Testing a Conceptual Framework for Diabetes Self-Care Management

2004 ◽  
Vol 18 (4) ◽  
pp. 293-316 ◽  
Author(s):  
Valmi D. Sousa ◽  
Jaclene A. Zauszniewski ◽  
Carol M. Musil ◽  
Patricia E. McDonald ◽  
Sharon E. Milligan
Keyword(s):  
United States ◽  
Social Support ◽  
Self Efficacy ◽  
Care Management ◽  
Care Center ◽  
Self Care ◽  
The United States ◽  
Diabetes Knowledge ◽  
Cross Sectional ◽  
Care Agency

Diabetes is a major source of morbidity, mortality, and economic expense in the United States. The majority of researchers and clinicians believe that diabetes is a self-care management disease, and that patients should be reliable, capable, and sufficiently responsible to take care of themselves. However, individuals with diabetes may or may not have diabetes knowledge, social support, self-care agency (an individual’s capability to perform self-care actions), and self-efficacy (an individual’s beliefs in his or her capability to perform self-care actions) that would help them to engage in diabetes self-care management. Therefore, this study examined the relationship among those factors using a cross-sectional model testing design. A convenient sample of 141 insulin-requiring individuals with either diabetes type 1 or type 2, 21 years old and over, was recruited from an outpatient diabetes care center located in a Southeast region of the United States. Simple linear regression, multiple standard regression, and multiple hierarchical regression were used to analyze the data. Individuals with greater diabetes knowledge had greater self-care agency and self-efficacy. Those with a higher score in social support had greater self-care agency and better diabetes self-care management, and those with greater self-efficacy had better diabetes self-care management. In addition, self-care agency mediated the effects of diabetes knowledge on self-efficacy and the effects of social support on diabetes self-care management. Self-efficacy mediated the effects of self-care agency on diabetes self-care management. Furthermore, the linear combination of diabetes knowledge, social support, self-care agency, and self-efficacy, taken together, positively affected diabetes self-care management. Enhancing an individual’s diabetes knowledge, social support, self-care agency, and self-efficacy may be a strategy which can promote better engagement in diabetes self-care.

scholarly journals FAKTOR-FAKTOR INTERNAL YANG MEMPENGARUHI SELF CARE MANAGEMENT PADA PASIEN DIABETES MELLITUS TIPE 2 DI POLI KLINIK KHUSUS PENYAKIT DALAM RSUP DR. M. DJAMIL PADANG

2020 ◽  
Vol 3 (1) ◽  
pp. 54-65
Author(s):  
Lola Despitasari
Keyword(s):  
Diabetes Mellitus ◽  
Self Efficacy ◽  
Care Management ◽  
Self Care ◽  
P Value ◽  
Diabetes Knowledge ◽  
Chi Square ◽  
Cross Sectional ◽  
Care Agency

Diabetes Mellitus tipe 2 merupakan hasil dari kegagalan atau penolakan tubuh mnggunakan zat insulin (resistensi insulin). Pada orang dengan diabetes tipe 2 diperlukan self care management untuk mengelola penyakitnya. Diabetes knowledge, self efficacy, self care agency merupakan faktor internal yang mempengaruhi self care management. Tujuan penelitian ini adalah untuk mengetahui faktor-faktor internal yang mempengaruhi self care management pada pasien diabetes mellitus tipe 2 di poli klinik khusus penyakit dalam RSUP. Dr. M. Djamil Padang. Jenis penelitian ini bersifat deskriptif analitik melalui pendekatan cross sectional. Penelitian ini  dilakukan di Poli Klinik Khusus Penyakit Dalam RSUP Dr. M. Djamil Padang. Sampel berjumlah 60 orang dengan teknik accidental sampling, dan instrumen penelitian menggunakan kuesioner SDSCA, ASAS-R, DMSES, dan kuesioner diabetes knowledge. Analisis data bivariat menggunakan uji chi-square. Hasil penelitian menunjukkan bahwa 56.7% responden memiliki self care management yang kurang baik, 50% responden dengan self care agency kurang baik, 46.7% responden dengan self efficacy kurang baik, dan 61.7% responden dengan diabetes knowledge kurang baik. Terdapat hubungan antara self care agency, self efficacy, dan diabetes knowledge dengan self care management dengan nilai p value (≤ 0.05). Terdapat hubungan antara self care agency, self efficacy, dan diabetes knowledge dengan self care management di poli klinik khusus penyakit dalam RSUP Dr. M. Djamil Padang. Disarankan kepada pasien diabetes mellitus tipe 2 untuk meningkatkan self care agency, self efficacy, dan diabetes knowledge nya. Kata Kunci : Diabetes mellitus tipe 2, self care management, self care agency, self efficacy, diabetes knowledge

