457-P: Effectiveness of an Empowerment-Based Self-Management Intervention on Glycemic Control, Self-Management Behaviors, and Psychological Distress in Middle-Aged Patients with Poorly Controlled Type 2 Diabetes

Diabetes ◽  
2021 ◽  
Vol 70 (Supplement 1) ◽  
pp. 457-P
Author(s):  
LI CHENG ◽  
JANET WH SIT ◽  
QINQIN XIE
Keyword(s):  
Type 2 Diabetes ◽  
Psychological Distress ◽  
Glycemic Control ◽  
Self Management ◽  
Middle Aged ◽  
Aged Patients ◽  
Management Intervention ◽  
Management Behaviors

Self-Management Behaviors, Racial Disparities, and Glycemic Control Among Adolescents With Type 2 Diabetes

PEDIATRICS ◽  
2008 ◽  
Vol 121 (4) ◽  
pp. e912-e919 ◽  
Author(s):  
R. L. Rothman ◽  
S. Mulvaney ◽  
T. A. Elasy ◽  
A. VanderWoude ◽  
T. Gebretsadik ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Glycemic Control ◽  
Racial Disparities ◽  
Self Management ◽  
Management Behaviors

854-P: Personality, Self-Management Behaviors, and Glycemic Control among Japanese Patients with Type 2 Diabetes Mellitus (T2DM)

Diabetes ◽  
2019 ◽  
Vol 68 (Supplement 1) ◽  
pp. 854-P
Author(s):  
SAKIKO Y. MORIKAWA ◽  
KAZUYA FUJIHARA ◽  
MARIKO HATTA ◽  
YASUNAGA TAKEDA ◽  
DAI ISHII ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Glycemic Control ◽  
Japanese Patients ◽  
Self Management ◽  
Management Behaviors

Self-Management Behaviors, Glycemic Control, and Metabolic Syndrome in Type 2 Diabetes

2020 ◽  
Vol 69 (2) ◽  
pp. E9-E17 ◽  
Author(s):  
Meihua Ji ◽  
Dianxu Ren ◽  
Jacqueline Dunbar-Jacob ◽  
Tiffany L. Gary-Webb ◽  
Judith A. Erlen
Keyword(s):  
Type 2 Diabetes ◽  
Metabolic Syndrome ◽  
Glycemic Control ◽  
Self Management ◽  
Management Behaviors

Abstract TP190: The Effectiveness of a Person-centered Empowerment-based Self-management Intervention in Reducing Risk of Stroke Among Male Patients With Poorly Controlled Type 2 Diabetes: A Mixed-method Study

Stroke ◽  
2017 ◽  
Vol 48 (suppl_1) ◽  
Author(s):  
Li Cheng ◽  
Janet W Sit ◽  
Sek-ying Chair
Keyword(s):  
Type 2 Diabetes ◽  
Glycemic Control ◽  
Mixed Method ◽  
Intervention Group ◽  
Self Management ◽  
Post Intervention ◽  
Management Intervention ◽  
Male Patients ◽  
Male Subjects

Introduction: The overall incidence of stroke was higher in men than women. Type 2 diabetes is found to be a risk factor for stroke. Previous prospective studies showed each 1% increase in HbA1c would be associated with 12% increase in the risk of developing a stroke. Identifying effective strategies to optimize the glycemic control of male patients with poorly controlled type 2 diabetes would be valuable for reducing the risk of stroke. This mixed-method study aims to examine how male patients with poorly controlled type 2 diabetes responded to a person-centered empowerment-based self-management intervention. Methods: Phase I study was based on a sub-group analysis of 179 male subjects with poorly controlled type 2 diabetes [with Glycated hemoglobin (HbA1c) ≥7.5%] who received a six-week empowerment-based self-management intervention (n= 93) or attentional control (n= 86), respectively. The primary outcome was HbA1c level from baseline to three-month post-intervention. Phase II study was an in-depth individual interview with the purpose to reveal how facilitating factors or barriers become apparent in the implementation of self-management practice. Integration of quantitative and qualitative data was performed to disclose a comprehensive picture of intervention effect and mechanism. Results: The pre-post HbA1c change for male subjects in the intervention group was 1.01%, which indicated a clinical significant reduction in the risk of developing stroke. At three-month post-intervention, male participants in the intervention group showed significant improvement in glycemic control (8.99% vs. 9.68%, between-group difference: 0.69±2.64, p= 0.045). Content analysis revealed that setting personally meaningful goals, making a personalized action plan, and reflecting and solution-finding were facilitating factors perceived by male subjects with poorly controlled type 2 diabetes. Two categories for barriers to optimal glycemic control were identified, including collective culture and diabetes fatalism. Conclusions: Person-centered empowerment-based intervention could facilitate male subjects with poorly controlled type 2 diabetes to actively engage in self-management activities for stroke prevention.

