Examining the Relationship Between Delay Discounting, Delay Aversion, Diabetes Self-care Behaviors, and Diabetes Outcomes in U.S. Adults With Type 2 Diabetes

Diabetes Care ◽  
2021 ◽  
pp. dc202620
Author(s):  
Jennifer A. Campbell ◽  
Joni S. Williams ◽  
Leonard E. Egede
Keyword(s):  
Type 2 Diabetes ◽  
Delay Discounting ◽  
Self Care ◽  
Delay Aversion ◽  
Diabetes Outcomes ◽  
The Relationship

scholarly journals A-039 Adherence and Executive Functioning in an Elderly Population with Type 2 Diabetes in México

2020 ◽  
Vol 35 (6) ◽  
pp. 829-829
Author(s):  
Ibarra C ◽  
Giudicessi A
Keyword(s):  
Type 2 Diabetes ◽  
Executive Functioning ◽  
Social Services ◽  
Diabetes Management ◽  
Self Care ◽  
Activity Level ◽  
Control Group ◽  
Neuropsychological Battery ◽  
The Relationship

Abstract Objective Diabetes is a prevalent chronic illness that can impact Executive Functioning (EF). Adherence to treatment is an important aspect in diabetes management however little published research addresses the relationship between adherence and EF in individuals with Type 2 Diabetes Mellitus (T2DM). The objectives of this study are: compare the levels of adherence and EF between T2DM and a control group. Analyze the relationship between adherence and EF in individuals with T2DM. Method The present study included 10 participants with T2DM and 10 control participants with Hypertension (HTN) all between the ages of 61–76. Participants were recruited through “Casa del Abue” a public center offering medical/social services to geriatric populations in Puebla, México. Neuropsychological Battery of Executive Functions and Frontal Lobes was administered to all participants, along with adherence measures specific to diagnosis: Summary of Diabetes Self-Care Activities or Hypertension Self-Care Activity Level Effects. Informed consent was obtained prior to participation. Results Results show significant differences in adherence between T2DM and HTN U = 1.0 p = < 0.001 and also between groups in EF measures related to medial Orbitofrontal cortex (OFC) U = 21.0 p = < 0.05. The relationship between adherence and EF in T2DM participants was moderately correlated r(10) = 0.32, p = 0.36. Descriptive statistics found in Table 1. Conclusion T2DM participants demonstrate significantly lower adherence levels and deficits in EF compared to the control group as expected. Given only a moderate correlation between adherence and EF was found, further research including a larger sample and more precise adherence measures such as HbA1c is suggested to further understand this relationship.

The role of social support on the relationship of depressive symptoms to medication adherence and self-care activities in adults with type 2 diabetes

2015 ◽  
Vol 71 (9) ◽  
pp. 2164-2175 ◽  
Author(s):  
Chun-Ja Kim ◽  
Elizabeth A. Schlenk ◽  
Dae Jung Kim ◽  
Moonsun Kim ◽  
Judith A. Erlen ◽  
...  
Keyword(s):  
Social Support ◽  
Type 2 Diabetes ◽  
Depressive Symptoms ◽  
Medication Adherence ◽  
Self Care ◽  
Relationship Of ◽  
The Relationship

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.

Patient-Provider Communication and Self-care Behavior Among Type 2 Diabetes Patients

2005 ◽  
Vol 31 (5) ◽  
pp. 681-690 ◽  
Author(s):  
James E. Aikens ◽  
Raymond Bingham ◽  
John D. Piette
Keyword(s):  
Type 2 Diabetes ◽  
Glycemic Control ◽  
Self Care ◽  
Path Model ◽  
Provider Communication ◽  
Glucose Testing ◽  
Diabetes Outcomes ◽  
Patient Provider Communication ◽  
Diabetes Patients

Purpose The purpose of this study was to determine whether diabetes self-care behaviors mediate the association between patient-provider communication (PPC) and diabetes outcomes. Methods An ethnically diverse sample of 752 patients with type 2 diabetes was recruited from 3 different health systems. Subjects were interviewed by telephone about their general and diabetes-specific PPC, diabetes self-care behaviors (medication use, glucose testing, eating, and physical activity), and functional status (physical and mental). Glycemic control was assessed with the HbA1c assay. Statistical tests of the hypothetical path model were adjusted for age, gender, marital status, income, ethnicity, medication regimen, and number of comorbid conditions. Results General PPC was associated with mental functioning and physical functioning, and diabetes-specific PPC was associated with glycemic control. However, these associations were not mediated by self-care behaviors, which were independently associated with diabetes outcomes. Conclusions Although self-care and PPC are both important determinants of diabetes patients' health status, these effects are independent. Thus, attempts to improve diabetes outcomes must focus on both good communication and the direct enhancement of illness self-management behaviors.

