Living with type 2 diabetes: A social cognitive perspective on adherence
This mixed methods study examines the relationship between outcome expectations, self-efficacy, and self-care behaviors in individuals with type 2 diabetes (T2DM). It also explores the personal values motivating these behaviors through in-depth interviews. Adults with T2DM (n = 108, M age = 57 years...
Gespeichert in:
| Veröffentlicht in: | Patient education and counseling 2024-07, Vol.124, p.108275-108275, Article 108275 |
|---|---|
| Hauptverfasser: | , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 108275 |
|---|---|
| container_issue | |
| container_start_page | 108275 |
| container_title | Patient education and counseling |
| container_volume | 124 |
| creator | Mihalko, Shannon L. Cox, Phillip Danhauer, Suzanne C. Kirk, Julienne K. Black, Heather L. Shumaker, Sally A. |
| description | This mixed methods study examines the relationship between outcome expectations, self-efficacy, and self-care behaviors in individuals with type 2 diabetes (T2DM). It also explores the personal values motivating these behaviors through in-depth interviews.
Adults with T2DM (n = 108, M age = 57 years, 58% female, 48% Black) completed questionnaires and participated in in-depth interviews using a laddering technique.
Ordinary least squares regression models were used to analyze the relationships between self-efficacy, outcome expectations, and four self-care behaviors (physical activity, dietary choices, blood glucose monitoring, and medication usage). The findings indicate that self-efficacy is significantly and positively associated with diet and physical activity. Both outcome expectations for blood glucose testing and self-efficacy are significantly and positively associated with self-reported monitoring. However, neither outcome expectation nor self-efficacy is associated with medication usage. The in-depth interviews revealed three common values related to self-care behaviors: maintaining health and longevity, agentic values of self-control, achievement, and self-esteem, and a sense of belonging.
This study sheds light on the complexity of diabetes self-management, offering insights into individuals' values, behavioral strategies, and the influence of control perceptions on this relationship, revealing both differences and commonalities in stated values.
By understanding how personal values drive diabetes self-care behaviors, practitioners can assist patients in establishing meaningful connections between their values and the challenges of living with diabetes.
•Balancing personal values with diabetes management can be a challenge for patients.•Discrepancies between personal values and diabetes self-care are influenced by self-efficacy.•Recognizing personal values' impact on self-care helps practitioners provide targeted support.•Commonalities in values emerged, including health and longevity, agency, and belonging. |
| doi_str_mv | 10.1016/j.pec.2024.108275 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_3033009728</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0738399124001423</els_id><sourcerecordid>3033009728</sourcerecordid><originalsourceid>FETCH-LOGICAL-c305t-49d85387f4fe26fab0da75294777e1200f2b9a967b4f54c9c0d85928895e8d4f3</originalsourceid><addsrcrecordid>eNp9kD1PwzAQhi0EoqXwA1iQR5YUfyW2YUIVUKRKLDBbjnNpXbVJsNOi_ntcWhiZ7k567j3dg9A1JWNKaHG3HHfgxowwkWbFZH6ChlRJnuWUi1M0JJKrjGtNB-gixiUhpCgEPUcDrvJCc6aGaDrzW9_M8ZfvF7jfdYAZrrwtoYd4jx9xbJ23K-zaeeN7vwXcQYjp6k_fNthWCwjQOLhEZ7VdRbg61hH6eH56n0yz2dvL6-RxljlO8j4TulI5V7IWNbCitiWprMyZFlJKoIyQmpXa6kKWos6F044kXjOldA6qEjUfodtDbhfazw3E3qx9dLBa2QbaTTSccE6IlkwllB5QF9oYA9SmC35tw85QYvYCzdKkV8xeoDkITDs3x_hNuYbqb-PXWAIeDgCkJ7cegonO7wVUPiQtpmr9P_Hf5bR_SA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3033009728</pqid></control><display><type>article</type><title>Living with type 2 diabetes: A social cognitive perspective on adherence</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals</source><creator>Mihalko, Shannon L. ; Cox, Phillip ; Danhauer, Suzanne C. ; Kirk, Julienne K. ; Black, Heather L. ; Shumaker, Sally A.</creator><creatorcontrib>Mihalko, Shannon L. ; Cox, Phillip ; Danhauer, Suzanne C. ; Kirk, Julienne K. ; Black, Heather L. ; Shumaker, Sally A.</creatorcontrib><description>This mixed methods study examines the relationship between outcome expectations, self-efficacy, and self-care behaviors in individuals with type 2 diabetes (T2DM). It also explores the personal values motivating these behaviors through in-depth interviews.