Relationships Among Self-Care Agency, Self-Efficacy, Self-Care, and Glycemic Control

2005 ◽  
Vol 19 (3) ◽  
pp. 217-230 ◽  
Author(s):  
Valmi D. Sousa ◽  
Jaclene A. Zauszniewski ◽  
Carol M. Musil ◽  
Patricia J. Price Lea ◽  
Schenita A. Davis
Keyword(s):  
Glycemic Control ◽  
Self Efficacy ◽  
Care Management ◽  
Self Care ◽  
Hierarchical Regression ◽  
Design Data ◽  
Cross Sectional ◽  
Correlational Design ◽  
Care Agency

Costly complications of diabetes often arise from poor glycemic control. Appropriate diabetes self-care management may improve control. This study examined whether self-care management affects glycemic control and mediates relationships between self-efficacy and self-care agency with glycemic control. In a cross-sectional correlational design, data from a prior study of 141 insulin-requiring adults with type 1 or type 2 diabetes were examined using descriptive statistics, Pearson’s correlation, and multiple hierarchical regression. Findings indicated that greater self-care agency and self-efficacy lead to greater self-care management, in turn leading to better glycemic control. Self-care management did not mediate between self-efficacy or self-care agency and glycemic control. Thus, beliefs or capabilities for self-care are insufficient to improve glycemic control; doing so requires self-care management.

Generalizability of the Self-Care of Diabetes Inventory Across Cultures and Languages: Italy and the United States

2019 ◽  
Vol 43 (1) ◽  
pp. 41-49 ◽  
Author(s):  
Davide Ausili ◽  
Claudio Barbaranelli ◽  
Barbara Riegel
Keyword(s):  
United States ◽  
Unmet Need ◽  
Self Care ◽  
Measurement Model ◽  
The United States ◽  
The Self ◽  
Diabetes Research ◽  
Cross Sectional ◽  
Middle Range ◽  
Range Theory

Measuring self-care behaviors is crucial in diabetes research worldwide. Having a common measure of self-care represents an unmet need limiting the development of the science. The Self-Care of Diabetes Inventory was developed to address limitations of previous tools that were not theoretically grounded, strong in psychometrics, and clinically validated. However, the generalizability and comparability of the Self-Care of Diabetes Inventory has not been tested across cultures and languages. The aim of this study was to test the invariance of the Self-Care of Diabetes Inventory measurement model between Italy and the United States. Data from two multicenter cross-sectional studies were used. Two diabetes clinics and two hospitals in Italy and the United States were involved. We enrolled 200 adults in Italy and 226 in the United States, all with a confirmed diagnosis of type 1 or type 2 diabetes. The Self-Care of Diabetes Inventory was used to measure self-care maintenance, monitoring, and management behaviors as described in the middle range theory of self-care of chronic illness. Configural, metric, scalar, and strict invariance were tested for each scale. Three of the four measurement equivalence levels were supported in the three Self-Care of Diabetes Inventory Scales, whereas strict invariance—the highest level—was reached only by the Self-Care Maintenance and Self-Care Monitoring Scales. Clear support for the use of the Self-Care of Diabetes Inventory in diabetes research was provided. Cross-national comparisons of self-care between groups of Italian and U.S. patients are supported, based on the invariance of the measurement model. Aggregation of research data obtained using the Self-Care of Diabetes Inventory across countries could support knowledge development in the field of diabetes self-care.

