The science of diabetes self-management and care最新文献_第2页

Examining Medical and Demographic Associations With the Diabetes Management Questionnaire Among Racially Minoritized Youth With Type 1 Diabetes. 用1型糖尿病少数民族青年患者糖尿病管理问卷调查医学和人口统计学关联

The science of diabetes self-management and care Pub Date : 2025-06-01 Epub Date: 2025-05-24 DOI: 10.1177/26350106251336310

Emma Straton, Madhu Vemulakonda, Maria Naveed, Giselle Maya, Markella Lanara, Christine Wang, John Barber, Letitia Gallant, Amanda Perkins, Shideh Majidi, Randi Streisand

{"title":"Examining Medical and Demographic Associations With the Diabetes Management Questionnaire Among Racially Minoritized Youth With Type 1 Diabetes.","authors":"Emma Straton, Madhu Vemulakonda, Maria Naveed, Giselle Maya, Markella Lanara, Christine Wang, John Barber, Letitia Gallant, Amanda Perkins, Shideh Majidi, Randi Streisand","doi":"10.1177/26350106251336310","DOIUrl":"10.1177/26350106251336310","url":null,"abstract":"PurposeThe purpose of this study was to examine demographic and diabetes-related factors with the Diabetes Management Questionnaire (DMQ) among racially minoritized youth with type 1 diabetes.MethodsA descriptive correlational study was employed. Youth and their caregivers were enrolled in a behavioral intervention to promote optimal continuous glucose monitoring (CGM) use along with completing the DMQ at baseline.ResultsParticipants included 60 youth ages 10 to 15 years (53% Black, 27% Hispanic/Latino/a/x, 12% another minoritized identity, 8% White; mean A1C = 10.6% ± 2.0%). Only child age was significantly associated with caregiver DMQ scores. No other demographic or medical variables, including A1C, were significantly related to DMQ scores. Mean youth DMQ scores significantly differed between samples, with the current sample reporting stronger adherence to diabetes management regimens despite higher overall A1C.ConclusionsThe lack of associations between the DMQ and demographic or medical variables in this sample compared to that of the validation sample suggest that the DMQ may have weaker psychometric properties among racially minoritized families. It is crucial that existing questionnaires like the DMQ be reexamined in a larger, more racially diverse population, where structural factors, beyond individual management behaviors, also influence A1C.","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"301-308"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144136385","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}

引用次数: 0

Framing a Message About Risk: Use and Perceptions of the Term "Prediabetes". 构建关于风险的信息：“前驱糖尿病”一词的使用和认知。

The science of diabetes self-management and care Pub Date : 2025-06-01 Epub Date: 2025-03-17 DOI: 10.1177/26350106251326500

Jenifer J Thomas, Samantha Reed, Sarah Clinkenbeard, Jenna Kindt, Bailey McCoy, Bailee Smith, Avery White, Tessa Woods

{"title":"Framing a Message About Risk: Use and Perceptions of the Term \"Prediabetes\".","authors":"Jenifer J Thomas, Samantha Reed, Sarah Clinkenbeard, Jenna Kindt, Bailey McCoy, Bailee Smith, Avery White, Tessa Woods","doi":"10.1177/26350106251326500","DOIUrl":"10.1177/26350106251326500","url":null,"abstract":"PurposeThe purpose of this study was to test a survey that investigates individuals' use and perceptions of the term \"prediabetes.\"MethodsA cross-sectional research design and survey method was used, and a 17-item survey was developed by the research team. Individuals in the health field with an interest in diabetes prevention were recruited and completed an online survey.ResultsOf the 97 individuals who completed the survey, 68 reported use of the term. Use of the term very often, fairly often, and sometimes was related to varying beliefs about seriousness, use in clinical practice, influence of communication style, adherence to risk-reducing recommendations, and global definition and diagnosis.ConclusionsIndividuals acknowledged the general impact of their communication and the impact of the term \"prediabetes\"; however, the variation in perceived impact indicates the need for standardized guidelines for use of the term. Moving forward, it is necessary for individuals who communicate risk with the word \"prediabetes\" to consider the purpose of using the term and a process for feedback from at-risk individuals about impact or understanding of the term.","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"272-280"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143652424","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}