Adults with T2DM (n = 108, M age = 57 years, 58% female, 48% Black) completed questionnaires and participated in in-depth interviews using a laddering technique.
Ordinary least squares regression models were used to analyze the relationships between self-efficacy, outcome expectations, and four self-care behaviors (physical activity, dietary choices, blood glucose monitoring, and medication usage). The findings indicate that self-efficacy is significantly and positively associated with diet and physical activity. Both outcome expectations for blood glucose testing and self-efficacy are significantly and positively associated with self-reported monitoring. However, neither outcome expectation nor self-efficacy is associated with medication usage. The in-depth interviews revealed three common values related to self-care behaviors: maintaining health and longevity, agentic values of self-control, achievement, and self-esteem, and a sense of belonging.
This study sheds light on the complexity of diabetes self-management, offering insights into individuals' values, behavioral strategies, and the influence of control perceptions on this relationship, revealing both differences and commonalities in stated values.
By understanding how personal values drive diabetes self-care behaviors, practitioners can assist patients in establishing meaningful connections between their values and the challenges of living with diabetes.
•Balancing personal values with diabetes management can be a challenge for patients.•Discrepancies between personal values and diabetes self-care are influenced by self-efficacy.•Recognizing personal values' impact on self-care helps practitioners provide targeted support.•Commonalities in values emerged, including health and longevity, agency, and belonging.</description><identifier>ISSN: 0738-3991</identifier><identifier>EISSN: 1873-5134</identifier><identifier>DOI: 10.1016/j.pec.2024.108275</identifier><identifier>PMID: 38569328</identifier><language>eng</language><publisher>Ireland: Elsevier B.V</publisher><subject>Adherence ; Adult ; Aged ; Blood Glucose Self-Monitoring - psychology ; Cognition ; Diabetes ; Diabetes Mellitus, Type 2 - psychology ; Diabetes Mellitus, Type 2 - therapy ; Exercise - psychology ; Female ; Health Behavior ; Humans ; Interviews as Topic ; Male ; Middle Aged ; Outcome expectation ; Patient Compliance - psychology ; Personal values ; Qualitative Research ; Self Care - psychology ; Self Efficacy ; Surveys and Questionnaires</subject><ispartof>Patient education and counseling, 2024-07, Vol.124, p.108275-108275, Article 108275</ispartof><rights>2024 Elsevier B.V.</rights><rights>Copyright © 2024 Elsevier B.V. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c305t-49d85387f4fe26fab0da75294777e1200f2b9a967b4f54c9c0d85928895e8d4f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0738399124001423$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38569328$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mihalko, Shannon L.</creatorcontrib><creatorcontrib>Cox, Phillip</creatorcontrib><creatorcontrib>Danhauer, Suzanne C.</creatorcontrib><creatorcontrib>Kirk, Julienne K.</creatorcontrib><creatorcontrib>Black, Heather L.</creatorcontrib><creatorcontrib>Shumaker, Sally A.</creatorcontrib><title>Living with type 2 diabetes: A social cognitive perspective on adherence</title><title>Patient education and counseling</title><addtitle>Patient Educ Couns</addtitle><description>This mixed methods study examines the relationship between outcome expectations, self-efficacy, and self-care behaviors in individuals with type 2 diabetes (T2DM). It also explores the personal values motivating these behaviors through in-depth interviews.
Adults with T2DM (n = 108, M age = 57 years, 58% female, 48% Black) completed questionnaires and participated in in-depth interviews using a laddering technique.
Ordinary least squares regression models were used to analyze the relationships between self-efficacy, outcome expectations, and four self-care behaviors (physical activity, dietary choices, blood glucose monitoring, and medication usage). The findings indicate that self-efficacy is significantly and positively associated with diet and physical activity. Both outcome expectations for blood glucose testing and self-efficacy are significantly and positively associated with self-reported monitoring. However, neither outcome expectation nor self-efficacy is associated with medication usage. The in-depth interviews revealed three common values related to self-care behaviors: maintaining health and longevity, agentic values of self-control, achievement, and self-esteem, and a sense of belonging.