Health-Related Stigma, Social Support, Self-Efficacy, and Self-Care Actions Among Adults With Sickle Cell Disease in Oman

2021 ◽  
pp. 105477382110467
Author(s):  
Huda Al Raqaishi ◽  
Mohammad Al Qadire ◽  
Omar Alzaabi ◽  
Omar Al Omari
Keyword(s):  
Social Support ◽  
Sickle Cell Disease ◽  
Sickle Cell ◽  
Self Efficacy ◽  
Self Care ◽  
Care Seeking ◽  
Cell Disease ◽  
Cross Sectional ◽  
Related Stigma ◽  
Health Related

Stigma contributes to the burden of individuals and families affected by Sickle cell disease (SCD) and causes delay in appropriate care seeking. The aim of this study is to examine the levels and associations between stigma, social support, self-efficacy, and self-care actions among adult patients with SCD in Oman using a cross-sectional, correlational design. Of the 264 participants, 56.1% ( n = 148) were males, with mean age of 30.1 years ( SD 7.7). Half of the participants were married, and 88.3% had no other associated diseases. The results demonstrate that patients in Oman suffer from health-related stigma. However, social support, self-efficacy, and self-care actions were reported to be high and correlated with several clinical and demographic variables. Based on the results, effective, low-cost interventions such as psycho-educational groups, individual counseling, or group therapies might be developed. They can promote belief in enhanced efficacy and improved SCD adaptation, thereby increasing patient, and provider satisfaction.

scholarly journals Loneliness in the United States: A 2018 National Panel Survey of Demographic, Structural, Cognitive, and Behavioral Characteristics

2019 ◽  
Vol 33 (8) ◽  
pp. 1123-1133 ◽  
Author(s):  
Liana DesHarnais Bruce ◽  
Joshua S. Wu ◽  
Stuart L. Lustig ◽  
Daniel W. Russell ◽  
Douglas A. Nemecek
Keyword(s):  
United States ◽  
Social Support ◽  
Social Media ◽  
Social Anxiety ◽  
Los Angeles ◽  
Linear Regression Analysis ◽  
The United States ◽  
Physical And Mental Health ◽  
Cross Sectional ◽  
Health Behavior Intervention

Purpose: To inform health behavior intervention design, we sought to quantify loneliness and its correlates, including social media use, among adults in the United States. Design: Cross-sectional research panel questionnaire. Setting: Responses were gathered from individuals in all 50 states surveyed via Internet from February 2018 to March 2018. Participants: A total of 20 096 US panel respondents aged 18+. Measures: The University of California at Los Angeles (UCLA) Loneliness Scale (theoretical score range = 20-80) was administered along with demographic, structural, cognitive, and behavioral items. Analysis: After calibrating the sample to population norms, we conducted multivariable linear regression analysis. Results: The overall mean survey-weighted loneliness score was 44.03 (standard error = 0.09). Social support (standardized β [sβ] = −0.19) and meaningful daily interactions (sβ = −0.14) had the strongest associations with lower loneliness, along with reporting good relationships, family life, physical and mental health, friendships, greater age, being in a couple, and balancing one’s daily time. Social anxiety was most strongly associated with greater loneliness (sβ = +0.20), followed by self-reported social media overuse (sβ = +0.05) and daily use of text-based social media (sβ = +0.03). Conclusion: Our findings confirm that loneliness decreases with age, and that being in a relationship as well as everyday behavioral factors in people’s control are most strongly related to loneliness. Population health promotion efforts to reduce loneliness should focus on improving social support, decreasing social anxiety, and promoting healthy daily behaviors.

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

Healthcare ◽  
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.

Further Evidence of Psychometric Performance of the Self-care of Diabetes Inventory in Adults With Type 1 and Type 2 Diabetes

2021 ◽  
Author(s):  
Maddalena De Maria ◽  
Diletta Fabrizi ◽  
Michela Luciani ◽  
Rosario Caruso ◽  
Stefania Di Mauro ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Self Efficacy ◽  
Care Management ◽  
High Reliability ◽  
Self Care ◽  
The Self ◽  
Cross Sectional