scholarly journals The Effect of Depression on Poor Glycemic Control in Adults with Type 2 Diabetes: The Mediating Roles of Self-Efficacy and Self-Management Behaviors

2019 ◽  
Vol 25 (3-4) ◽  
pp. 80-89 ◽  
Author(s):  
Golnaz Azami ◽  
Kim Lam Soh ◽  
Shariff-Ghazali Sazlina ◽  
Md. Said Salmiah ◽  
Afra Khosravi ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Glycemic Control ◽  
Self Efficacy ◽  
Linear Regression Analysis ◽  
Skills Training ◽  
Poor Glycemic Control ◽  
Self Management ◽  
Equation Modeling ◽  
Management Behaviors

<b><i>Background:</i></b> High levels of depression and poor self-efficacy and self-management are associated with worse glycemic control, but the linkage and pathway between these variables are poorly understood. We conducted this study to investigate the hypothesis that self-efficacy and self-management mediate the influence of depression on poor glycemic control. <b><i>Methods:</i></b> We studied a purposive sample of 142 adults with type 2 diabetes attending a public clinic in Ilam, Iran. Hierarchical linear regression analysis and structural equation modeling were used to explore the relationships among the variables of interest. <b><i>Result:</i></b> Depression directly and negatively affects self-efficacy and indirectly affects self-management behaviors, which in turn have direct effects on hemoglobin A1c (HbA1c). Self-efficacy mediates the relationship between depression and self-management behaviors. Self-efficacy and self-management behaviors partially mediate the effect of depression on HbA1c. These results confirmed that the data fit the hypothesized model very well. <b><i>Conclusion:</i></b> Careful monitoring of glycemic control might be important in those individuals who exhibit clinical signs of depression. Effective treatment programs should probably pay close attention to not only screening and treatment of depression but also skills training to enhance patient self-efficacy and self-management of diabetes to improve HbA1c.

2180-PUB: Integration of Continuous Glucose Monitoring in Diabetes Self-Management Education for Type 2 Diabetes Improves Glycemic Control

Diabetes ◽  
2020 ◽  
Vol 69 (Supplement 1) ◽  
pp. 2180-PUB
Author(s):  
ADDIE L. FORTMANN ◽  
ALESSANDRA BASTIAN ◽  
CODY J. LENSING ◽  
SHANE HOVERSTEN ◽  
KIMBERLY LUU ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Glycemic Control ◽  
Continuous Glucose Monitoring ◽  
Management Education ◽  
Glucose Monitoring ◽  
Self Management

scholarly journals Do interactions between patients’ psychological distress and adherence to dietary recommendation predict glycemic control among persons with type 2 diabetes in Ghana?

2021 ◽  
Vol 2 (1) ◽  
Author(s):  
Be‐Ikuu Dominic Doglikuu ◽  
Abubakari Abdulai ◽  
Mehdi Yaseri ◽  
Elham Shakibazadeh ◽  
Abolghassem Djazayery ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Psychological Distress ◽  
Glycemic Control ◽  
Dietary Recommendation
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