The science of diabetes self-management and care最新文献

{"title":"Faith-Based Diabetes Self-Management: Lessons From the Philippine Catholic Context.","authors":"Darin Jan Tindowen, Ma Leodevina Batugal, Jennifer Bangi, Lomelyne Callueng, Joven Jacinto","doi":"10.1177/26350106261475927","DOIUrl":"10.1177/26350106261475927","url":null,"abstract":"","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"380-381"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148708807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Writing Up the Discussion Section of a Research Report.","authors":"James A Fain","doi":"10.1177/26350106261484750","DOIUrl":"10.1177/26350106261484750","url":null,"abstract":"","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"377-378"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148882951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Beyond Inclusion: Addressing the Psychosocial Needs of Siblings in Type 1 Diabetes Care.","authors":"Jomel Mabborang","doi":"10.1177/26350106261480313","DOIUrl":"10.1177/26350106261480313","url":null,"abstract":"","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"379"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148820431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding Diabetes Self-Management in Low-Income Patients: Insights From a Qualitative Study.","authors":"Junhee Ahn, Youngran Yang","doi":"10.1177/26350106261475958","DOIUrl":"10.1177/26350106261475958","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of the study was to explore the self-management experiences of low-income patients with diabetes.</p><p><strong>Methods: </strong>This qualitative study employed thematic analysis to derive inductive themes from in-depth interviews with 25 low-income patients with diabetes in Korea. Data were collected through face-to-face interviews between February and August 2022, transcribed verbatim, and analyzed using Braun and Clarke's 6-phase framework.</p><p><strong>Results: </strong>The results revealed that participants developed diabetes due to factors including busy and stressful lifestyles, alcohol dependence, and treatments for other illnesses. Unemployment, smoking and drinking, and financial difficulties hindered self-management, resulting in the participants losing motivation. Financial instability made diabetes management more difficult. Their medical and living expenses were covered by government support, which led them to prioritize maintaining their eligibility for this assistance over having a job and income. However, this ultimately had a devastating effect on the management of their disease.</p><p><strong>Conclusions: </strong>The hardships of life, financial burden of diabetes self-management, and lack of motivation and education on diabetes self-management hinder effective self-management. It is recommended that a program be developed that can help low-income patients with diabetes cope with the disease, provide continuous motivation, and increase their self-efficacy. Educational programs on diabetes management following diagnosis are essential to support long-term self-management and reduce health inequalities in the country.</p>","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"418-432"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148868291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and Preliminary Validation of the Resilience Among Adults With Diabetes Scale (RADS).","authors":"Katherine Nesbitt, Catherine Moring, Aaron Lee","doi":"10.1177/26350106261480077","DOIUrl":"10.1177/26350106261480077","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to develop and validate a theoretically informed instrument to measure diabetes-related resilience.</p><p><strong>Methods: </strong>Experts in diabetes self-management and resilience provided feedback on 55 candidate items. Factor structure and validity were examined using a sample of 255 adults with type 2 diabetes.</p><p><strong>Results: </strong>Expert feedback and exploratory factor analysis yielded a final scale of 15 items comprised of two factors: adaptability (α = .92) and determination (α = .87). Both subscales demonstrated good convergent validity with trait resilience (<i>r</i> = .39 and <i>r</i> = .42). Both subscales showed emergent evidence of discriminant validity with measures of impression management (<i>r</i> = .13, <i>P</i> = .061; <i>r</i> = .13, <i>P</i> = .047) but not of self-deceptive enhancement (<i>r</i>s = .34 and .38, <i>P</i> < .001). Subscales demonstrated small to moderate correlations with diabetes self-management behaviors (<i>r</i>s = .22-.40). Diabetes self-efficacy was positively correlated with adaptability (<i>r</i> = .45, <i>P</i> < .001) and determination (<i>r</i> = .56, <i>P</i> < .001) subscales.</p><p><strong>Conclusion: </strong>The factor structure is consistent with conceptualizations of resilience that emphasize active resistance and plasticity to stressors. The Resilience Among Adults With Diabetes Scale demonstrated good reliability and validity and may help identify patients who may benefit from tailored interventions.</p>","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"382-392"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148868218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Medicaid Claims-Based Diabetes Self-Management Education and Support Utilization in Adults With Diabetes: Sociodemographic and Geographic Assessments.","authors":"Boon Peng Ng, Slun Booppasiri, Mamadou Ly, Alexander Crowell, Michelle F Magee, Maria L Alva","doi":"10.1177/26350106261475942","DOIUrl":"10.1177/26350106261475942","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to examine diabetes self-management education and support (DSMES) utilization in the Medicaid population with diabetes to obtain actionable information to encourage uptake.