المؤلفون: Ali Kerari

المصدر: Nursing Open, Vol 10, Iss 9, Pp 6408-6415 (2023)

مصطلحات موضوعية: diabetes self‐management, factor analysis, psychometric properties, Saudi Arabia, self‐efficacy, type 2 diabetes, Nursing, RT1-120

الوصف: Abstract Aim To assess the psychometric properties of the Arabic version of the Diabetes Self‐Efficacy Scale (A‐DSES). Design This study used a cross‐sectional design. Methods This study recruited 154 Saudi adults with type 2 diabetes at two primary healthcare centres in Riyadh, Saudi Arabia. Its instruments were the Diabetes Self‐Efficacy Scale and the Diabetes Self‐Management Questionnaire. The psychometric properties of the A‐DSES were assessed for reliability, including internal consistency and validity using exploratory factor analysis, confirmatory factor analysis and criterion validity. Results The item‐total correlation coefficients were >0.30 for all items, ranging from 0.46 to 0.70. The Cronbach's alpha for internal consistency was 0.86. One factor was extracted from the exploratory factor analysis (self‐efficacy for diabetes self‐management), and the one‐factor model showed an acceptable fit to the data in the confirmatory factor analysis. Diabetes self‐efficacy levels were positively correlated with diabetes self‐management skills (r = 0.40, p

وصف الملف: electronic resource

العلاقة: https://doaj.org/toc/2054-1058Test

الوصول الحر: https://doaj.org/article/47be4b08a37846779b4cd95579804603Test

المؤلفون: Bernard Afriyie Owusu, Prince Ofori‐Boateng, Angus Forbes, David Teye Doku

المصدر: Nursing Open, Vol 10, Iss 4, Pp 2426-2438 (2023)

مصطلحات موضوعية: Covid‐19, diabetes mellitus, diabetes self‐management education, health literacy, juvenile diabetes, knowledge, Nursing, RT1-120

الوصف: Abstract Aims and Objective We sought to investigate knowledge and skills of type 1 diabetes (T1D) management among young people living with the disease and their caregivers. Our aim is to provide baseline evidence to inform T1D self‐management education for young people living with the disease and their caregivers. Background Both local and international guidelines recommend ongoing T1D self‐management education for people living with the disease. This is because T1D often develops among young people who rarely have the competencies to adequately manage their condition. However, the extent to which young people living with T1D and their caregivers can self‐manage this chronic disease in a low‐resource country like Ghana is unknown. Methods Using a phenomenological study design, semi‐structured interviews were conducted with 28 young people living with type 1 diabetes, 12 caregivers and 6 healthcare providers in southern Ghana. Data were collected at homes, hospitals and support group centres of participants via face‐to‐face interviews, photovoice and video‐conferencing. The data were analysed thematically using QSR NVivo 11. Results The young people living with T1D and their caregivers demonstrated knowledge and skills in the self‐monitoring of blood glucose, and the treatment of hyperglycaemia. Areas of more marginal or lack of knowledge were concerning carbohydrate counting, severe hypoglycaemia and the management of intercurrent illnesses. Young persons living with T1D and their caregivers received their management information from healthcare and non‐healthcare providers. Access to diabetes self‐management education influenced T1D management knowledge and practices. Conclusion Young people living with type 1 diabetes and their caregivers possessed limited scope of knowledge on type 1 diabetes self‐management. Multiple sources of T1D knowledge were found, some of which may not be helpful to patients. The knowledge gaps identified compromises transitional independence and self‐management capacity. Relevance to Clinical Practice It is important for clinicians and organizations that provide T1D education to provide diabetes self‐management education also on managing hypoglycaemia, carbohydrate counting and managing T1D during intercurrent life events among young people living with T1D. No Patient or Public Contribution Patients and their caregivers were interviewed as research participants. They did not conceptualize, analyse, interpret or prepare the manuscript.

