Socio-demographic and clinical determinants of self-care in adults with type 2 diabetes: a multicentre observational study

Ausili, Davide; Rossi, Emanuela; Rebora, Paola; Luciani, Michela; Tonoli, Luca; Ballerini, Enrico; Androni, Silvia; Vellone, Ercole; Riegel, Bárbara; Mauro, Stefania Di

doi:10.1007/s00592-018-1135-x

Cited by 37 publications

(38 citation statements)

References 49 publications

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“…Comparing results across studies is challenging, however, as studies utilize multiple methods for evaluating selfcare and self-efficacy. Considering that studies utilizing the SCODI have obtained similar results (Ausili et al, 2017a(Ausili et al, , 2018Caruso et al, 2019), the current results are reassuring and lend further support for the importance of self-care efficacy.…”

Section: Discussionsupporting

confidence: 72%

“…Previous studies investigating determinants of self-care in T2DM focused on a single behavior (Bonner et al, 2016;Karimy et al, 2016;Koponen et al, 2017) or were performed without an organizing theoretical framework (Clark & Utz, 2014;Walker et al, 2014). The only study of determinants of selfcare in T2DM with a comprehensive approach guided by a theoretical framework was done in an Italian population (Ausili et al, 2018). In that study, age was associated with self-care maintenance, time from diagnosis with self-care monitoring, employment status with self-care maintenance and self-care management, and economic status with selfcare maintenance and self-care management (Ausili et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

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Clinical and Socio-demographic Determinants of Self-care Maintenance, Monitoring and Management in US Adults with Type 2 Diabetes Mellitus

et al. 2020

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The aims of this study were to describe self-care in US T2DM patients and to identify clinical and sociodemographic determinants of self-care maintenance, monitoring, and management in US T2DM patients. A secondary analysis was performed using data from a cross-sectional study done to test the psychometric performance of the Self-Care of Diabetes Inventory in US English speaking adults with diabetes. In our sample ( n = 207), self-care maintenance was adequately performed (median = 75), self-care monitoring was borderline (median = 67.6) and self-care management was poor (median = 55.6). Low income ( p = .0019) and low self-care confidence ( p < .0001) were associated with relatively lower self-care maintenance. Not taking insulin ( p = .0153) and low self-care confidence ( p < .0001) were associated with relatively low self-care monitoring. Low self-care confidence ( p < .0001) was associated with low self-care management. Self-care confidence is a strong determinant of self-care. Interventions designed to improve self-care confidence are urgently needed.

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Section: Discussionsupporting

confidence: 72%

Section: Introductionmentioning

confidence: 99%

Clinical and Socio-demographic Determinants of Self-care Maintenance, Monitoring and Management in US Adults with Type 2 Diabetes Mellitus

et al. 2020

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“…In diabetes, self-care behaviors include monitoring diet, engaging in physical activity, routinely checking blood sugar levels, medication adherence, and active foot care [27]. Good adherence with self-care behaviors has shown to be associated with improved glycemic control [28][29][30][31], fewer diabetesrelated complications [32], a decrease in the use of health services [33], and an improvement in quality of life [34].…”

Section: Introductionmentioning

confidence: 99%

Association between subthreshold depression and self-care behaviors in people with type 2 diabetes: a systematic review of observational studies

