Investigating Relationships between Mobile eHealth Literacy, Diabetes self-care, and Glycemic Outcomes in Taiwanese Patients with Diabetes Type 2: Cross-Sectional Study (Preprint)

Background: Diabetes mellitus and depression are highly prevalent conditions throughout the world and have significant impact on health outcomes. It has been estimated that diabetes mellitus type 2 affects about 246 million people in the world; nevertheless, incidence varies among countries. There is evidence that depression is associated with a poor metabolic control in patients with type 2 diabetes mellitus that present other health problems (such as hypertension and obesity). The aim of this study protocol is to determine if obesity increases the risk for depression in patient with diabetes type 2.Methods: The analysis will be reported following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA).The studies suitable for inclusion will be assessed by the Newcastle-Ottawa Scale (NOS) to determine their methodological quality. To identify the studies of interest, we will search on PubMed and EBSCO databases. We will use the following keyword combinations: "Diabetes Mellitus type 2 AND obesity AND depression", "depression AND Diabetes Mellitus type 2", "Diabetes Mellitus type 2 AND body mass index cross sectional study", "depression AND obesity cross-sectional study". Causes for exclusion will be publications that studied patients diagnosed with diabetes mellitus type 1; articles that focused on the treatment and complications of diabetes mellitus type 2; publications that have studied other clinical or psychiatric conditions (for instance, seizure disorder or history of schizophrenia, bipolar disorder, psychotic symptoms or dementia).Conclusion: The results of this study will form the basis for a better understanding of the association between obesity and depression in patients with diabetes mellitus type 2, and will allow development of prediction tools and better interventions. It is evident that several modifiable and non-modifiable risk factors play an important role in the pathogenesis of diabetes among population. Currently, evidence for the deleterious effects of diabetes mellitus type 2 are based on cross-sectional or other observational designs. Therefore, this study will have important implications for future research and public health guidance.

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Foot Self-care Practices among People Living with Type 2 Diabetes Mellitus: A Community-based Cross-sectional Study

10.26226/morressier.617c37317c09fc044a975238 ◽

2021 ◽

Author(s):

SAURABH KUMAR GUPTA

Keyword(s):

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Type 2 Diabetes Mellitus ◽

Self Care ◽

Cross Sectional Study ◽

Sectional Study ◽

Community Based ◽

Cross Sectional ◽

Care Practices

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How self-stigma affects patient activation in persons with type 2 diabetes: a cross-sectional study

BMJ Open ◽

10.1136/bmjopen-2019-034757 ◽

2020 ◽

Vol 10 (5) ◽

pp. e034757

Author(s):

Asuka Kato ◽

Yuko Fujimaki ◽

Shin Fujimori ◽

Akihiro Isogawa ◽

Yukiko Onishi ◽

...

Keyword(s):

Self Efficacy ◽

Goodness Of Fit ◽

Patient Activation ◽

Self Care ◽

Self Esteem ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Fit Index

ObjectivesSelf-stigma is associated with lower patient activation levels for self-care in persons with type 2 diabetes mellitus (T2DM). However, the causal pathway linking self-stigma with patient activation for self-care has not been shown. In order to determine how self-stigma affects patient activation for self-care, we tested a two-path hypothetical model both directly and as mediated by self-esteem and self-efficacy.DesignA cross-sectional study.SettingTwo university hospitals, one general hospital and one clinic in Japan.ParticipantsT2DM outpatients receiving treatment (n=209) completed a self-administered questionnaire comprising the Self-Stigma Scale, Patient Activation Measure, Rosenberg Self-Esteem Scale, General Self-Efficacy Scale, Patient Health Questionnaire, haemoglobin A1c test, age, sex and body mass index.Primary and secondary outcome measuresSelf-stigma levels were measured by using the Self-Stigma Scale. Patient activation levels were measured by the Patient Activation Measure.ResultsPath analysis showed a strong relationship between self-stigma and patient activation (χ2=27.55, p=0.120; goodness-of-fit index=0.97; adjusted goodness-of-fit index=0.94; comparative fit index=0.98; root mean square error of approximation=0.04). Self-stigma had a direct effect on patient activation (β=−0.20; p=0.002). Indirectly, self-stigma affected patient activation along two paths (β=0.31; p<0.001) by reducing self-esteem (β=−0.22; p<0.001) and self-efficacy (β=−0.36; p<0.001).ConclusionsDue to the cross-sectional design of the study, longitudinal changes between all the variables cannot be established. However, the findings indicate that self-stigma affected patient activation for self-care, both directly and as mediated by self-esteem and self-efficacy. Interventions that increase self-esteem and self-efficacy may decrease self-stigma in patients with T2DM, thus increasing patient activation for self-care.

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Self-Care Adherence And Barriers To Good Glycaemic Control In Nepalese Type 2 Diabetes Mellitus Patients: A Hospital-Based Cross-Sectional Study

Journal of Multidisciplinary Healthcare ◽

10.2147/jmdh.s216842 ◽

2019 ◽

Vol Volume 12 ◽

pp. 817-826 ◽

Cited By ~ 2

Author(s):

Sushant Pokhrel ◽

Sneha Shrestha ◽

Alaska Timilsina ◽

Manisha Sapkota ◽

Mahendra Prasad Bhatt ◽

...

