scholarly journals Partner Involvement in Type 2 Diabetes Self-Management: A Mixed-Methods Investigation

2021 ◽  
Author(s):  
Vicki S. Helgeson ◽  
Fiona S. Horner ◽  
Jeanean B. Naqvi
Keyword(s):  
Type 2 Diabetes ◽  
Mixed Methods ◽  
Relationship Quality ◽  
Diabetes Management ◽  
Partner Support ◽  
Management Support ◽  
Diabetes Outcomes ◽  
Controlling Behavior ◽  
Partner Involvement

Researchers have recognized the role of social environment in diabetes management, with substantial attention directed toward spouses or romantic partners of people with diabetes. However, the specific ways in which partners are involved have not been articulated. This study, which included 207 couples in which one person was recently diagnosed with type 2 diabetes, used a mixed-methods approach to assess types of partner involvement in diabetes management. First, different types of partner involvement were qualitatively identified from audiotaped interviews, and links between qualitative findings and demographics were examined. Next, qualitative codes were compared to quantitative measures of partner involvement. Finally, relations of qualitative codes to relationship quality and diabetes outcomes were assessed. Qualitative analyses identified three ways in which partners were involved in diabetes management (support provision, collaboration, and controlling behavior) and two ways in which they were not involved (independent coping and disengagement on the part of the person with diabetes). Participants with diabetes perceived less partner involvement than their partners. Comparisons with quantitative measures revealed that collaboration was distinct from partner support. Reports from participants with diabetes of collaboration, but not partner support, were connected to higher relationship quality and lower A1C, whereas partner reports of collaboration were related to better self-care. Diabetes disengagement was associated with poorer relationship and behavioral outcomes. These findings underscore the varied ways in which partners are and are not involved in diabetes management and suggest that collaboration is more beneficial than social support in terms of relationship quality and diabetes outcomes.

scholarly journals Partner Involvement in Type 2 Diabetes Self-Management: A Mixed-Methods Investigation

2021 ◽  
Author(s):  
Vicki S. Helgeson ◽  
Fiona S. Horner ◽  
Jeanean B. Naqvi
Keyword(s):  
Type 2 Diabetes ◽  
Mixed Methods ◽  
Relationship Quality ◽  
Diabetes Management ◽  
Partner Support ◽  
Management Support ◽  
Diabetes Outcomes ◽  
Controlling Behavior ◽  
Partner Involvement

Researchers have recognized the role of social environment in diabetes management, with substantial attention directed toward spouses or romantic partners of people with diabetes. However, the specific ways in which partners are involved have not been articulated. This study, which included 207 couples in which one person was recently diagnosed with type 2 diabetes, used a mixed-methods approach to assess types of partner involvement in diabetes management. First, different types of partner involvement were qualitatively identified from audiotaped interviews, and links between qualitative findings and demographics were examined. Next, qualitative codes were compared to quantitative measures of partner involvement. Finally, relations of qualitative codes to relationship quality and diabetes outcomes were assessed. Qualitative analyses identified three ways in which partners were involved in diabetes management (support provision, collaboration, and controlling behavior) and two ways in which they were not involved (independent coping and disengagement on the part of the person with diabetes). Participants with diabetes perceived less partner involvement than their partners. Comparisons with quantitative measures revealed that collaboration was distinct from partner support. Reports from participants with diabetes of collaboration, but not partner support, were connected to higher relationship quality and lower A1C, whereas partner reports of collaboration were related to better self-care. Diabetes disengagement was associated with poorer relationship and behavioral outcomes. These findings underscore the varied ways in which partners are and are not involved in diabetes management and suggest that collaboration is more beneficial than social support in terms of relationship quality and diabetes outcomes.

scholarly journals I am a rock; I am an island: Implications of avoidant attachment for communal coping in adults with type 2 diabetes

2019 ◽  
Vol 36 (11-12) ◽  
pp. 3711-3732
Author(s):  
Meredith Van Vleet ◽  
Vicki S. Helgeson
Keyword(s):  
Type 2 Diabetes ◽  
Chronic Illness ◽  
Boundary Conditions ◽  
Relationship Quality ◽  
Current Investigation ◽  
Heterosexual Couples ◽  
Communal Coping ◽  
Diabetes Outcomes ◽  
Avoidant Attachment