Shrestha

Al-Ghareeb³

et al. 2020

Syst Rev

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Background: Self-care behaviors in people living with type 2 diabetes are important to achieving optimal glycemic control. Major depression in type 2 diabetes is associated with decreased adherence to self-care behaviors. The association between subthreshold depression and self-care behaviors, however, has not previously been systematically reviewed. The objective of this review is to determine the association between subthreshold depression and self-care behaviors. Methods: A systematic search was performed in five electronic databases that included MEDLINE, EMBASE, PsycINFO, Emcare, and CINAHL. Any observational studies in adults with type 2 diabetes, investigating the association between subthreshold depression and any self-care behaviors, were included in the review. Qualitative studies, review articles, and gray literature were excluded. Two reviewers independently completed the title and abstract and full-text screening, appraised the study quality, and extracted the data. A third reviewer resolved any discrepancies between the reviewers if needed. Included articles were critically appraised using the Joanna Briggs Institute (JBI) Critical Appraisal Checklist. Meta-analyses were not conducted because criteria for conducting such analyses were not met. Results: A total of 6408 articles were identified through the database searching. After the abstract and full-text review, two articles met the inclusion criteria. One of the included study was cross-sectional while the other was a longitudinal study. Both studies showed inconsistent findings in the association between subthreshold depression and self-care behaviors. Important risks of bias were identified in the included studies. Discussion: The evidence from the two included studies on a possible association between subthreshold depression and self-care behaviors in adults with type 2 diabetes was not consistent and potentially biased. Our review established a gap in knowledge and suggests that further high-quality studies are needed to examine the association between subthreshold depression and self-care behaviors in people with type 2 diabetes. Systematic review registration: PROSPERO CRD42018116373

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“…No study has shown a relationship between foot care behaviours and health beliefs, social support and disease perception. In addition, diabetic foot care is a self-care requirement for individuals with diabetes (Ausili et al, 2018). Therefore, the variables examined in this study were determined according to previous studies on self-care behaviours (Ausili et al, 2018; Gurmu, Gela & Aga, 2018; Nie et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

Predictors of foot care behaviours in patients with diabetes in Turkey

Usta

Dikmen

Yorgun

et al. 2019

PeerJ

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BackgroundThe management of diabetic foot complications is challenging, time-consuming and costly. Such complications frequently recur, and the feet of individuals with diabetes can be easily infected. The variables that predict foot care behaviours must be identified to improve foot care attitudes and behaviours. Thus, this study aimed to evaluate the predictors of foot care behaviours in individuals with diabetes and the role of these variables.MethodsThis descriptive and analytic study was carried out between July 2015 and July 2016, and 368 outpatients with diabetes from a public hospital in Turkey were included. The participants had no communication, psychiatric or neurological problems and had been diagnosed with diabetes for at least 1 year. Foot care behaviour was the dependent variable and was evaluated with the foot care behaviour questionnaire. The relationship among foot care behaviours and sociodemographic characteristics, diabetes-related attitudes, disease perception, health beliefs and perceived social support was evaluated. Factors that independently predicted effective foot care behaviours were estimated via a linear regression analysis.ResultsThe foot care behaviour score of the participants was above average (54.8 ± 5.0). Gender (t = −2.38, p = 0.018), history of a foot wound (t = −2.74, p = 0.006), nephropathy (t = 3.13, p = 0.002), duration subscale of the illness perception scores (t = 2.26, p = 0.024) and personal control subscale of the health belief scores (t = −2.07, p = 0.038) were significant predictors of foot care behaviours. These variables, which provided model compatibility, accounted for approximately 22.0% of the total variance of the foot care behaviour score (R = 0.47, R2 = 0.22, F = 5.48, p ≤ 0.001).DiscussionOur results show factors that may affect diabetic foot care behaviours. Several of these factors prevent individuals from practising these behaviours. Further studies on the roles of barriers as predictors of foot care behaviours must be conducted.

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Socio-demographic and clinical determinants of self-care in adults with type 2 diabetes: a multicentre observational study

Cited by 37 publications

References 49 publications

Clinical and Socio-demographic Determinants of Self-care Maintenance, Monitoring and Management in US Adults with Type 2 Diabetes Mellitus

Clinical and Socio-demographic Determinants of Self-care Maintenance, Monitoring and Management in US Adults with Type 2 Diabetes Mellitus

Association between subthreshold depression and self-care behaviors in people with type 2 diabetes: a systematic review of observational studies

Predictors of foot care behaviours in patients with diabetes in Turkey

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