引用次数: 0

Navigating Type 2 Diabetes Care: Asian American Perspectives on Self-Management Education and Support. 导航2型糖尿病护理：亚裔美国人自我管理教育和支持的观点。

The science of diabetes self-management and care Pub Date : 2025-06-01 Epub Date: 2025-05-15 DOI: 10.1177/26350106251337487

Dante Anthony Tolentino, Paul Boy, Sorina Neang Long, Rey Paolo Ernesto Roca, Matthew Peña, Gillkaitlyn Mary Gaw Palao, Gilkevyn Joseph Gaw Palao, Marjorie Rose Uy De Ong Luzuriaga, Sarah E Choi

{"title":"Navigating Type 2 Diabetes Care: Asian American Perspectives on Self-Management Education and Support.","authors":"Dante Anthony Tolentino, Paul Boy, Sorina Neang Long, Rey Paolo Ernesto Roca, Matthew Peña, Gillkaitlyn Mary Gaw Palao, Gilkevyn Joseph Gaw Palao, Marjorie Rose Uy De Ong Luzuriaga, Sarah E Choi","doi":"10.1177/26350106251337487","DOIUrl":"10.1177/26350106251337487","url":null,"abstract":"PurposeThe purpose of this study was to explore the determinants of diabetes self-management education and support (DSMES) program engagement among Asian Americans with type 2 diabetes living in California.MethodsA qualitative descriptive study was conducted to explore DSMES experiences. Semistructured interviews with Filipino, Korean South Asian, Cambodian, Taiwanese, and Vietnamese Americans were conducted. Participants were recruited through outreach, referrals, and social media. All 12 interviews were audio-recorded and transcribed verbatim. The data analysis used a rigorous, iterative approach, beginning with open coding to generate initial codes, developing a codebook, and proceeding to a second coding level and thematic analysis to interpret key patterns.ResultsAnalysis revealed 4 major themes and 10 subthemes organized using the ecological model. The major themes are (1) individual-level barriers and facilitators (microsystem), (2) cultural and social influences (mesosystem), (3) structural barriers (exosystem), and (4) optimizing DSMES for inclusive diabetes care (macrosystem).ConclusionStudy findings highlight the need for culturally responsive DSMES programs, emphasizing family-centered approaches and prioritization of cultural beliefs. Improving DSMES engagement among Asian Americans requires multilevel interventions addressing systemic and individual barriers, highlighting the complex interplay of cultural, social, and structural factors in diabetes management.","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"225-240"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12127602/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082744","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}

引用次数: 0

Development and Psychometric Testing of the Caregiver Contribution to Self-Care of Diabetes Inventory: An Observational Study Among Informal Caregivers of Patients With Type 2 Diabetes. 2型糖尿病患者非正式照护者对糖尿病自我照护贡献的发展及心理测量测试

The science of diabetes self-management and care Pub Date : 2025-06-01 Epub Date: 2025-05-24 DOI: 10.1177/26350106251336309

Diletta Fabrizi, Maddalena De Maria, Claudio Barbaranelli, Marta Aber Rizzo, Stefania Di Mauro, Annalisa Giancaterini, Paola Rebora, Davide Ausili, Michela Luciani

