽

Diabetic Patients ◽

Health Care Center ◽

Attitudes And Behaviors ◽

Daily Exercise ◽

Exercise Activity ◽

Diet Intake ◽

Management Behaviors

Aims: This study was conducted to exploring the behaviors of self-management of Indonesian diabetes patients on Diabetes (DM) control and health promotion.Methods: Grounded theory was applied to explore the health self-management, by used In-depth interview.Results: The study takes place in the community and health care center, which interviewed 20 respondents, explained the health self-management behaviors. There were found out 5 main themes including: Self-regularly take medication to control DM; Manage daily exercise activity in controlling DM; Manage my food and diet intake is necessary; Monitor blood sugar is the important part of DM control and; Monitor the hypo/hyperglycemia symptoms.Conclusion: The healthy self-management behaviors need to be improved to enhance the motivation and self-care skills of diabetic patients in DM control. Although, the disease management of DM patients may be affected by the environment, culture, and life experience. The results show that diabetic patients have multiple DM self-management attitudes and behaviors towards diabetes disease.

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Initiating and Fading Self-Management Interventions to Increase Math Fluency in General Education Classes

Council review ◽

10.1177/001440299806400201 ◽

1998 ◽

Vol 64 (2) ◽

pp. 151-166 ◽

Cited By ~ 31

Author(s):

Dennis McDougall ◽

Michael. P. Brady

Keyword(s):

General Education ◽

Word Problems ◽

The Self ◽

Multiple Baseline ◽

Self Management ◽

Math Fluency ◽

Warm Up ◽

Management Interventions ◽

Multiple Component ◽

General Education Classrooms

This study investigated the effects of multiple-component behavioral self-management (BSM) interventions on math fluency and engaged time of five 4th-grade students with and without disabilities in general education classrooms. A multiple-baseline across subjects design demonstrated that the students (a) increased their math fluency and engaged time after being trained to use self-management components, (b) further improved their math fluency and engaged time when components of the self-management interventions were faded, (c) matched or exceeded normative levels of math fluency of 4th-grade peers, (d) generalized improvements in math fluency when they answered math word problems, and (e) self monitored accurately and punctually when they computed answers to calculation problems during daily warm-up sessions.

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Using Implementation Intentions to Prevent Relapse after Psychological Treatment for Depression – the SMArT Intervention

Behavioural and Cognitive Psychotherapy ◽

10.1017/s1352465818000255 ◽

2018 ◽

Vol 46 (5) ◽

pp. 626-632 ◽

Cited By ~ 2

Author(s):

Mike Lucock ◽

Serena Bartys ◽

Jade Cupac ◽

Jaime Delgadillo ◽

Charlotte Denton ◽

...

Keyword(s):

Mental Health Problems ◽

Psychological Treatment ◽

Implementation Intentions ◽

Significant Proportion ◽

Complex Interventions ◽

The Self ◽

Self Management ◽

Psychological Therapies ◽

Management Interventions ◽

Health Related

Background: It is recognized that a significant proportion of people with depression are prone to relapse, even after successful treatment, and that self-management interventions should be developed and provided. There is evidence that implementation intentions (IMPS) can be successfully applied to health-related behaviours but their application to self-management of mental health problems has been limited. Aims: This paper describes the design and initial evaluation of a Self-Management After Therapy (SMArT) intervention, which incorporated IMPS and followed psychological therapy for depression. We sought to assess the feasibility and acceptability of SMArT. Method: The SMArT intervention was designed with reference to the MRC guidance on developing and evaluating complex interventions and co-designed with and implemented in a UK Improving Access to Psychological Therapies (IAPT) service. Eleven patients who were in remission following treatment for depression received the SMArT intervention, provided by Psychological Wellbeing Practitioners (PWPs). The evaluation used routine IAPT outcome measures at each session, feedback from patients and PWPs, and analysis of the type of IMPS identified and their fidelity with the model. Six patients provided brief feedback about the intervention to an independent researcher. Results: Feedback from patients and PWPs suggested that the intervention was feasible, acceptable and could potentially help patients to stay well after therapy. Patients confirmed the value of setting their own goals in the form of IMPS, receiving support from PWPs and in some cases from partners, friends and family members. Conclusions: Implementation intentions are a promising approach to support the self-management of depression.

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The Effects of Group Discussion Based Education on the Promotion of Self-Management Behaviors in Hemodialysis Patients

Journal of Caring Sciences ◽

10.15171/jcs.2018.034 ◽

2018 ◽

Vol 7 (4) ◽

pp. 225-232 ◽

Cited By ~ 1

Author(s):

Azam Mahjubian ◽

Nasrin Bahraminejad ◽

Koorosh Kamali

Keyword(s):

Group Discussion ◽

Hemodialysis Patients ◽

Wilcoxon Test ◽

Self Management ◽

Control Group ◽

Control Groups ◽

Educational Method ◽

Management Interventions ◽

And Control ◽

Management Behaviors

Introduction: Improving self-management of the patients undergoing hemodialysis is an effective way to reduce complications and to improve the quality of life of them. The current study aims to assess the effects of group discussion on the promotion of self-management behaviors in hemodialysis patients. Methods: In this quasi -experimental clinical trial study (with experimental and control groups) 60 patients were arranged in two experimental and control groups through using convenience sampling with random allocation. Self-management interventions were conducted on the experimental group during 3 to 4 sessions of group discussion. The control group received routine interventions. The data were collected through Li and colleagues' self-management standard questionnaire before and 3 months after the intervention. The data were analyzed via SPSS software version 13 and chi-square, t-test, Mann-Whitney, and Wilcoxon test. Results: The results showed that the mean scores of four dimension of self-management including participation with the medical team, problem solving, self-care and emotional management after the implementation of group were significantly different between the experimental and control groups. Conclusion: Based on the findings, group discussion was an effective educational method to promote self-management of chronic hemodialysis patients. Therefore, holding group discussion to reinforce the self- management behaviors in patients undergoing hemodialysis is recommended.

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