scholarly journals The Relationship Of Family Support With Blood Sugar Levels In Clients With Diabetes Mellitus Type 2 In Poly Diseases In Blud Rsud Dr. Doris Sylvanus Palangka Raya

2021 ◽  
Vol 2 (6) ◽  
pp. 2061-2064
Author(s):  
Natalansyah
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Self Care ◽  
Mild Stress ◽  
Chi Square ◽  
Stress Levels ◽  
Relationship Of ◽  
Distress Scale ◽  
The Relationship

International Diabetes Federation (IDF) estimates that there is an increase in the number of people with diabetes in Indonesia from 9.1 million in 2014 to 14.1 million in 2035. Type 2 diabetes is the most common type. Diabetes is a group of metabolic diseases characterized by hyperglycemia due to defects in insulin secretion, insulin action, or both. Diabetes mellitus can cause various physical or psychological changes or disorders for clients where they must depend on diabetes management therapy. The purpose of this study was to determine the relationship of stress levels with self-care to clients of type 2 diabetes mellitus at the Internal Medicine Poly Blud Rsud dr. Doris Sylvanus. This study used a cross-sectional study design, with a purposive sampling technique, the number of samples in this study were 35 respondents, collecting data using the Summary questionnaire The Summary of Diabetes Self-Care Activities (SDSCA and Diabetes Distress Scale (DSS) and analyzed using a test chi-square The results of this study indicate that of the 20 respondents who were severely stressed 18 respondents were not good at self-care and of the 15 respondents who experienced mild stress 10 respondents were able to perform self-care well. In the chi-square test results obtained p-value = 0.001, where the value of p <α (α = 0.05) can be concluded that there is a significant relationship between stress levels and self-care were the higher the level of stress, the lower the self-care behavior.

scholarly journals The Mediator Role of Depression and Anxiety in the Relationship between Cognitive Emotional Regulation and Self-care in Type 2 Diabetes

2018 ◽  
Vol 16 (4) ◽  
pp. 37-45 ◽  
Author(s):  
Somayeh Ramesh ◽  
Mona Ghazian ◽  
Amin Rafiepoor ◽  
Ali Reza Safari ◽  
◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Emotional Regulation ◽  
Self Care ◽  
Depression And Anxiety ◽  
Mediator Role ◽  
The Relationship

scholarly journals Social support as a mediator between depressive symptoms and self-care activities in adults patient with type 2 diabetes mellitus

2021 ◽  
Author(s):  
Pandan Enggarwati ◽  
Debie Dahlia ◽  
Riri Maria
Keyword(s):  
Social Support ◽  
Type 2 Diabetes ◽  
Depressive Symptoms ◽  
Linear Regression ◽  
Path Analysis ◽  
Multiple Linear Regression ◽  
Self Care ◽  
Type 2 Dm ◽  
The Relationship

Background: People with type 2 DM are at risk of experiencing depression, which in turn can affect their self-care activities. Recent evidence has shown that social support is beneficial in reducing the risk of depression and positively affecting increases in self-care activities. However, the role of social support in the relationship between depressive symptoms and self-care activities has not been studied. This study aims to determine the mediating effects of social support on the relationship between depressive symptoms and self-care activities of people with type 2 DM.Design and methods: A cross-sectional consecutive sampling approach was used with 94 respondents with type 2 diabetes in East Jakarta, Indonesia, who were undergoing diabetes treatments during May–June 2020. The instruments used were the Centre for Epidemiologic Studies-Depression Scale (CES-D), Summary of Diabetes Self Care Activities (SDSCA), and Duke-UNC Functional Social Support Questionnaire (DUFSSQ). All three questionnaires have been tested for validity and reliability. Data analysis was carried out using multiple linear regression, path analysis, and the Sobel test.Results: The results of multiple linear regression analysis on the variables age, sex, education level, socioeconomic status, duration of type 2 DM, and complications of type 2 DM showed that only complications of type 2 diabetes affected self-care activities (p = 0,000; R2 = 0.515). The results of the path analysis and Sobel test showed that social support significantly mediated the effects of the relationship between depressive symptoms and self-care activities (z = -0,162 > table 1.96; direct effect = -0,499; indirect effect = -0,0789; total effect = 40, 3%).Conclusions: Screening for depressive symptoms and interventions involving social support are strongly suggested for patients with type 2 DM who are suspected of showing a decline in self-care activities.

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