scholarly journals The Effect of Social Support on Glycemic Control in Patients with Type 2 Diabetes Mellitus: The Mediating Roles of Self-Efficacy and Adherence

2017 ◽  
Vol 2017 ◽  
pp. 1-8 ◽  
Author(s):  
Yechang Shao ◽  
Lu Liang ◽  
Linjing Shi ◽  
Chengsong Wan ◽  
Shouyi Yu
Keyword(s):  
Diabetes Mellitus ◽  
Social Support ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Glycemic Control ◽  
Self Efficacy ◽  
Goodness Of Fit ◽  
Equation Modeling ◽  
Ample Evidence

Ample evidence suggests that social support, self-efficacy, and adherence significantly, independently, and together affect glycemic control in patients with type 2 diabetes mellitus (T2DM), but the pathway from social support to glycemic control remains unclear. This study hypothesized that the effect of social support on glycemic control was mediated sequentially by self-efficacy and adherence. Patients with T2DM were recruited from two hospitals in Guangzhou, China, from January 1 to July 31, 2014, and their sociodemographic clinical data and their assessments on social support, self-efficacy, and adherence were obtained from medical records and self-completed questionnaires. Of the 532 patients who participated, 35% achieved glycemic control (i.e., HbA1c < 7%). Social support, self-efficacy, and adherence had significant correlations with each other and with glycemic control (P<0.05). Regression analyses and structural equation modeling showed that better social support was associated to better patient self-efficacy, which, in turn, was associated with better medical adherence, which was associated with improved glycemic control, and the relationship between social support and glycemic control was sequentially and completely mediated by self-efficacy and adherence. The five goodness-of-fit indices confirmed that our data fitted the hypothesized pathway model strongly.

scholarly journals Mediating role diet self-efficacy plays in the relationship between social support and diet self-management for patients with type 2 diabetes

2021 ◽  
Vol 79 (1) ◽  
Author(s):  
Li Yang ◽  
Kun Li ◽  
Yan Liang ◽  
Qiuli Zhao ◽  
Dan Cui ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Social Support ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Self Efficacy ◽  
Self Management ◽  
Mediating Role ◽  
Diet Behavior ◽  
The Relationship

Abstract Background It has previously been established that patients who have strong barriers to their diet self-management are more likely to have weak social support; however, the key mechanisms underlying the association between these two variables have not yet been established. This study aims to examine the potential role that diet self-efficacy plays in the relationship between social support and diet behavior in patients with type 2 diabetes mellitus (T2DM). Methods It was a cross-sectional survey. Three hundred-eighty patients diagnosed with T2DM were recruited for this study from five community health centers in China. The Chronic Disease Resource Scale (CIRS), Cardiac Diet Self-efficacy Scale (CDSE), and Food Control Behavior Scale (FCBS) were used to estimate participants’ utilization of social resources, diet self-efficacy, and diet self-management, respectively. The data were analyzed utilizing structural equation modelling. Results The results suggest that both higher levels of social support and diet self-efficacy are related to higher levels of diet self-management. The mediating effect that diet self-efficacy has on the relationship between social support and diet self-management was significant (β = .30, p < .05), explaining 55.68% of the total effect of social support on diet self-management. Conclusions Diet self-efficacy plays a mediating role in the association between social support and diet behavior in patients with type 2 diabetes mellitus.

Childhood Socioeconomic Status and Type 2 Diabetes Mellitus among Mid-late Chinese: A Structural Equation Modeling Analysis

2020 ◽  
Author(s):  
xiaoning zhang ◽  
xue jiang ◽  
qiong zhou
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Socioeconomic Status ◽  
Type 2 Diabetes Mellitus ◽  
Structural Equation ◽  
Goodness Of Fit ◽  
Equation Modeling ◽  
Cross Sectional ◽  
Childhood Socioeconomic Status

Abstract Objectives This present study was aimed to examine the associations between childhood socioeconomic status (CSES) and type 2 diabetes mellitus (T2DM) among mid-late Chinese and disentangle the pathways using structural equation modelling (SEM). Methods Using cross-sectional data from China Health and Retirement Longitudinal Study (CHARLS), this study included 19767 participants aged 45 and over. SEM models were constructed to decompose the intricate relationships between CSES, childhood health history (CHH), adulthood socioeconomic status (ASES), health-related behaviors (HRB) and T2DM. Results The results showed that T2DM was significantly associated with CSES (sβ = -0.239; P = 0.001), CHH (sβ = -0.016; P = 0.005) and ASES (sβ = -0.180; P = 0.002) directly, While the indirect effect of CSES on T2DM was sβ = -0.111; P = 0.001with an acceptable goodness-of-fit. The model presented an acceptable goodness of fit: RMSA0.082, CFI 0.803, GFI 0.938, AGFI 0.904, and SRMR 0.060. Conclusions CSES had direct and indirect effects on later incidence of T2DM, which was mediated by ASES and CHH, supporting the life course theory, indicating that optimal interventions should be conducted in the early stages of life to narrow the socioeconomic and obtain maximal health benefits.

