Association between Health Literacy, Self-care Behavior, and Blood Sugar Level among Older Patients with Type 2 Diabetes in Rural Thai Communities

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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58-OR: Pathways of Health Literacy, Empowerment, Self-Care Activities to Quality of Life and Glycemic Control in Patients with Type 2 Diabetes

Diabetes ◽

10.2337/db21-58-or ◽

2021 ◽

Vol 70 (Supplement 1) ◽

pp. 58-OR

Author(s):

XIAOYAN ZHAO ◽

LI CHENG

Keyword(s):

Quality Of Life ◽

Type 2 Diabetes ◽

Health Literacy ◽

Glycemic Control ◽

Self Care

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Diabetes Self-Management Education (DSME) – Effect on Knowledge, Self-Care Behavior, and Self-Efficacy Among Type 2 Diabetes Patients in Ethiopia: A Controlled Clinical Trial

Diabetes Metabolic Syndrome and Obesity Targets and Therapy ◽

10.2147/dmso.s223123 ◽

2019 ◽

Vol Volume 12 ◽

pp. 2489-2499

Author(s):

Fikadu Balcha Hailu ◽

Anne Moen ◽

Per Hjortdahl

Keyword(s):

Type 2 Diabetes ◽

Clinical Trial ◽

Self Efficacy ◽

Management Education ◽

Self Care ◽

Self Management ◽

Controlled Clinical Trial ◽

Care Behavior ◽

Diabetes Patients

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A comparison of diabetes self-care behavior in people with type 2 diabetes with and without insomnia symptoms

Acta Diabetologica ◽

10.1007/s00592-019-01470-y ◽

2020 ◽

Vol 57 (6) ◽

pp. 651-659 ◽

Cited By ~ 2

Author(s):

Mohammed M. Alshehri ◽

Aqeel M. Alenazi ◽

Jeffrey C. Hoover ◽

Shaima A. Alothman ◽

Milind A. Phadnis ◽

...

Keyword(s):

Type 2 Diabetes ◽

Self Care ◽

Insomnia Symptoms ◽

Care Behavior

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Effects of Face-to-Face and Telephone-Based Family-Oriented Education on Self-Care Behavior and Patient Outcomes in Type 2 Diabetes: A Randomized Controlled Trial

Journal of Diabetes Research ◽

10.1155/2017/8404328 ◽

2017 ◽

Vol 2017 ◽

pp. 1-10 ◽

Cited By ~ 7

Author(s):

Masumeh Hemmati Maslakpak ◽

Somaieh Razmara ◽

Zahra Niazkhani

Keyword(s):

Type 2 Diabetes ◽

Patient Outcomes ◽

Controlled Trial ◽

Self Care ◽

Control Group ◽

Face To Face ◽

Randomized Controlled ◽

Education Group ◽

Care Behavior

Background. Education of patients and their families is the cornerstone of effective diabetes care. The present study aimed to compare the effects of a face-to-face and telephone-based family-oriented educational program on self-care behavior and patient outcomes in type 2 diabetes patients. Methods. In the present randomized controlled trial, 90 type 2 diabetes patients were randomly divided into three groups of 30 participants: a face-to-face education group, a telephone-based education group, and a control group. The educational program lasted for 3 months. Outcomes evaluated included self-care, fasting blood sugar, hemoglobin A1c, cholesterol, and triglyceride. Results. The overall self-care scores in the intervention groups were significantly higher than that in the control group (P=0.0001). In addition, lipid profiles significantly improved in the interventions compared to the control (P<0.05). Comparing the two interventions showed better results for the face-to-face group regarding dietary adherence and physical activity, but the latter group had comparable results in blood glucose monitoring, foot care, and cholesterol level. Conclusions. This study shows the beneficiary effects of a family-oriented education on self-care and patient outcomes. It also shows the potential value of low-cost telephone technology in delivering effective diabetes care.

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