This study sheds light on the complexity of diabetes self-management, offering insights into individuals' values, behavioral strategies, and the influence of control perceptions on this relationship, revealing both differences and commonalities in stated values.
By understanding how personal values drive diabetes self-care behaviors, practitioners can assist patients in establishing meaningful connections between their values and the challenges of living with diabetes.
•Balancing personal values with diabetes management can be a challenge for patients.•Discrepancies between personal values and diabetes self-care are influenced by self-efficacy.•Recognizing personal values' impact on self-care helps practitioners provide targeted support.•Commonalities in values emerged, including health and longevity, agency, and belonging.</description><subject>Adherence</subject><subject>Adult</subject><subject>Aged</subject><subject>Blood Glucose Self-Monitoring - psychology</subject><subject>Cognition</subject><subject>Diabetes</subject><subject>Diabetes Mellitus, Type 2 - psychology</subject><subject>Diabetes Mellitus, Type 2 - therapy</subject><subject>Exercise - psychology</subject><subject>Female</subject><subject>Health Behavior</subject><subject>Humans</subject><subject>Interviews as Topic</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Outcome expectation</subject><subject>Patient Compliance - psychology</subject><subject>Personal values</subject><subject>Qualitative Research</subject><subject>Self Care - psychology</subject><subject>Self Efficacy</subject><subject>Surveys and Questionnaires</subject><issn>0738-3991</issn><issn>1873-5134</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kD1PwzAQhi0EoqXwA1iQR5YUfyW2YUIVUKRKLDBbjnNpXbVJsNOi_ntcWhiZ7k567j3dg9A1JWNKaHG3HHfgxowwkWbFZH6ChlRJnuWUi1M0JJKrjGtNB-gixiUhpCgEPUcDrvJCc6aGaDrzW9_M8ZfvF7jfdYAZrrwtoYd4jx9xbJ23K-zaeeN7vwXcQYjp6k_fNthWCwjQOLhEZ7VdRbg61hH6eH56n0yz2dvL6-RxljlO8j4TulI5V7IWNbCitiWprMyZFlJKoIyQmpXa6kKWos6F044kXjOldA6qEjUfodtDbhfazw3E3qx9dLBa2QbaTTSccE6IlkwllB5QF9oYA9SmC35tw85QYvYCzdKkV8xeoDkITDs3x_hNuYbqb-PXWAIeDgCkJ7cegonO7wVUPiQtpmr9P_Hf5bR_SA</recordid><startdate>202407</startdate><enddate>202407</enddate><creator>Mihalko, Shannon L.</creator><creator>Cox, Phillip</creator><creator>Danhauer, Suzanne C.</creator><creator>Kirk, Julienne K.</creator><creator>Black, Heather L.</creator><creator>Shumaker, Sally A.</creator><general>Elsevier B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>202407</creationdate><title>Living with type 2 diabetes: A social cognitive perspective on adherence</title><author>Mihalko, Shannon L. ; Cox, Phillip ; Danhauer, Suzanne C. ; Kirk, Julienne K. ; Black, Heather L. ; Shumaker, Sally A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c305t-49d85387f4fe26fab0da75294777e1200f2b9a967b4f54c9c0d85928895e8d4f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adherence</topic><topic>Adult</topic><topic>Aged</topic><topic>Blood Glucose Self-Monitoring - psychology</topic><topic>Cognition</topic><topic>Diabetes</topic><topic>Diabetes Mellitus, Type 2 - psychology</topic><topic>Diabetes Mellitus, Type 2 - therapy</topic><topic>Exercise - psychology</topic><topic>Female</topic><topic>Health Behavior</topic><topic>Humans</topic><topic>Interviews as Topic</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Outcome expectation</topic><topic>Patient Compliance - psychology</topic><topic>Personal values</topic><topic>Qualitative Research</topic><topic>Self Care - psychology</topic><topic>Self Efficacy</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mihalko, Shannon L.</creatorcontrib><creatorcontrib>Cox, Phillip</creatorcontrib><creatorcontrib>Danhauer, Suzanne C.</creatorcontrib><creatorcontrib>Kirk, Julienne K.</creatorcontrib><creatorcontrib>Black, Heather L.</creatorcontrib><creatorcontrib>Shumaker, Sally A.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Patient education and counseling</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mihalko, Shannon L.</au><au>Cox, Phillip</au><au>Danhauer, Suzanne C.</au><au>Kirk, Julienne K.</au><au>Black, Heather L.</au><au>Shumaker, Sally A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Living with type 2 diabetes: A social cognitive perspective on adherence</atitle><jtitle>Patient education and counseling</jtitle><addtitle>Patient Educ Couns</addtitle><date>2024-07</date><risdate>2024</risdate><volume>124</volume><spage>108275</spage><epage>108275</epage><pages>108275-108275</pages><artnum>108275</artnum><issn>0738-3991</issn><eissn>1873-5134</eissn><abstract>This mixed methods study examines the relationship between outcome expectations, self-efficacy, and self-care behaviors in individuals with type 2 diabetes (T2DM). It also explores the personal values motivating these behaviors through in-depth interviews.
