Psychosocial Correlates of Diabetes Self-management Practices
AbstractBackground: Self-Management is a crucial regimen for patients with diabetes mellitus. Many factors have affected patients' self-management practice including psychosocial factors. Literature revealed contradictory results concerning the psychosocial correlates of patients' self-management practices. Therefore, this study assessed the psychosocial correlates of diabetes self-management practices among Jordanian diabetic patients.Methods: A descriptive, cross-sectional, correlational design was utilized to collect data (conducted in the middle region of Jordan in 2015) from 341 Jordanian outpatients with diabetes using self-reported questionnaires (Social Support Scale, CES-D, and Summary of Diabetes Self-Care Activities) and chart review.Results: Participants reported practice rate of 2.85/ 7 (SD=1.3), with diet practice the most (M=3.66, SD=1.5) and exercise the least (M=1.53, SD=2.1). Participants reported receiving social support (M=3.23, SD=1.3) less than needed (M=3.39, SD=1.3). High levels of depressive symptoms were reported (M=17.1, SD= 11.4). Diet practices had significant positive correlation with family support attitude (r= .266, P= .000) and negative correlation with depressive symptoms (r= - .114, P= .037). Testing blood sugar significantly correlated with both support needed (r= .144, P= .008) and support received (r= .166, P= .002).Conclusion: Jordanian DM patients were found to practice less than optimum DM self-management practices, and to consider diet practices than exercise practices. This study confirmed that the subcategories of DM self-care management should be considered rather than considering the general plan.
International Diabetes Federation. IDF diabetes atlas, update 2012. http://www.indiaenvironmentportal.org.in/files/file/diabetes%20atlas%202012.pdf
Shaw JE, Sicree RA, Zimmet PZ (2010). Global estimates of the prevalence of diabetes for 2010 and 2030. Diabetes Res Clin Pract, 87 (1): 4-14.
Abdallah S, Ahmad A, Bataieha A, Ajlouni K (2007). Diabetes mellitus: The leading cause of hemodialysis in Jordan. East Mediterr Health J, 13 (4): 803-9.
Zindah M, Belbeisi A, Walke H, Mokdad A (2008). Obesity and diabetes in Jordan: Findings from the behavioral risk factor surveillance system, 2004. Prev Chronic Dis, 5 (1):A17.
Abdel-Aal NM, Ahmad AT, Froelicher ES, et al (2008). Prevalence of dyslipidemia in patients with type 2 diabetes in Jordan. Saudi Med J, 29 (10): 1423-8.
Al-Amer RM, Sobeh MM, Zayed AA, Al-domi HA (2011). Depression among adults with diabetes in Jordan: risk factors and relationship to blood sugar control. J Diabetes Complications, 25(4): 247-252.
Abu Ali R, Al Hajeri R, Khader Y, Shegem N, Ajlouni K (2008). Sexual dysfunction in Jordanian diabetic women. Diabetes Care, 31 (8): 1580–81.
Glasgow R, Funnell M, Bonomie A, Davis C, Beckham V (2002). Self-Management Aspects of the Improving Chronic Illness Care Breakthrough Series: Implementation with Diabetes and Heart Failure Teams. Ann Behav Med, 24(2): 80-7.
Audulv A, Asplund K, Norbergh K (2012). The integration of chronic illness self-management. Qual Health Res, 22 (3): 332–45.
Al-Khawaldeh OA, Al-Hassan MA, Froelicher ES (2012). Self-efficacy, self-management, and glycemic control in adults with type 2 diabetes mellitus. J Diabetes Complications, 26 (1): 10-6.
Al-Qazaz H, Sulaiman S, Hassali M, et al (2011). Diabetes knowledge, medication adherence and glycemic control among patients with type 2 diabetes. Int J Clin Pharm, 33(6):1028-35.
Arcury T, Grzvwacz J, Ip E, et al (2012). Social Integration and Diabetes Management among Rural Older Adults. J Aging Health, 24 (6): 899-922.
Daly J, Harts A, Xu Y, et al (2009). An assessment of attitude, behaviors, and outcomes of patients with type 2 diabetes. J Am Board Fam Med, 22 (3): 280-90.
Dixon J, Browne J, Mosely K, Rice T, Jones K, Speight J (2014). Severe obesity and diabetes self-care attitudes, behaviours and burden: Implications for weight management from a matched case-controlled study. Diabet Med, 31 (2): 232-240.
Mosha T, Rashidi H (2009). Evaluation of self-care practices and emotional distress among people with type 2 diabetes mellitus in Dar Es Salaam, Tanzania. Ecol Food Nutr, 48 (2): 89-111.
Yusuff K, Obe O, Joseph B (2008). Adherence to anti-diabetic drug therapy and self management practices among type-2 diabetics in Nigeria. Pharm World Sci, 30(6): 876-83.
Peyrot M, Rubin R, Lauritzen T, Snoek F, Matthews D, Skovlund E (2005). Psychosocial problems and barriers to improved diabetes management: Results of the cross-national diabetes attitudes, wishes and needs (DAWN) study. Diabet Med, 22 (10): 1379-1385.
Huang M, Courteny M, Edwards H, McDowell J (2010). Factors that affect health outcomes in adults with type 2 diabetes: A cross-sectional study. Int J Nurs Stud, 47 (5): 542-9.