وصف الملف: electronic resource

العلاقة: https://doaj.org/toc/2054-1058Test

الوصول الحر: https://doaj.org/article/3064dd9e56e541688e3b519f2b0873dcTest

المؤلفون: Hsin‐Hui Katty Tseng, Manka Nkimbeng, Hae‐Ra Han

المصدر: Nursing Open, Vol 9, Iss 5, Pp 2425-2433 (2022)

مصطلحات موضوعية: African Americans, diabetes, diabetes self‐management, gender‐specific differences, psychosocial characteristics, Nursing, RT1-120

الوصف: Abstract Aims To characterize differences in psychosocial variables between inner‐city African American men and women with type 2 diabetes, and to test if the relationships between psychosocial variables and diabetes self‐management behaviours differ by gender. Design Secondary analysis. Methods We used baseline data from participants enrolled in the Prevention through Lifestyle Intervention and Numeracy 4 Success‐Diabetes study (N = 37). Differences in psychosocial variables between genders were compared using chi‐square tests. A two‐way analysis of variance was then used to compare self‐management scores by different psychosocial characteristics and gender. Results There was no statistically significant difference in psychosocial characteristics between genders. High diabetes knowledge and self‐efficacy were associated with better self‐management behaviours in African American women but not in men. In contrast, high numeracy was associated with better diabetes self‐management only in men. Low depression, high health literacy, and high social support were associated with better self‐management practices in both genders.

وصف الملف: electronic resource

العلاقة: https://doaj.org/toc/2054-1058Test

الوصول الحر: https://doaj.org/article/e641012b6d5c405bb2b25d1ab39ff604Test

المؤلفون: Nagaaki Tanaka, Daisuke Yabe, Kenta Murotani, Yuko Yamaguchi, Yuki Fujita, Sodai Kubota, Rena Nakashima‐Yasuda, Saki Kubota‐Okamoto, Shinji Ueno, Yuji Yamazaki, Hitoshi Kuwata, Koin Watanabe, Takanori Hyo, Yoshiyuki Hamamoto, Takeshi Kurose, Hiroko Higashiyama, Yusuke Seino, Yuichiro Yamada, Yutaka Seino

المصدر: Journal of Diabetes Investigation, Vol 12, Iss 12, Pp 2221-2231 (2021)

مصطلحات موضوعية: Diabetes Card System Program, Diabetes self‐management education, Japan Association of Diabetes Education and Care, Diseases of the endocrine glands. Clinical endocrinology, RC648-665

الوصف: Abstract Aims/Introduction This 6‐month, single‐center, prospective, open‐labeled, randomized trial was designed to investigate whether physicians’ diabetes self‐management education using an education tool developed by the Japan Association of Diabetes Education and Care and a self‐monitoring of blood glucose (SMBG) analyzer improves glycemic control in individuals with type 2 diabetes receiving insulin and SMBG. Materials and Methods Participants were randomized into intervention (I) and control (C) groups. Both groups received physicians’ diabetes self‐management education at each hospital visit, whereas the Japan Association of Diabetes Education and Care education tool and the SMBG readings analyzer was used in group I, but not group C. All participants filled out a diabetes treatment‐related quality of life form and an original questionnaire on SMBG use with five questions (Q1–Q5) before and after the study period. Results A total of 76 individuals were recruited and randomized. Glycated hemoglobin (HbA1c) was significantly improved during the study period in group I, whereas no significant change was observed in group C. The change in HbA1c was greater in group I, although it did not reach statistical significance. The diabetes treatment‐related quality of life total score was not changed in either group. Interestingly, the score of Q1 (“How important is SMBG to you?”) in the SMBG questionnaire was unchanged in group I, whereas it was significantly decreased in group C. HbA1c change was independently associated with changes in insulin dose and SMBG Q1 score. Conclusion Greater HbA1c‐lowering by physicians’ diabetes self‐management education using the Japan Association of Diabetes Education and Care education tool and SMBG analyzer in individuals with type 2 diabetes receiving insulin and SMBG was suggested, but not confirmed.