</p><p><strong>Methods: </strong>This pooled cross-sectional study analyzed Transformed Medicaid Statistical Information System Analytic Files from 2016 to 2023 for adults ages 19 to 64 years with diabetes (N = 3 735 182). Descriptive and bivariate analyses were used to examine the sociodemographic characteristics (eg, sex, race/ethnicity) and geographic patterns (eg, rural/urban status) of ever-utilization of DSMES.</p><p><strong>Results: </strong>Overall, 5.6% (n = 210 078) of study beneficiaries with diabetes received ≥1 DSMES encounter. Utilization was higher among females (6.2%) and younger adults ages 19 to 34 years (7.5%). DSMES was received by 8.9% of non-Hispanic (NH) multiracial beneficiaries, 7.5% of Hawaiians/Pacific Islanders, 7.4% of NH Asians, 6.7% of NH Whites, 5.6% of NH Blacks, 4.6% of NH American Indians/Alaska Natives, and 4.4% of Hispanics. Utilization was higher in counties with a lower Social Vulnerability Index (8.7% in the lowest quartile) and slightly higher for those living in rural areas (6.2%) than those in urban areas (5.8%). State-level variation was substantial (0.1%-32.0%), although some differences likely reflect variation in data completeness, coding practices, and encounter reporting across state Medicaid programs. By state, there was substantial variation in DSMES utilization across counties (eg, in West Virginia, utilization rates ranged from 1.5% to 18.2%). Many DSMES suppliers were concentrated in counties associated with big cities, and many counties still lacked a DSMES supplier.</p><p><strong>Conclusions: </strong>DSMES utilization among Medicaid beneficiaries was low and highly uneven across demographic groups and geographic locations. These findings offer insights that can inform strategies and policies aimed at promoting equitable access and uptake.</p>","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"406-417"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13552347/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148868353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding Exercise Facilitators, Preferences, and Goals in Females With Type 2 Diabetes: A Mixed-Methods Analysis.","authors":"Sian A O'Gorman, Bridgette M Desjardins, Michelle A Keske, Kimberley L Way","doi":"10.1177/26350106261475949","DOIUrl":"10.1177/26350106261475949","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to examine facilitators, preferences, and goals influencing exercise self-management among Australian females with type 2 diabetes (T2D) to inform more person-centered exercise counselling and support.</p><p><strong>Methods: </strong>This was a mixed-methods analysis of females with self-reported T2D (≥18 years) who completed an anonymous online survey regarding exercise self-management. The survey included quantitative items assessing demographics, physical activity levels, exercise facilitators, and exercise preferences and free-text responses that were thematically analyzed to explore exercise goals. Responses were also compared by age group (younger: 18-54 years; older: ≥55 years) to explore potential differences across adulthood.</p><p><strong>Results: </strong>Participants (n = 119) were aged 22 to 87 years (mean: 59.5 ± 13.3 years), with a median T2D duration of 4.1 years. Most (57%) reported being physically active ≥150 min/wk. Participants were primarily motivated by the perceived health benefits of exercise, particularly weight and glycemic management; however, qualitative insights revealed that these were often framed as strategies to reduce the need for medication. Exercise facilitators, preferences, and goals were largely consistent across age groups.</p><p><strong>Conclusion: </strong>These findings highlight opportunities to better align exercise counselling and support with the priorities of females with T2D. Educating females about the broader benefits of exercise beyond weight and glycemia and framing it as a strategy to reduce medication burden may enhance its perceived relevance and uptake. The consistency of findings across age groups suggests that strategies to support exercise self-management may be broadly applicable across adulthood.</p>","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"433-443"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13586476/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148868265","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experiences With Inhaled Insulin in a Real-World Sample of Adults With Type 1 Diabetes in the T1D Exchange Registry.","authors":"Kathleen A Willoughby, Huyen T Nguyen, Katherine S Chapman, Megan E Peter, Grazia Aleppo, Wendy A Wolf","doi":"10.1177/26350106261475926","DOIUrl":"10.1177/26350106261475926","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to (1) describe characteristics of people who have used inhaled insulin (Afrezza), (2) explore their experiences with obtaining and using inhaled insulin, and (3) assess perceived impacts of inhaled insulin on quality of life (QoL) related to diabetes management.</p><p><strong>Methods: </strong>A cross-sectional survey was collected from adults with type 1 diabetes (T1D) or latent autoimmune diabetes (LADA) who currently use or previously used inhaled insulin. Participants were recruited from the T1D Exchange Registry. All participants responded to survey questions regarding their experiences with inhaled insulin; responses were compared between current and past users using Welch's <i>t</i> tests or were summarized using descriptive statistics.