Improving Treatment Adherence in Type 2 Diabetes: What Kind of Intervention Could be Offered?

International Journal of Psychotherapy, Counselling and Psychiatry: Theory Research & Clinical Practice ◽

10.35996/1234/2/diabetes ◽

2016 ◽

Vol 2 ◽

Author(s):

Astrid Wulandari ◽

Magdalena S. Halim

Keyword(s):

Type 2 Diabetes ◽

Treatment Adherence ◽

Self Efficacy ◽

Illness Perception ◽

Self Care ◽

Illness Perception Questionnaire ◽

Modifiable Factors ◽

Key Factor ◽

The Mean

Treatment adherence is a key factor to achieve stable glucose level in type 2 diabetes. Treatment adherence is defined as changes in lifestyle associated with self-care behaviors, like diet and exercise. The purpose of the study was to identify potentially modifiable factors based on patient illness perception associated with treatment adherence among people with type 2 diabetes and to develop intervention based on the result to increase the adherence. 152 respondents (males 37,5%, females 62,5%) were recruited from several public health institutions in Jakarta. The mean age of the study group was 57,9 years, and the mean duration of diabetes was 6,9 years. Measurements used were Self-Care Inventory Revised (SCI-R), Brief Illness Perception Questionnaire (B-IPQ), Self-Efficacy for Diabetes, and Social Support Questionnaire 6 (SSQ-6). Significant predictors of treatment adherence were self-efficacy, subscale treatment control and concern of illness perception. Based on that result, we developed 4 -session group therapy focusing on illness perception aspect, and also developed the intervention module and booklet for respondents.

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Self-Efficacy, Depression, and Self-Care Activities in Adult Jordanians with Type 2 Diabetes: The Role of Illness Perception

Issues in Mental Health Nursing ◽

10.1080/01612840.2016.1208692 ◽

2016 ◽

Vol 37 (10) ◽

pp. 744-755 ◽

Cited By ~ 10

Author(s):

Rasmieh Al-Amer ◽

Lucie Ramjan ◽

Paul Glew ◽

Sue Randall ◽

Yenna Salamonson

Keyword(s):

Type 2 Diabetes ◽

Self Efficacy ◽

Illness Perception ◽

Self Care

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Comparing the Effect of Teach Back and Video Tape Education on Self-efficacy And Self-care in Type 2 Diabetes Patients

Modern Care Journal ◽

10.5812/modernc.88908 ◽

2021 ◽

Vol 18 (2) ◽

Author(s):

Mahboubeh Hosaini Zare ◽

Fahimeh Nikraftar ◽

Farah Madarshahian ◽

Gholamhossein Mahmoudirad

Keyword(s):

Type 2 Diabetes ◽

Self Efficacy ◽

Self Care ◽

Controlled Study ◽

Diabetic Patients ◽

Video Tape ◽

Educational Method ◽

The Mean ◽

And Control

Background: Self-efficacy is the basis for improved self-care in diabetic patients, and self-care is the most important strategy to control diabetes. Therefore, it is important to choose an appropriate educational method to provide patients information to achieve these goals. Objectives: This study aimed to compare the impacts of teach back and video tape education methods on self-efficacy and self-care abilities of patients with type 2 diabetes. Methods: In this semi-experimental controlled study, 105 patients with type 2 diabetes were randomly divided into the three groups of teach back, video tape training, and control. The data were collected using Orem’s nursing assessment form and two researcher-made questionnaires of self-care and self-efficacy. In the teach back group, based on the extent of self-care disability in the areas of physical activity, foot care, and glycemic control, educational sessions were held for each patient individually. In the video tape group, three films were shown in those areas for patients. The control group received no intervention. Questionnaires were recompleted seven days and one and three months after the intervention through interviews. Data were analyzed using SPSS version 16. Results: The mean total score of self-care in the teach back group was significantly higher seven days and one and three months after the intervention (P < 0.00). The mean scores of self-care and self-efficacy in the teach back group (before the intervention and seven days and one and three months after the intervention) significantly increased compared to the mean variation of scores in the video tape and control groups (P < 0.001). Conclusions: Applying the teach back method is more effective than the video tape method, and it is suggested that more extensive studies be conducted to promote self-care and self-efficacy in these patients.