{"title":"Development and Psychometric Testing of the Caregiver Contribution to Self-Care of Diabetes Inventory: An Observational Study Among Informal Caregivers of Patients With Type 2 Diabetes.","authors":"Diletta Fabrizi, Maddalena De Maria, Claudio Barbaranelli, Marta Aber Rizzo, Stefania Di Mauro, Annalisa Giancaterini, Paola Rebora, Davide Ausili, Michela Luciani","doi":"10.1177/26350106251336309","DOIUrl":"10.1177/26350106251336309","url":null,"abstract":"PurposeThe purpose of the study was to develop and psychometrically test the Caregiver Contribution to Self-Care of Diabetes Inventory (CC-SCODI), a new tool for assessing caregiver contribution to self-care in diabetes, among informal caregivers of patients with type 2 diabetes mellitus (T2DM).MethodsA multicenter cross-sectional observational study was conducted. A total of 251 patients with T2DM and their informal caregivers were included. The CC-SCODI measures the caregiver contribution to patients' self-care maintenance, self-care monitoring, and self-care management. It also assesses the caregiver self-efficacy in contributing to patient self-care. To evaluate dimensionality, a confirmative factor analysis was conducted. To evaluate reliability, the multidimensional model-based reliability index was estimated. To assess construct validity, associations between caregiver contribution to self-care maintenance, monitoring, and management and caregiver self-efficacy, caregiver burden, and dyadic care type were tested.ResultsA multidimensional structure emerged for caregiver contribution to self-care maintenance and monitoring scales, and a unidimensional structure emerged for caregiver contribution to self-care management and caregiver self-efficacy scales. All the reliability indices were higher than 0.70. Significant associations were found between caregiver contribution to self-care maintenance, monitoring, and management and caregiver self-efficacy, caregiver burden, and dyadic care type.ConclusionsThe CC-SCODI is suggested to be valid and reliable for assessing caregiver contribution to self-care in caregivers of patients with T2DM.","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"281-300"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144136408","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}

引用次数: 0

AGP Reports for Glucose and Insulin Devices Qualitative Study: What Patients and Clinicians Want. 葡萄糖和胰岛素装置定性研究的AGP报告：患者和临床医生想要的。

The science of diabetes self-management and care Pub Date : 2025-06-01 Epub Date: 2025-06-02 DOI: 10.1177/26350106251337486

Deborah M Mullen, Richard M Bergenstal, Mary Johnson, Eda Cengiz, Amy Criego, Larry Deeb, Robin Goland, Justin Rudolph, Kathleen C Arnold, Davida Kruger, Sara Richter

{"title":"AGP Reports for Glucose and Insulin Devices Qualitative Study: What Patients and Clinicians Want.","authors":"Deborah M Mullen, Richard M Bergenstal, Mary Johnson, Eda Cengiz, Amy Criego, Larry Deeb, Robin Goland, Justin Rudolph, Kathleen C Arnold, Davida Kruger, Sara Richter","doi":"10.1177/26350106251337486","DOIUrl":"10.1177/26350106251337486","url":null,"abstract":"PurposeThe purpose of the 2-phase study was to determine patient/family and clinician design preference, usability, and comprehension of ambulatory glucose profile (AGP) reportsMethodsA cross-sectional research design employing 2 phases was conducted. Patients and parents (n = 139) reviewed an educational guide and AGP report during a clinician consultation. They were directed to identify glucose trends before answering a design preferences and usability survey. Clinicians (n = 17) completed questionnaires about patients and personal experiences, design preferences, and expected future usability. Further study of the AGP (n = 21) evaluated a draft display AGP continuous glucose monitoring (CGM) + pump report, enhanced after the aforementioned blood glucose monitoring (BGM) and CGM survey through interviews using both scripted and unscripted questions.ResultsPatients identified glucose trends/patterns in all AGP reports (100% BGM; 98% CGM; 95% CGM + pump). Patients and clinicians felt that the single-page report added value both in and outside of the clinic, preferred this standardized data view compared to traditional device-specific reports, and saw value in the AGP combination of statistics and graphs. Insulin data were seen as useful but increased the difficulty of report interpretation; only 38% were able to accurately interpret the data and make self-treatment recommendations.ConclusionsPatients feel that the AGP report (BGM, CGM, CGM + pump) is useful for identifying new glucose patterns/trends. Patients report more confidence in making self-care adjustments (behavioral, lifestyle, and treatments) using the AGP report. For shared decision-making, the AGP report serves both patients' and clinicians' needs.","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":"51 3","pages":"333-344"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144201034","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}

引用次数: 0

Diabetes Knowledge and Self-Care Practices Among Patients With Type 2 Diabetes Mellitus in Uvira, Kiliba, Sange, and Luvungi, South Kivu Province of the Democratic Republic of Congo. 刚果民主共和国南基伍省乌维拉、基利巴、桑吉和卢冯吉2型糖尿病患者的糖尿病知识和自我保健行为

The science of diabetes self-management and care Pub Date : 2025-04-01 Epub Date: 2025-03-24 DOI: 10.1177/26350106251323611