Keyword(s):

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Type 2 Diabetes Mellitus ◽

Glycaemic Control ◽

Self Care ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Good Glycaemic Control

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Dietary Attitude of Adults with Type 2 Diabetes Mellitus in the Kingdom of Saudi Arabia: A Cross-Sectional Study

Medicina ◽

10.3390/medicina56020091 ◽

2020 ◽

Vol 56 (2) ◽

pp. 91 ◽

Cited By ~ 1

Author(s):

Waqas Sami ◽

Khalid M Alabdulwahhab ◽

Mohd Rashid Ab Hamid ◽

Tariq A. Alasbali ◽

Fahd Al Alwadani ◽

...

Keyword(s):

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Saudi Arabia ◽

Dietary Behavior ◽

Cross Sectional Study ◽

Sectional Study ◽

Kingdom Of Saudi Arabia ◽

Cross Sectional ◽

Patients With Diabetes

Background and Objectives: There is a paucity of literature on the dietary attitude (DA) of patients with type 2 diabetes in the Kingdom of Saudi Arabia (KSA). Although the prevalence of diabetes mellitus (DM) is high in Gulf countries, there remains a lack of understanding of the importance of dietary behavior in diabetes management among patients. Understanding the behavior of patients with diabetes towards the disease requires knowledge of their DA. Therefore, this study aimed to assess and evaluate the DA of type 2 diabetes patients, and it is the first of its kind in the KSA. Material and Methods: An analytical cross-sectional study was conducted among 350 patients with type 2 diabetes. A self-administered DA questionnaire was used to collect the data. Psychometric properties of the questionnaire were assessed by face validity, content validity, exploratory factor analysis, and internal consistency reliability. The data were collected using a systematic random sampling technique. Results: The overall DA of the patients was inappropriate (p = 0.014). Patients had an inappropriate DA towards food selection (p = 0.003), healthy choices (p = 0.005), food restraint (p < 0.001), health impact (p < 0.001), and food categorization (p = 0.033). A poor DA was also observed in relation to the consumption of red meat (p <0.001), rice (p < 0.001), soup and sauces (p = 0.040), dairy products (p = 0.015), and junk food (p < 0.001). Conclusions: It is highly recommended that patients with diabetes receive counseling with an empowerment approach, as this can bring about changes in their dietary behavior, which is deeply rooted in their daily routine. Healthcare providers should also be well-informed about patients’ attitudes and beliefs towards diabetes to design tailored educational and salutary programs for this specific community. Diabetes self-management educational programs should also be provided on a regular basis with a special emphasis on diet and its related components.

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Social Support, Self-Care Behaviour and Self-Efficacy in Patients with Type 2 Diabetes during the COVID-19 Pandemic: A Cross-Sectional Study

Healthcare ◽

10.3390/healthcare9111607 ◽

2021 ◽

Vol 9 (11) ◽

pp. 1607

Author(s):

Premalatha Paulsamy ◽

Rizwan Ashraf ◽

Shadia Hamoud Alshahrani ◽

Kalaiselvi Periannan ◽

Absar Ahmed Qureshi ◽

...

Keyword(s):

Social Support ◽

Glycemic Control ◽

Self Efficacy ◽

Diabetes Management ◽

Self Care ◽

Cross Sectional Study ◽

The Self ◽

Sectional Study ◽

Cross Sectional

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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Evaluation of the Predictive Power of the Health Belief Model on the Care of Kidney in Type 2 Patients With Diabetes: a Cross-sectional Study

10.21203/rs.3.rs-757538/v1 ◽

2021 ◽

Author(s):

mallihe faramarzi ◽

mohsen shamsi ◽

mahboobeh khorsandi ◽

amir hashyani almasi

Keyword(s):

Type 2 Diabetes ◽

Health Belief Model ◽

Kidney Failure ◽

Health Belief ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Patients With Diabetes ◽

Belief Model

Abstract Background: Kidney failure is one of the most important late complication in type 2 patients with diabetes, so more of half-people are wait to graft kidney are people that caused to diabetes. The purpose of this study, was predict to care of kidney in type 2 diabetes patients based on Health Belief Model (HBM).Methods: In this analytical cross-sectional study, 242 patients with type 2 diabetes select with simple sampling of health centers in Arak ( a city in Iran) in 2020 and health behaviors of kidneys collected based on HBM with reliable and validity of questionaries’ and analyses by linear regression logistic.Results: The mean age of patients was 47.51 ±7.86 years. FBS average was 159.65 ± 55.01 mi/dc and average of performance of patients about care of kidney was 30/31± 6/42. Among HBM construct predicted about %38 perceived severity, %67.6 knowledge, %31.8 self-efficacy and %16.4 internal cues to action, these cases have the most power for prediction and total of construct predict health behavior of kidneys that are about %49. Conclusion: This study showed that increasing patients information in field of recognizing kidney failure, emphasis on role of cues to action and finally increasing self-efficacy in patients with type 2 diabetes about care of kidney should be emphasis in education programs for preventing of kidney failure.

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