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Impact of Health Literacy, Self-efficacy, and Outcome Expectations on Adherence to Self-care Behaviors in Iranians with Type 2 Diabetes

Oman Medical Journal ◽

10.5001/omj.2016.10 ◽

2016 ◽

Vol 31 (1) ◽

pp. 52-59 ◽

Cited By ~ 34

Author(s):

Mahnoush Reisi ◽

Firoozeh Mostafavi ◽

Homamodin Javadzade ◽

Behzad Mahaki ◽

Elahe Tavassoli ◽

...

Keyword(s):

Type 2 Diabetes ◽

Health Literacy ◽

Self Efficacy ◽

Self Care ◽

Outcome Expectations

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Effects of a tailored text messaging intervention among diverse adults with type 2 diabetes: Evidence from the 15-month REACH RCT

10.2337/figshare.13052981.v1 ◽

2020 ◽

Author(s):

Lyndsay A. Nelson ◽

Robert A. Greevy ◽

Andrew Spieker ◽

Kenneth A. Wallston ◽

Tom A. Elasy ◽

...

Keyword(s):

Type 2 Diabetes ◽

Medication Adherence ◽

Self Efficacy ◽

Text Messaging ◽

Self Care ◽

Baseline Hba1c ◽

Median Response ◽

Text Messaging Intervention

Objective: Text messaging interventions have high potential for scalability and to reduce health disparities; however, more rigorous, long-term trials are needed. We examined the long-term efficacy and mechanisms of a tailored text messaging intervention. Research Design and Methods: Adults with type 2 diabetes participated in a parallel-groups, 15-month randomized trial, assigned to receive REACH (Rapid Education/Encouragement and Communications for Health) for 12 months or control. REACH included interactive texts and tailored texts addressing medication adherence, and non-tailored texts supporting other self-care behaviors. Outcomes included HbA1c, diabetes medication adherence, self-care, and self-efficacy. Results: Participants (N=506) were approximately half racial/ethnic minority and half were underinsured, had annual household incomes <$35,000 USD and ≤ high school education; 11% were homeless. <a>Average baseline HbA1c was 8.6%±1.8%; 70.0±19.7 mmol/mol) with n=219 having HbA1c≥8.5% (69 mmol/mol)</a> and half were prescribed insulin. Retention was over 90%. Median response rate to interactive texts was 91% (interquartile range 75%, 97%). The treatment effect on HbA1c at 6 months (-0.31%; 95% CI [-0.61%, -0.02%]) was greater among those with baseline HbA1c≥8.5% (-0.74%; 95% CI [-1.26%, -0.23%]), and there was not evidence of effect modification by race/ethnicity or socioeconomic disadvantage. REACH improved medication adherence and diet through 12 months, and self-efficacy through 6 months. Treatment effects were not significant for any outcome at 15 months. REACH reduced barriers to adherence, but barrier reduction did not mediate outcome improvements. Conclusions: REACH engaged at-risk patients in diabetes self-management and improved short-term HbA1c. More than texts alone may be needed to sustain effects.

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Non-health outcomes affecting self-care behaviors and medical decision-making preference in patients with type 2 diabetes: a cross-sectional study

10.21203/rs.2.21066/v2 ◽

2020 ◽

Author(s):

Ming-Jye Wang ◽

Hung-Ming Lin ◽

Li-Chen Hung ◽

Yi-Ting Lo

Keyword(s):

Type 2 Diabetes ◽

Decision Making ◽

Health Literacy ◽

Self Efficacy ◽

Patient Empowerment ◽

Self Care ◽

Cross Sectional Study ◽

Medical Decision ◽

Cross Sectional

Abstract Background: The effects of patient sustained self-care behaviors on glycemic control are even greater than the effects of medical treatment, indicating the value of identifying the factors that influence self-care behaviors. To date, these factors have not been placed in a single model to clarify the critical path affecting self-care behaviors. The aims of this study were to explore the relationships of these factors and the differences in patient preference for medical decision-making.Methods: A cross-sectional study was conducted among outpatients with type 2 diabetes at a regional teaching hospital. Purposive sampling was adopted to recruit 316 eligible patients via self-administered questionnaires. Partial least squares structural equation modeling was used for analysis.Results: Significant direct pathways were identified from health literacy to self-efficacy, patient empowerment, and self-care behaviors; from self-efficacy to self-care behaviors; and from patient empowerment to self-care behaviors. Indirect pathways were from health literacy to self-care behaviors via self-efficacy or patient empowerment. The pathway from health literacy to self-efficacy was significantly stronger in those preferring shared decision-making than in those who preferred physician decision-making. Conclusions: Health literacy is a critical factor in improving self-care behaviors in patients with type 2 diabetes, and the effect of health literacy on self-efficacy was more significant in the shared decision-making than in the physician decision-making. Therefore, developing an effective health strategy to strengthen health literacy awareness and designing friendly, diverse health literacy materials, and application tools is the most important factor to facilitate self-care behaviors in this population.