Abstract Background The Self-care of Diabetes Inventory (SCODI) is a theory-based tool that measures self-care, a key strategy in the appropriate treatment of diabetes. However, despite the clinical differences between people with Type 1 Diabetes Mellitus (T1DM) and Type 2 Diabetes Mellitus (T2DM), the psychometric properties of the SCODI were only tested in mixed samples. Purpose This study aims to test the psychometric performances of the SCODI in two separate groups of adults with T1DM and T2DM. Methods This is a secondary analysis from two previous multicentre cross-sectional observational studies involving patients with T1DM (n = 181) and T2DM (n = 540). We tested dimensionality with confirmatory factor analysis and reliability with a multidimensional model-based coefficient for every scale of the SCODI: self-care maintenance, self-care monitoring, self-care management, and self-care self-efficacy. Results We found that the SCODI showed the same dimensionality, with minimal variation in factor loadings for each factor and each scale among T1DM and T2DM groups. High reliability for each scale in both groups was also found (self-care maintenance: T1DM = 0.86, T2DM = 0.83; self-care monitoring: T1DM = 0.84, T2DM = 1.00; self-care management: T1DM = 0.87, T2DM = 0.86; self-care self-efficacy: T1DM = 0.88; T2DM = 0.86). Conclusion The SCODI can be used for measuring self-care in people with T1DM, T2DM, or mixed groups using identical scoring procedures. Considering the well-known differences between Type 1 and Type 2 diabetes diseases and patients’ characteristics, our results support the generalizability of the self-care theory on which the instrument is based.

scholarly journals Kajian Self-Care Mangement Hipertensi dengan Pendekatan Efikasi Diri dan Dukungan Sosial

2019 ◽  
Vol 12 (2) ◽  
pp. 37
Author(s):  
Angga Wilandika
Keyword(s):  
Social Support ◽  
Self Efficacy ◽  
Care Management ◽  
Self Care ◽  
Hypertension Management

Hipertensi yang dikenal sebagai the silent killer, merupakan salah satu jenis penyakit  tidak menular yang harus diwaspadai dan mendapat penanganan serius. Penderita penyakit ini tidak merasakan gejala sehingga baru berobat setelah mengalami keluhan dan komplikasi yang mematikan. Penderita hipertensi membutuhkan pengelolaan diri (self-care mangement) yang berkelanjutan dan sepanjang hidup penderitanya. Self-care management hipertensi dapat dilaksanakan secara konsisten dengan menguatkan efikasi diri pengelolaan dan dukungan sosial dalam membantu pengelolaan penyakitnya. Artikel ini bertujuan untuk mengidentifikasi pendekatan efikasi diri dalam pengelolaan penyakit dan dukungan yang diberikan dalam upaya meningkatkan self-care management hipertensi. Metode yang digunakan adalah kajian literatur. Penelusuran database menggunakan  kata kunci pencarian “self-care management”, “hypertension”, “self-efficacy”, “social support” dan “hypertension management”. Hasil kajian menemukan bahwa pengelolaan penyakit pada penderita hipertensi sangat kompleks. Pengelolaan hipertensi memerlukan kemampuan diri yang baik dalam mengelola penyakitnya, yang meliputi pengelolaan diet, aktivitas dan olah raga, pengontrolan tekanan darah dan pengelolaan obat. Kemampuan pengelolaan diri yang baik dapat dipertahankan dan bahkan ditingkatnya dengan meningkatkan keyakinan diri dalam mengelola penyakit. Selain itu dukungan yang diberikan dalam upaya pengelolaan penyakit baik dari keluarga maupun petugas kesehatan dapat memperbesar tingkat keberhasilan dalam self-care management hipertensi. Kata kunci: dukungan sosial, efikasi diri, hipertensi, self-care management

scholarly journals Dukungan Sosial Berhubungan Dengan Self Care Management Pada Lansia Hipertensi Di Puskesmas Sedayu II

2019 ◽  
Vol 10 (2) ◽  
pp. 700-712
Author(s):  
Mahfud Mahfud ◽  
Bari Barasila ◽  
Sofyan Indrayani
Keyword(s):  
Social Support ◽  
Care Management ◽  
Self Care ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Coefficient Corrélation ◽  
Relationship Of ◽  
The Relationship