Fortman A, Gallo L, Walker C (2010). Support for disease management, depression, self-care, and clinical indicators among Hispanics with type 2 diabetes in San Diego County, United States of America. Rev Panam Salud Publica, 28 (3): 230–4.
Schiotz M, Bogeland M, Almdal T, Jensen B, Willaing I (2012). Education and Psychological Aspects Social support and self-management behaviour among patients with Type 2 diabetes. Diabet Med, 29 (5): 654-61.
Watkins Y, Quinn L, Ruggiero L, Quinn M, Choi Y (2013). Spiritual and religious beliefs and practices and social support’s relationship to diabetes self-care activities in African Americans. Diabetes Educ, 39 (2): 231-9.
Shakibazadeh E, Larijani B, Shojaeezadeh D, et al(2011). Patients’ Perspectives on Factors that Influence Diabetes Self-Care. Iran J Pub Health, 40 (4): 146-158.
Wilkinson A, Whitehead L, Ritchie L (2014). Factors influencing the ability to self-manage diabetes for adults living with type 1 or 2 diabetes. Int J Nurs Stud, 51(1):111-22.
Osborn C, Egede L (2012). The relationship between depressive symptoms and medication nonadherence in type 2 diabetes: the role of social support. Gen Hosp Psychiatry, 34 (3): 249-253.
Hessler D, Fisher L, Naranjo D, Masharani U (2012). Young adult African American patients with type 2 diabetes: A high risk patient sub-group with few supports for good diabetes management. J Health Psychol, 17 (4): 535-544.
Rosland A, Heisler M, Choi H, Silveria M, Piette, J (2010). Family influences on self-management among functionally independent adults with diabetes or heart failure: do family members hinder as much as they help? Chronic Illn, 6(1): 22-33.
Song Y, song H, Han H, Park S, Nam S, Kim M (2012). Unmet Needs for Social Support and Effects on Diabetes Self-care Activities in Korean Americans with Type 2 diabetes. Diabetes Educ, 38 (1): 77-85.
Gucciardi E, Wang S, DeMelo M, Amaral L, Stewart D (2008). Characteristics of men and women with diabetes observations during patients’ initial visit to a diabetes education centre. Can Fam Physician, 54 (2): 219-227.
Naranjo D, Hessler D, Deol R, Chesla C (2012). Health and psychosocial outcomes in U.S. adult patients with diabetes from diverse ethnicities. Curr Diab Rep, 12 (6): 729-38.
Snoek FJ, Kersch NY, Eldrup E, et al (2011). Monitoring of Individual Needs in Diabetes (MIND): baseline data from the cross-national Diabetes Attitudes, Wishes, and Needs (DAWN) MIND study. Diabetes Care, 34 (3): 601-3.
Zulman DM, Rosland AM, Choi H, et al (2012). The influence of diabetes psychosocial attributes and self-management practices on change in diabetes status. Patient Educ Couns, 87 (1): 74-80.
Rogvi S,Tapager I, Almdal T, Schiotz M, Willaing I (2012). Patient factors and glycaemic control – associations and explanatory power. Diabet Med, 29(10):e382-9.
Cohen J (1992). A power primer. Psychol Bull, 112 (1): 155-159.
Michigan Diabetes Research and Training Center. Diabetes Care Profile. Michigan Diabetes Research and Training Center (1998). http://www.med.umich.edu/mdrtc/profs/documents/svi/dcp.pdf
Radloff LS (1977). The CES-D scale: A self-report depression scale for research in the general population. Appl Psychol Meas, 1 (3): 385-401.
Toobert D, Hapson S, Glasgow R (2000). The summary of diabetes self-care activities measure. Diabetes Care, 23 (7): 943-50.
Johnson S (1992). Methodological issues in diabetes research. Diabetes Care, 15 (11): 1658-67.
Khalil A, Darawad M, El gammal E, et al (2013). Predictors of dietary and fluid nonadherence in Jordanian patients with end-stage renal disease receiving hemodialysis: A cross-sectional study. J Clin Nurs, 22(1-2): 127-36.
Mosleh S, Darawad M (2015). Patients' adherence to healthy behavior in coronary heart disease: Risk factor management among Jordanian patients. J Cardiovasc Nurs, 30 (6): 471-8.
Gatt S, Sammut R (2008). An exploratory study of predictors of self-care behavior in persons with type 2 diabetes. Int J Nurs Stud, 45 (10): 1525-33.
Alramly M, Khalil A, Darawad M (2013). Slowing the progression of chronic kidney disease: Comparison between predialysis and dialysis Jordanian patients. Ren Fail, 35 (10): 1348-52.
Karlsen B, Oftedal B, Bru E (2012). The relationship between clinical indicators, coping styles, perceived support and diabetes‐related distress among adults with type 2 diabetes. J Adv Nurs, 68 (2): 391-401.
Yacoub M, Demeh W, Darawad M, et al (2014). An assessment of diabetes-related knowledge among registered nurses working in hospitals in Jordan. Int Nurs Rev,61 (2): 255-62.
Yacoub M, Demeh W, Barr J, et al (2015). Outcomes of diabetes educational program for registered nurses caring for persons with diabetes. J Contin Educ Nurs, 46 (3): 129-33.