Accumulating evidence indicates that communal coping is beneficial for individuals with chronic illness. The current investigation examined attachment as a moderator of the effects of communal coping in a sample of persons with type 2 diabetes. We hypothesized that patient communal coping would be associated with higher relationship quality, lower distress, and better diabetes outcomes for patients low in avoidant attachment, but it would not be beneficial for patients high in avoidant attachment. Patient communal coping was coded from videotaped interactions in which 86 heterosexual couples discussed difficulties managing diabetes. The results indicated that patient communal coping was beneficial when avoidant attachment was low. When avoidant attachment was high, patient communal coping was related to lower relationship quality and higher distress and was unrelated to diabetes outcomes. This work sheds light on potential boundary conditions of communal coping’s benefits, which will be important to consider in future communal coping interventions.

scholarly journals Diabetes Distress, Depressive Symptoms and Type 2 Diabetes Management and Glycemic Control: the Mediating Role of Self-efficacy

2020 ◽  
Author(s):  
Yuexia Gao ◽  
Yarong Han ◽  
Xin Zou ◽  
Judy Xu ◽  
Dean Getrude Mawen ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Depressive Symptoms ◽  
Glycemic Control ◽  
Self Efficacy ◽  
Diabetes Management ◽  
Diabetes Distress ◽  
Hierarchical Regression ◽  
Psychological Variables ◽  
Diabetes Outcomes

Abstract Background: Diabetes distress has been distinguished from depressive symptoms in the linkages to type 2 diabetes management and glycemic control. There are few evidences in rural China untangled the underlying pathways among them. The aim of our study was to examine whether self-efficacy reduced the detrimental effects of psychological variables on diabetes outcomes such as self-care behaviors, glycemic control and health-related quality of life (HRQoL).Methods: 1574 adults diagnosed with type 2 diabetes from 31 rural clinics in China were assessed for psychological variables, self-management and HRQoL. Hemoglobin A1c (HbA1c) data at 6 months after the survey were extracted from electronic medical records. Hierarchical regression model examined independent effects of psychological variables, self-efficacy on diabetes outcomes. KHB method and bootstrapping confidence intervals were employed to test the mediating effect of self-efficacy.Results: Hierarchical regression analysis showed both diabetes distress and depressive symptoms were significantly related to diet and HRQoL, but not related to glycemic control and medication adherence. Depressive symptoms, but not diabetes distress, was directly associated with physical activity. Mediation analysis demonstrated self-efficacy mediated the relationships of both diabetes distress and depressive symptoms on self-care behaviors, glycemic control and HRQoL.Conclusions: Self-efficacy may contribute to better diabetes outcome by ameliorating the effects of diabetes distress and depressive symptoms. Patients with psychological conditions may need tailored intervention that enhance self-efficacy to improve diabetes management.

scholarly journals Abbreviated Dietary Self-Monitoring for Type 2 Diabetes Management: A Mixed-Methods Feasibility Study (Preprint)

JMIR Diabetes ◽  
10.2196/28930 ◽  
2021 ◽  
Author(s):  
Kelli Marie Richardson ◽  
Gloria Cota Aguirre ◽  
Rick Weiss ◽  
Ali Cinar ◽  
Yue Liao ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Mixed Methods ◽  
Feasibility Study ◽  
Diabetes Management ◽  
Self Monitoring

scholarly journals Abbreviated Dietary Self-Monitoring for Type 2 Diabetes Management: A Mixed-Methods Feasibility Study (Preprint)

2021 ◽  
Author(s):  
Kelli Marie Richardson ◽  
Gloria Cota Aguirre ◽  
Rick Weiss ◽  
Ali Cinar ◽  
Yue Liao ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Mixed Methods ◽  
Diabetes Management ◽  
Lifestyle Changes ◽  
Diabetes Knowledge ◽  
Specific Knowledge ◽  
Self Monitoring ◽  
Glucose Levels ◽  
The Mean