Adults with T2DM (n = 108, M age = 57 years, 58% female, 48% Black) completed questionnaires and participated in in-depth interviews using a laddering technique.
Ordinary least squares regression models were used to analyze the relationships between self-efficacy, outcome expectations, and four self-care behaviors (physical activity, dietary choices, blood glucose monitoring, and medication usage). The findings indicate that self-efficacy is significantly and positively associated with diet and physical activity. Both outcome expectations for blood glucose testing and self-efficacy are significantly and positively associated with self-reported monitoring. However, neither outcome expectation nor self-efficacy is associated with medication usage. The in-depth interviews revealed three common values related to self-care behaviors: maintaining health and longevity, agentic values of self-control, achievement, and self-esteem, and a sense of belonging.
This study sheds light on the complexity of diabetes self-management, offering insights into individuals' values, behavioral strategies, and the influence of control perceptions on this relationship, revealing both differences and commonalities in stated values.
By understanding how personal values drive diabetes self-care behaviors, practitioners can assist patients in establishing meaningful connections between their values and the challenges of living with diabetes.
•Balancing personal values with diabetes management can be a challenge for patients.•Discrepancies between personal values and diabetes self-care are influenced by self-efficacy.•Recognizing personal values' impact on self-care helps practitioners provide targeted support.•Commonalities in values emerged, including health and longevity, agency, and belonging.</abstract><cop>Ireland</cop><pub>Elsevier B.V</pub><pmid>38569328</pmid><doi>10.1016/j.pec.2024.108275</doi><tpages>1</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0738-3991 |
| ispartof | Patient education and counseling, 2024-07, Vol.124, p.108275-108275, Article 108275 |
| issn | 0738-3991 1873-5134 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_3033009728 |
| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Adherence Adult Aged Blood Glucose Self-Monitoring - psychology Cognition Diabetes Diabetes Mellitus, Type 2 - psychology Diabetes Mellitus, Type 2 - therapy Exercise - psychology Female Health Behavior Humans Interviews as Topic Male Middle Aged Outcome expectation Patient Compliance - psychology Personal values Qualitative Research Self Care - psychology Self Efficacy Surveys and Questionnaires |
| title | Living with type 2 diabetes: A social cognitive perspective on adherence |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-05T02%3A38%3A41IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Living%20with%20type%202%20diabetes:%20A%20social%20cognitive%20perspective%20on%20adherence&rft.jtitle=Patient%20education%20and%20counseling&rft.au=Mihalko,%20Shannon%20L.&rft.date=2024-07&rft.volume=124&rft.spage=108275&rft.epage=108275&rft.pages=108275-108275&rft.artnum=108275&rft.issn=0738-3991&rft.eissn=1873-5134&rft_id=info:doi/10.1016/j.pec.2024.108275&rft_dat=%3Cproquest_cross%3E3033009728%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=3033009728&rft_id=info:pmid/38569328&rft_els_id=S0738399124001423&rfr_iscdi=true |