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The Role Of Family Support And Self-Efficacy On Self-Care Behavior In The Elderly With Type 2 Diabetes

Journal of Health Sciences ◽

10.33086/jhs.v14i02.1801 ◽

2021 ◽

Vol 14 (02) ◽

pp. 82-89

Author(s):

Ratna Yunita Sari ◽

Umdatus Soleha ◽

Erika Chandra Dewi

Keyword(s):

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Type 2 Diabetes Mellitus ◽

Family Support ◽

Self Efficacy ◽

Self Care ◽

The Elderly ◽

Rank Test ◽

Care Behavior

Introduction: Diabetes self-care is an effort to control type 2 diabetes mellitus. Family support and self-efficacy are needed for elderly people with type 2 diabetes mellitus to increase independence in managing their disease. This study aims to determine the relationship between family support and self-efficacy with self-care behavior in the elderly with type 2 diabetes mellitus at the Elderly Posyandu in Wadungasri Village. Methods: This study is a quantitative study with a correlational analytic research design using a cross-sectional approach. The population in this study was 132 elderly with type 2 diabetes mellitus using a probability sampling method with a technique used simple random sampling and obtained a sample of 100 elderly DM type 2. Results: The results showed that most of the elderly have family support and good self-efficacy. with less self-care behavior. The results of the analysis using the Spearman rank test showed that family support was associated with self-care for people with diabetes mellitus type 2 (p-value = 0.006, ɑ = 0.05). The results of the Spearman rank test analysis showed that self-efficacy was related to self-care for people with diabetes mellitus type 2 (p-value = 0.001, ɑ = 0.05). Conclusion: Family support and self-efficacy gave to elderly people with type 2 diabetes mellitus can influence health behavior patterns that will make self-care behavior well.

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Factors Related to Self-care in Patients with Type 2 Diabetes

The Open Nursing Journal ◽

10.2174/1874434602014010064 ◽

2020 ◽

Vol 14 (1) ◽

pp. 64-73

Author(s):

Seung-Yeon Kong ◽

Mi-Kyoung Cho

Keyword(s):

Type 2 Diabetes ◽

Self Efficacy ◽

Smoking Status ◽

Explanatory Power ◽

Fasting Blood Glucose ◽

Self Care ◽

Self Report ◽

University Hospital ◽

Diabetes Patients

Purpose: The prevalence of diabetes and the personal and national burden from diabetes, a serious health issue around the globe, continues to increase. The purpose of this study was to identify factors influencing self-care among patients with type 2 diabetes. Methods: We conducted a cross-sectional descriptive survey of 118 outpatients with type 2 diabetes in national university hospital C in Korea. Data were collected from self-report questionnaires covering information on demographics, self-care, and self-efficacy. Additional data were collected from medical records including information on HbA1c, fasting blood glucose levels, and cholesterol levels. Collected data were analyzed using descriptive statistics, Pearson’s correlation coefficient, and multiple regression using SPSS/WIN version 22.0 software. Results: Factors affecting self-care were the following four: self-efficacy, HbA1c, occupation status, and smoking status. Higher engagement in self-care was associated with higher self-efficacy (β = .53, p < .001), lower HbA1c (β = -0.33, p < .001), unemployment (β = -0.20, p < .001), and non-smoking status (β = -0.15, p = .011). The regression model of self-care among the type 2 diabetes patients was statistically significant (F = 67.15, p < .001), and the explanatory power of the adjusted R2 was 69%. Conclusion: Type 2 diabetes patients with high self-efficacy and self-care scores showed good glycemic control. Therefore, this finding suggests that nursing interventions should be developed to enhance self-efficacy, which is the greatest influencing factor for self-care.

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