</p><p><strong>Results: </strong>The sample included 151 respondents (89 current users and 62 past users), most of whom used a continuous glucose monitor (96%) and self-reported an A1C <7% (77%). On a 5-point scale, the most important consideration for continuation of inhaled insulin reported among current users was perceived effectiveness in lowering glucose levels (M = 4.8), while the most important consideration for discontinuation among past users was the out-of-pocket cost (M = 3.4). Using a 5-point Likert scale, overall QoL ratings were higher (mean difference = 0.8, 95% CI, 0.61.0]) among current users (M = 4.3) compared with past users (M = 3.5).</p><p><strong>Conclusions: </strong>In a real-world sample of people with T1D and LADA, current users felt that Afrezza positively impacted their daily lives. Still, barriers to access remain. Efforts to reduce financial and obtainment obstacles may support broader use of inhaled insulin.</p>","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"393-405"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148901630","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dyadic Interventions on Diabetes Self-Management and Glycemic Control for Adults With Type 2 Diabetes: A Systematic Review.","authors":"Yuqing Zhang, Hyeyeon Shin, Fuad Alhorani, Shatha Al-Sabbah, Lynn Warner, Jie Hu","doi":"10.1177/26350106261475939","DOIUrl":"10.1177/26350106261475939","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to systematically review the literature to examine the efficacy of family-dyad-focused intervention for people WITH Type 2 diabetes.</p><p><strong>Methods: </strong>The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines guided the study. Four databases were searched (ie, PubMed, Embase, CINAHL, and Scopus) for articles from January 1, 2019 to December 18, 2025. Controlled vocabulary and key terms in the search included \"diabetes, mellitus, type 2\"; \"type 2 diabetes\"; \"self-management\"; \"self-care\"; \"spouses\"; \"dyad\"; \"caregiver\"; and \"partner support,\" among others. Additional studies were identified through review of reference lists of relevant articles. Studies focusing on peer-support dyads were excluded.</p><p><strong>Results: </strong>A total of 1816 records were identified; 886 were duplicates. Among the remaining 930 articles that were screened, 882 were not relevant, 48 were sought for full-text retrieval, together with another 4 identified from other resources such as reference lists. Nine failed full-text retrieval because of being conference abstracts, and a total of 43 full-texts were examined for eligibility. After excluding 20 that were not eligible, 23 studies were included in the final review. About half of the included studies were pilot studies, mainly to test the feasibility and acceptability of an intervention. Among the rest of the randomized controlled trials that involved family dyad as a part of the intervention, mixed results were reported in diabetes control outcomes measured with A1C, and short-term efficacy was reported in behavioral and psychosocial measurements (self-efficacy, diabetes self-management).</p><p><strong>Conclusions: </strong>Future studies are warranted to generate stronger evidence for dyad-focused interventions among people with diabetes.</p>","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"444-462"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148868192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and Content Validation of the Perceived Barriers to Diabetes Self-Management Scale (PB-DSMS) Among Adolescents and Young Adults With Type 1 Diabetes.","authors":"Sadhana Mishra, Arun Kumar Dubey, Jaya Prakash Mishra, Neeraj Kumar Agrawal","doi":"10.1177/26350106261483743","DOIUrl":"https://doi.org/10.1177/26350106261483743","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study is to develop and establish content validity evidence for the Perceived Barriers to Diabetes Self-Management Scale (PB-DSMS) for adolescents and young adults (15-39 years) with type 1 diabetes mellitus (T1DM).</p><p><strong>Methods: </strong>A methodological scale-development and content-validation study was conducted in June 2023. Item generation was guided by the social ecological model and informed by a synthesis of qualitative literature on barriers to diabetes self-management. An initial pool of 57 items was generated and subsequently refined to 47 items through internal review. Content validity was evaluated by a multidisciplinary panel of 6 experts using the item-level content validity index (I-CVI), scale-level content validity index, and modified kappa statistics. Cognitive interviews with 6 individuals with T1DM were conducted to evaluate item clarity, comprehensibility, and contextual relevance, and findings were incorporated into item refinement.</p><p><strong>Results: </strong>Eight domains of perceived barriers were identified: lack of knowledge and skills, psychological barriers, time constraints and competing life priorities, lack of family support, lack of community/peer support, health system-related barriers, availability and accessibility barriers, and digital barriers. Of the 47 preliminary items, 43 achieved an excellent I-CVI. Cognitive interviews supported the comprehensibility and contextual relevance of the instrument and informed item refinement. Following expert review and cognitive interviewing, 4 items were removed and 16 items were revised, resulting in a final 44-item scale.</p><p><strong>Conclusion: </strong>The PB-DSMS is a comprehensive, patient-informed, and contextually relevant instrument for assessing perceived barriers to diabetes self-management among adolescents and young adults with T1DM. It has the potential to facilitate patient-centered assessment and support the development of targeted interventions to improve diabetes self-management in clinical practice and research.</p>","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"26350106261483743"},"PeriodicalIF":2.2,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149076976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}