وصف الملف: electronic resource

العلاقة: https://doaj.org/toc/2040-1116Test; https://doaj.org/toc/2040-1124Test

الوصول الحر: https://doaj.org/article/492838673f784d1eaab021f76345d354Test

المؤلفون: Arbaktun Mohamed, Emily Staite, Khalida Ismail, Kirsty Winkley

المصدر: Nursing Open, Vol 6, Iss 4, Pp 1424-1437 (2019)

مصطلحات موضوعية: Asian Western Pacific region, diabetes self‐management education, interventions, systematic review, type 2 diabetes mellitus, Nursing, RT1-120

الوصف: Abstract Aims and objectives To assess the effectiveness of educational and/or psychological diabetes self‐management education (DSME) intervention for people with type 2 diabetes (T2DM) in the Asian Western Pacific (AWP) region. Background Translational research indicates that DSME is effective; therefore, it is important to look at the AWP region to see what has been implemented and what the potential barriers are for the low integration of DSME. The need for DSME is present, and programmes are being developed. Therefore, focusing a systematic review of DSME research in the AWP region would give a better understanding of which intervention approaches are associated with better clinical outcomes and are culturally acceptable. Design A systematic review. Methods A review of randomized controlled trials (RCTs) and comparative studies to evaluate the effectiveness of face‐to‐face delivery reporting educational and/or psychological interventions for people with T2DM was implemented. We conducted searches using MEDLINE, EMBASE, CINAHL, PubMed and ASSIA databases between January 1990–June 2018. Studies published in English and non‐English were included. Two reviewers independently extracted data on participant and intervention characteristics. The quality of evidence was rated on predetermined criteria. Main outcomes included glycaemic control (reduction in HbA1c level). Results We included 21 DSME programmes (17 RCTs), while 15 were group‐based approaches. Twelve studies (60%) were categorized as high quality. Three studies (25%) had a moderate (good) effect. Eight trials were effective in improving glycaemic control and reported statistically significant improvements in HbA1c levels. 50% of these were high‐intensity group‐based programmes.

وصف الملف: electronic resource

العلاقة: https://doaj.org/toc/2054-1058Test

الوصول الحر: https://doaj.org/article/26bf16f947b94df5bd86736442fe845eTest

المؤلفون: Shinji Ueno, Rena Nakashima-Yasuda, Yoshiyuki Hamamoto, Koin Watanabe, Hitoshi Kuwata, Yusuke Seino, Yuki Fujita, Nagaaki Tanaka, Takeshi Kurose, Yuji Yamazaki, Kenta Murotani, Yutaka Seino, Yuichiro Yamada, Hiroko Higashiyama, Daisuke Yabe, Sodai Kubota, Yuko Yamaguchi, Saki Kubota-Okamoto, Takanori Hyo

المصدر: Journal of Diabetes Investigation, Vol 12, Iss 12, Pp 2221-2231 (2021)
Journal of Diabetes Investigation

مصطلحات موضوعية: Blood Glucose, Male, endocrine system diseases, Endocrinology, Diabetes and Metabolism, medicine.medical_treatment, Type 2 diabetes, Japan Association of Diabetes Education and Care, law.invention, chemistry.chemical_compound, Japan, Randomized controlled trial, Quality of life, law, Insulin, Medicine, Prospective Studies, Articles, General Medicine, Middle Aged, Clinical Science and Care, Treatment Outcome, Original Article, Female, Diabetes Card System Program, medicine.medical_specialty, Glycemic Control, Diseases of the endocrine glands. Clinical endocrinology, Patient Education as Topic, Diabetes mellitus, Statistical significance, Internal Medicine, Humans, Hypoglycemic Agents, Aged, Glycemic, Glycated Hemoglobin, business.industry, Blood Glucose Self-Monitoring, Self-Management, Diabetes self‐management education, nutritional and metabolic diseases, RC648-665, medicine.disease, Diabetes Mellitus, Type 2, chemistry, Quality of Life, Physical therapy, Glycated hemoglobin, business, Program Evaluation