scholarly journals Relationships Among Self-Efficacy, Social Support, Social Problem Solving, and Self-Management in a Rural Sample Living With Type 2 Diabetes Mellitus

2012 ◽  
Vol 26 (2) ◽  
pp. 126-141 ◽  
Author(s):  
Caralise W. Hunt ◽  
Barbara Wilder ◽  
Michael M. Steele ◽  
Joan S. Grant ◽  
Erica R. Pryor ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Social Support ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Problem Solving ◽  
Social Problem ◽  
Self Efficacy ◽  
Social Problem Solving ◽  
Self Management

Self-management behaviors are important for control of type 2 diabetes mellitus. Therefore, determining factors that promote effective self-management behaviors may be significant for improving the well-being of patients with type 2 diabetes mellitus. This study examined relationships among self-efficacy, social support, social problem solving, and diabetes self-management behaviors. Further, this study evaluated whether social support and social problem solving were mediators of the relationship between self-efficacy and diabetes self-management behaviors in those living with type 2 diabetes mellitus.Using a cross-sectional, descriptive correlational design, data from a convenience sample of 152 rural people living with type 2 diabetes mellitus were examined. Findings indicated that self-efficacy was a strong predictor of diabetes self-management. The effect of social support on diabetes self-management differed among men and women in the sample. Social support and social problem solving were significantly associated with diabetes self-management in men. Neither social support nor social problem solving were mediators of the relationship between self-efficacy and diabetes self-management in this sample. These findings suggest that nurses need to consider implementing interventions to improve patients’ self-efficacy and potentially influence diabetes self-management.

Self-efficacy, self-management, and glycemic control in adults with type 2 diabetes mellitus

2012 ◽  
Vol 26 (1) ◽  
pp. 10-16 ◽  
Author(s):  
Omar Abdulhameed Al-Khawaldeh ◽  
Mousa Ali Al-Hassan ◽  
Erika Sivarajan Froelicher
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Glycemic Control ◽  
Self Efficacy ◽  
Self Management

scholarly journals Type D personality and its impact on patients with Type 2 diabetes mellitus

2020 ◽  
Author(s):  
Yi-Hsin Lin ◽  
Di-An Chen ◽  
Chemin Lin ◽  
Hsuan Huang
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Psychological Distress ◽  
Glycemic Control ◽  
Perceived Stress ◽  
Self Efficacy ◽  
Self Care ◽  
Type D

Abstract Background: Type D personality (TDP) has been recognized as a risk factor for many diseases. Researches in association with TDP and type 2 diabetes mellitus (T2DM) were limited. Aims: The aim of this study was to estimate the prevalence of TDP, also to assess the relationship between TDP and perceived stress, self-efficacy, self-care behaviors, and psychological distress on Taiwanese patients with T2DM.Methods: 198 patients with T2DM were recruited consecutively from the department of endocrinology of a regional hospital in Taipei, Taiwan from December 2017 to April 2018. The participants completed questionnaires containing questions about sociodemographic characteristics, TDP, illness-related stress, self-efficacy, execution of diabetes management and emotional distress. Their medical records were reviewed for biomedical data.Results: 41.4% of the 198 patients had TDP. Controlling for sociodemographic factors, patients with TDP were reported significantly poorer on glycemic control than those without this personality (P<0.05). Compared to those without TDP, the results showed significantly higher levels of perceived stress (P<0.001) and psychological distress (anxiety and depression) (P<0.001), as well as significantly lower levels of self-efficacy (P<0.001) and self-care behaviors (P<0.001) on patients with TDP. TDP is positively correlated with perceived stress and psychological distress. It is negatively correlated with self-efficacy and self-care behavior scores.Discussion: This study provides the evidence linking TDP with poor glycemic control, self-efficacy, and self-care behaviors, as well as high perceived stress and psychological distress, which highlights the screening of TDP and the specific needs for the care among T2DM patients with TDP.

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