BACKGROUND Type 2 diabetes mellitus (T2D) can be managed through diet and lifestyle changes. The American Dietetics Association acknowledges that knowing what and when to eat is the most challenging aspect of diabetes management. While current recommendations for self-monitoring of diet and glucose levels aim to improve glycemic control among people with T2D, tracking all intake is burdensome and unsustainable. Equally effective, but lower burden, dietary self-monitoring approaches should be explored. OBJECTIVE To examine the feasibility of abbreviated dietary self-monitoring in T2D where only carbohydrate-containing foods are recorded into a diet tracker. METHODS We used a mixed methods approach to quantitatively and qualitatively assess general and diet-related diabetes knowledge and the acceptability of reporting only carbohydrate-containing foods in N=30 men and women with T2D. RESULTS The mean Diabetes Knowledge Test score was 83.9±14.2%. Only 6 of 30 (20%) participants correctly categorized 5 commonly-consumed carbohydrate-containing and 5 non-carbohydrate containing foods. The mean perceived difficulty of reporting only carbohydrate-containing foods was 5.3 on a 10-point scale. Approximately half of the participants (53.3%, n=16) preferred to record all foods. A lack of knowledge about carbohydrate-containing foods was the primary cited barrier to acceptability (40%, n=12). CONCLUSIONS Abbreviated dietary self-monitoring, where only carbohydrate-containing foods are reported, is likely not feasible due to limited carbohydrate-specific knowledge and a preference of the majority to report all foods. Other approaches to reduce the burden of dietary self-monitoring for people with T2D that do not rely on food specific knowledge could be more feasible.

scholarly journals Diabetes Distress, Depressive Symptoms and Type 2 Diabetes Management and Glycemic Control: The Mediating Role of Self-Efficacy

2020 ◽  
Author(s):  
Yuexia Gao ◽  
Yarong Han ◽  
Xin Zou ◽  
Judy Xu ◽  
Dean Getrude Mawen ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Depressive Symptoms ◽  
Glycemic Control ◽  
Self Efficacy ◽  
Diabetes Management ◽  
Self Care ◽  
Diabetes Distress ◽  
Psychological Variables ◽  
Diabetes Outcomes

Abstract BackgroundDiabetes distress has been distinguished from depressive symptoms in the linkages to type 2 diabetes management and glycemic control. There are few evidences in rural China untangled the underlying pathways among them. The aim of our study was to examine whether self-efficacy reduced the detrimental effects of psychological variables on diabetes outcomes such as self-care behaviors, glycemic control and health-related quality of life (HRQoL).Methods1574 adults diagnosed with type 2 diabetes from 31 rural clinics in China were assessed for psychological variables, self-management and HRQoL. Hemoglobin A1c (HbA1c) data at 6 months after the survey were extracted from electronic medical records. Hierarchical regression model examined independent effects of psychological variables, self-efficacy on diabetes outcomes. KHB method and bootstrapping confidence intervals were employed to test the mediating effect of self-efficacy.ResultsHierarchical regression analysis showed both diabetes distress and depressive symptoms were significantly related to diet and HRQoL, but not related to glycemic control and medication adherence. Depressive symptoms, but not diabetes distress, was directly associated with physical activity. Mediation analysis demonstrated self-efficacy mediated the relationships of both diabetes distress and depressive symptoms on self-care behaviors, glycemic control and HRQoL.ConclusionsSelf-efficacy may contribute to better diabetes outcome by ameliorating the effects of diabetes distress and depressive symptoms. Patients with psychological conditions may need tailored intervention that enhance self-efficacy to improve diabetes management.

scholarly journals Partner Involvement in Type 2 Diabetes Self-Management: A Mixed-Methods Investigation

2021 ◽  
pp. ds210034
Author(s):  
Vicki S. Helgeson ◽  
Fiona S. Horner ◽  
Jeanean B. Naqvi
Keyword(s):  
Type 2 Diabetes ◽  
Mixed Methods ◽  
Self Management ◽  
Partner Involvement

Quality Matters: Exploring the Influence of Relationship Quality on Type 2 Diabetes Outcomes

2019 ◽  
Vol 2019 (1) ◽  
pp. 10924
Author(s):  
Yolonda Freeman-Hildreth ◽  
Yunmei Wang ◽  
Philip A. Cola ◽  
David Aron ◽  
Richard J. Boland
Keyword(s):  
Type 2 Diabetes ◽  
Relationship Quality ◽  
Quality Matters ◽  
Diabetes Outcomes
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