الوصف: Aims/Introduction This 6‐month, single‐center, prospective, open‐labeled, randomized trial was designed to investigate whether physicians’ diabetes self‐management education using an education tool developed by the Japan Association of Diabetes Education and Care and a self‐monitoring of blood glucose (SMBG) analyzer improves glycemic control in individuals with type 2 diabetes receiving insulin and SMBG. Materials and Methods Participants were randomized into intervention (I) and control (C) groups. Both groups received physicians’ diabetes self‐management education at each hospital visit, whereas the Japan Association of Diabetes Education and Care education tool and the SMBG readings analyzer was used in group I, but not group C. All participants filled out a diabetes treatment‐related quality of life form and an original questionnaire on SMBG use with five questions (Q1–Q5) before and after the study period. Results A total of 76 individuals were recruited and randomized. Glycated hemoglobin (HbA1c) was significantly improved during the study period in group I, whereas no significant change was observed in group C. The change in HbA1c was greater in group I, although it did not reach statistical significance. The diabetes treatment‐related quality of life total score was not changed in either group. Interestingly, the score of Q1 (“How important is SMBG to you?”) in the SMBG questionnaire was unchanged in group I, whereas it was significantly decreased in group C. HbA1c change was independently associated with changes in insulin dose and SMBG Q1 score. Conclusion Greater HbA1c‐lowering by physicians’ diabetes self‐management education using the Japan Association of Diabetes Education and Care education tool and SMBG analyzer in individuals with type 2 diabetes receiving insulin and SMBG was suggested, but not confirmed.
Use of the newly developed Japan Association of Diabetes Education and Care Diabetes Education Card System Program with a self‐monitoring of blood glucose readings analyzer improves glycated hemoglobin, likely by facilitating patient–physician interaction in individuals receiving insulin and self‐monitoring of blood glucose.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::f194d506b3a0102e293f3b113db18daaTest
https://doi.org/10.1111/jdi.13607Test

المؤلفون: Olatunde Odusan, Adesoji Adedipe Fasanmade, Abimbola Oluwatosin, Lucia Yetunde Ojewale

المصدر: Nursing Open

مصطلحات موضوعية: medicine.medical_specialty, diabetes self‐management, business.industry, media_common.quotation_subject, Family support, Patient characteristics, Mean age, Diabetes self management, Type 2 diabetes, Diabetes education, medicine.disease, behavioral disciplines and activities, family support, south‐west Nigeria, Family medicine, Perception, Diabetes mellitus, mental disorders, Medicine, type 2 diabetes, business, General Nursing, Research Article, media_common

الوصف: Aim To determine the association between patients' characteristics, perception of family support and diabetes self‐management (DSM) behaviours among type 2 diabetes patients. Design A descriptive cross‐sectional design was used and data were collected between July–September 2016. The study is part of a larger quasi‐experimental study. Methods One hundred and ninety‐seven diabetes mellitus (DM) patients from two teaching hospitals in south‐west Nigeria participated. Questionnaire was used in collecting information on sociodemographic, clinical data, DSM and perception of family support. Results Most (71.6%) of the participants were females and 35% were on insulin therapy. Mean age was 60.7 (SD: 11.3) years and 11.7% had had DM for over 20 years. Overall, DSM was positively influenced by previous diabetes education and duration of diabetes. Perception of family support was also positively associated with and influenced DSM.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::c7c496d42624139f4195cda932a947ecTest
https://doi.org/10.1002/nop2.236Test

المؤلفون: Manish Khanolkar, Rinki Murphy, Ralph Maddison, Catherine McNamara, Yannan Jiang, Rosie Dobson, Matthew Shepherd, Robyn Whittaker, Richard Cutfield