Latar Belakang: Dukungan sosial dapat meningkatkan pengetahuan dan menstabilkan emosional pada pasien hipertensi.Untuk menjaga dan mengatasi hipertensi pada lansia perlu dilakukan dukungan sosial dengan self care managemen hipertensi.Tujuan Penelitian: Tujuan penelitian ini bertujuan untuk mengetahui hubungan dukungan sosial dengan self care manegement pada lansia hipertensi di Puskesmas Sedayu II Bantul Yogyakarta. Penelitian ini merupakan penelitian kuantitatif dengan rancangan penelitian cross sectional. Populasi dalam penelitian ini adalah lansia di Puskesmas  Sedayu II Kabupaten Bantul  yang berjumlah 45 orang.Metode: Instrumen penelitian menggunakan kuesioner dukungan sosial dan kuisioner self care management. Pengolahan data menggunakan uji statistik fisher’s Exact Test.Hasil Penelitian: Didapatkan bahwa dukungan sosial masuk dalam kategori baik yaitu.29 responden (70,7%), sedangkan self care management masuk dalam kategori baik yaitu 28 (69,3%). Hasil penelitian diperoleh nilai dukungan sosial dengan self care management hipertensi dengan p=0,000 dengan nilai keeratan hubungan  koefisien korelasi = 0,514 kategori sedang.Kesimpulan: Ada hubungan antara dukungan sosial dengan self care management pada lansia hipertensi di Puskesmas Sedayu II Bantul Yogyakarta dengan nilai signifikan 0,000 (p00.5).Kata Kunci: Dukungan sosial, self care management, lansia hipertensiBackground: Social support can increase knowledge and emotional stability in hypertensive patients. To maintain and overcome hypertension in the elderly, social support with self care management of hypertension needs to be done.Research Objectives: The purpose of this study aims to determine the relationship of social support with self care management in hypertensive elderly at Puskesmas Sedayu II Bantul Yogyakarta. This research is a quantitative study with cross sectional study design. The population in this study is the elderly in Puskesmas Sedayu II, Bantul Regency with a total of 45 people.Method: The research instrument used a social support questionnaire and a self care management questionnaire. Data processing using statistical fisher's Exact Test.Results: It was found that social support was included in the good category, 29 respondents (70.7%), while self care management was included in the good category, 28 (69.3%). The results obtained by the value of social support with hypertension self care management with p = 0,000 with the value of the correlation coefficient correlation = 0.514 medium category.Conclusion: There is a relationship between social support and self care management in hypertensive elderly in Puskesmas Sedayu II Bantul Yogyakarta with a significant value of 0,000 (p 00.5).Keywords: Social support, self care management, elderly hypertension 

scholarly journals Knowledge, Family and Social Support, Self Efficacy and Self-Care Behaviour in Pulmonary Tuberculosis Patients

2019 ◽  
Vol 14 (2) ◽  
Author(s):  
Tintin Sukartini ◽  
Laily Hidayati ◽  
Navisa Khoirunisa
Keyword(s):  
Social Support ◽  
Pulmonary Tuberculosis ◽  
Family Support ◽  
Self Efficacy ◽  
Self Care ◽  
Sampling Technique ◽  
Cross Sectional ◽  
Treatment Knowledge ◽  
Quasi Experimental ◽  
Cross Sectional Design

Tuberculosis is a disease that requires lengthy treatment. Knowledge of tuberculosis as well as family and social support are considered as important components of efficacy decisions. This study was conducted to analyse the relationship between knowledge, family and social support and self-efficacy and self-care behaviour in patients with pulmonary tuberculosis. The research used a cross sectional design. The population were 77 people and 65 respondents were obtained using a purposive sampling technique. Instruments used were knowledge, family support, social support, self-efficacy and self-care behaviour questionnaires. The data analysis method used was the Spearman rho test with a significance value of ??0.05. There were significant correlations between knowledge (p=0.003) and family support (p=0.000) and self-efficacy. There was no correlation between social support (p=0.106) and self-efficacy. There was a correlation between knowledge (p=0.048), family support (p=0.036) and social support (p=0.022) and self-care behaviour. There was a relationship between knowledge and family support and self-efficacy, whereas social support had no relationship with self-efficacy. There was a relationship between knowledge, family support and social support and self-care behaviour. Future researchers are expected to be able to design quasi experimental research to determine cultural differences (habits) in patients with pulmonary tuberculosis

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