المصدر: Diabetic Medicine

مصطلحات موضوعية: Adult, Male, medicine.medical_specialty, Native Hawaiian or Other Pacific Islander, Randomization, Adolescent, Long term follow up, Endocrinology, Diabetes and Metabolism, 030209 endocrinology & metabolism, Diabetes self management, Glycemic Control, Text message, White People, law.invention, Young Adult, 03 medical and health sciences, 0302 clinical medicine, Endocrinology, Educational and Psychological Aspects, Randomized controlled trial, Group differences, law, Internal medicine, Diabetes mellitus, Diabetes Mellitus, Internal Medicine, Humans, Medicine, 030212 general & internal medicine, Research Articles, Uncategorized, Aged, Randomized Controlled Trials as Topic, Glycated Hemoglobin, Text Messaging, business.industry, Self-Management, Middle Aged, medicine.disease, Research: Educational and Psychological Aspects, Usual care, Female, business, Follow-Up Studies, New Zealand

الوصف: Aims To determine the long‐term effectiveness of an individually tailored text‐message diabetes self‐management support programme, SMS4BG, on glycaemic control at 2 years in adults with diabetes with an HbA1c concentration > 64 mmol/mol (8%). Methods We conducted a 2‐year follow‐up of a two‐arm, parallel, randomized controlled trial across health services in New Zealand. Participants were English‐speaking adults with type 1 or 2 diabetes and with an HbA1c >64 mmol/mol (8%). In the main trial participants randomized to the intervention group (N=183) received up to 9 months of an automated tailored text‐message programme in addition to usual care. Participants in the control group (N=183) received usual care for 9 months. In this follow‐up study, 293 (80%) of 366 randomized participants in the main trial were included. The primary outcome measure was change in glycaemic control (HbA1c) from baseline to 2 years. Mixed‐effect models were used to compare the group differences at 3, 6, 9 and 24 months, adjusted for baseline HbA1c and stratification factors (health district category, diabetes type and ethnicity). Results The decrease in HbA1c at 2 years was significantly greater in the intervention group [mean (sd) –10 (18) mmol/mol or –0.9 (1.6)%] compared with the control group [mean (sd) –1 (20) mmol/mol or –0.1 (1.8)%], with an adjusted mean difference of –9 mmol/mol (95% CI –14, –5) or –0.8% (95% CI –1.2, –0.4; P
What's new? Innovative interventions are needed to address the growing burden of diabetes and its associated long‐term complications.Text‐messaging interventions are ideal for expanding self‐management support for people with diabetes given the ubiquity of mobile phones and their reach among people in their everyday lives where self‐management of diabetes is crucial.This study provides evidence that improvements in glycaemic control resulting from an automated text‐message diabetes self‐management support programme are sustained at 2 years.Text messaging can be an effective way of providing individually tailored support to people with diabetes outside the clinic environment.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::9bb4961cea47b4a2c7c007955297dc89Test
https://doi.org/10.1111/dme.14182Test

المؤلفون: Kirsty Winkley, Emily Staite, Khalida Ismail, Arbaktun Mohamed

المصدر: Nursing Open, Vol 6, Iss 4, Pp 1424-1437 (2019)
Nursing Open

مصطلحات موضوعية: medicine.medical_specialty, type 2 diabetes mellitus, Psychological intervention, MEDLINE, Translational research, CINAHL, Type 2 diabetes, diabetes self‐management education, law.invention, Randomized controlled trial, systematic review, law, Intervention (counseling), medicine, interventions, General Nursing, Research Articles, lcsh:RT1-120, lcsh:Nursing, business.industry, Type 2 Diabetes Mellitus, medicine.disease, Family medicine, Asian Western Pacific region, business, Research Article

الوصف: Aims and objectives To assess the effectiveness of educational and/or psychological diabetes self‐management education (DSME) intervention for people with type 2 diabetes (T2DM) in the Asian Western Pacific (AWP) region. Background Translational research indicates that DSME is effective; therefore, it is important to look at the AWP region to see what has been implemented and what the potential barriers are for the low integration of DSME. The need for DSME is present, and programmes are being developed. Therefore, focusing a systematic review of DSME research in the AWP region would give a better understanding of which intervention approaches are associated with better clinical outcomes and are culturally acceptable. Design A systematic review. Methods A review of randomized controlled trials (RCTs) and comparative studies to evaluate the effectiveness of face‐to‐face delivery reporting educational and/or psychological interventions for people with T2DM was implemented. We conducted searches using MEDLINE, EMBASE, CINAHL, PubMed and ASSIA databases between January 1990–June 2018. Studies published in English and non‐English were included. Two reviewers independently extracted data on participant and intervention characteristics. The quality of evidence was rated on predetermined criteria. Main outcomes included glycaemic control (reduction in HbA1c level). Results We included 21 DSME programmes (17 RCTs), while 15 were group‐based approaches. Twelve studies (60%) were categorized as high quality. Three studies (25%) had a moderate (good) effect. Eight trials were effective in improving glycaemic control and reported statistically significant improvements in HbA1c levels. 50% of these were high‐intensity group‐based programmes.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::b23ab6f4fbd3995823e275d139072597Test
https://doaj.org/article/26bf16f947b94df5bd86736442fe845eTest

المؤلفون: Sue Pearson, Toni Nash, Vanessa Ireland

المصدر: Journal of Foot and Ankle Research, Vol 7, Iss 1, Pp n/a-n/a (2014)

مصطلحات موضوعية: Diabetes self‐management, Depressive symptoms, Foot ulcers, PHQ‐9, Antidepressants, Quality of life, Diseases of the musculoskeletal system, RC925-935

الوصف: Abstract Background The purpose of this study was to examine the prevalence of depressive symptoms, diabetes self‐management, and quality of life in people with diabetes and foot ulcers. Ulcer status, mortality and amputations were also assessed at six months follow‐up. Methods This was a cross‐sectional survey of people attending outpatient podiatry clinics at a major tertiary referral hospital. Depressive symptoms were measured using the Patient Health Questionnaire (PHQ). Diabetes self‐care was assessed using the Summary of Diabetes Self Care Activities (SDSCA) measure. Health‐related quality of life was measured using the physical component summary score (PCS) and the mental component summary score (MCS) of the SF‐12. Results Of the 60 participants in the study 14 (23.3%) reported mild symptoms of depression (PHQ score 5‐9) and 17 (28.3%) moderate to severe depressive symptoms (PHQ score > 9). Twenty‐one (35%) met the criteria for previously recognized depression (on antidepressants and/or a diagnosis of depression in the last 12 months) and 17 (28.3%) for depression not previously recognized (PHQ > 4). Seventeen (28%) participants had been receiving antidepressant treatment for a median duration of 104 weeks (IQR 20, 494 weeks). Despite antidepressant treatment 12 participants (70.6% of those taking antidepressants) still reported moderate to severe depressive symptoms at the time of the study. Patients with PHQ scores > 4 reported poorer adherence to diabetes self‐care activities including general diet, exercise, blood sugar monitoring and foot care when compared to those participants with PHQ scores < 5. No association was found between physical functioning (PCS) and depressive symptoms. Decreasing mental wellbeing (MCS) was associated with increasing depressive symptoms. At six months follow‐up, there were three deaths and three amputations in participants with PHQ scores > 4 compared with no deaths and 2 amputations in participants with PHQ scores < 5. There was no association between depressive symptoms and ulcer healing or ulcer recurrence at the six‐month follow‐up. Conclusions This study found a high prevalence of depressive symptoms both recognized and unrecognized in people with diabetes and foot ulcers. Depressive symptoms were associated with overall poorer diabetes self‐management and health‐related quality of life (HRQoL). There was no association between depressive symptoms and ulcer outcomes at six‐months follow‐up.

وصف الملف: electronic resource

العلاقة: https://doaj.org/toc/1757-1146Test

الوصول الحر: https://doaj.org/article/20b36a5967174ab58c4836f688b3b7deTest