Désiré M Kindarara, Juslin Bamu Murondere

{"title":"Diabetes Knowledge and Self-Care Practices Among Patients With Type 2 Diabetes Mellitus in Uvira, Kiliba, Sange, and Luvungi, South Kivu Province of the Democratic Republic of Congo.","authors":"Désiré M Kindarara, Juslin Bamu Murondere","doi":"10.1177/26350106251323611","DOIUrl":"10.1177/26350106251323611","url":null,"abstract":"PurposeThe purpose of this study was to assess baseline knowledge and self-care practices about diabetes mellitus (DM) among patients with type 2 diabetes mellitus (T2DM) in Uvira, Kiliba, Sange, and Luvungi (U-KI-SA-LU), South Kivu Province of the Democratic Republic of Congo (DRC).MethodsA community-based cross-sectional study was conducted among 328 T2DM patients (179 men and 149 women) in U-KI-SA-LU, South Kivu Province of DRC from February 1 to April 30, 2024. Data were collected using pretested questionnaires and were analyzed using descriptive statistics and F statistic for the analysis of variance test with value of P < .05 as the level of statistical significance.ResultsOf the 328 participants, 188 (57.4%) had good general knowledge about DM; only 149 (45.4%) had good self-care practices about DM. Being married, having higher education, and being on insulin injection were associated with good knowledge; only being married was associated with good self-care practices toward DM. Surprisingly, 167 (50.9%) of the participants never had an eye examination, only 51 (15.5%) ate fruits for 3 or more days over the past 7 days, and 77 (23.5%) had access to a personal glucometer.ConclusionsStructured educational programs are needed to improve DM knowledge and self-care practices in order to slow down the progression of DM and prevent complications. These results also suggest raising awareness about health care professionals' role in DM management through not only continuing education programs but also traditional media, including print advertising, television, radio, and newspapers.","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"141-155"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143702266","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}

引用次数: 0

Diabetes Attitudes, Wishes and Needs in the Dominican Republic (DR-DAWN2). 多米尼加共和国糖尿病态度、愿望和需求（DR-DAWN2）。

The science of diabetes self-management and care Pub Date : 2025-04-01 Epub Date: 2025-02-08 DOI: 10.1177/26350106251315695

Manuel Soto, Nadja García, Jessica Ortiz, Berniza Calderón

{"title":"Diabetes Attitudes, Wishes and Needs in the Dominican Republic (DR-DAWN2).","authors":"Manuel Soto, Nadja García, Jessica Ortiz, Berniza Calderón","doi":"10.1177/26350106251315695","DOIUrl":"10.1177/26350106251315695","url":null,"abstract":"PurposeThe purpose of this study was to assess the psychosocial status of people with diabetes and their perceived quality of received health care services in a local outpatient center in Santo Domingo, Dominican Republic.MethodsCross-sectional study that included 385 Dominican adults with diabetes. Demographic and clinical information was collected. Key psychometric indicators were collected by using the WHO-5 Well-Being Index, EuroQol-5D Visual Analogue Scale (EQ-VAS), Problem Areas in Diabetes Scale, Summary of Diabetes Self-Care Activities, and Patient Assessment of Chronic Illness Care.ResultsThe mean EQ-VAS score was 77.6 (SD 18). Of all the participants, 18.7% exhibited symptoms of depression, with higher rates among women and younger age groups. Diabetes-related distress was present in 22.6% of participants, particularly among younger individuals and those employed. Physical activity was the self-care activity with the lowest reported adherence. Perceptions of received health care services aligned moderately with the chronic care model (CCM), with a higher perceived alignment in patients that were enrolled in a chronic disease management program.ConclusionsPatients with diabetes report having a reduced quality of life and significant psychological burdens, with a high rate of depressive symptoms and diabetes-related distress and a low adherence to self-care behaviors. The enrollment in chronic disease management programs improved patients' perception of received health care services, reporting a more coordinated care and experiencing more patient activation, which could improve health outcomes. These findings underline the need for psychological screening, patient-centered care, and broader implementation of the CCM to improve health outcomes in this population.","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"168-179"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143375100","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}

引用次数: 0

A Minimally Time-Consuming Method for Regular, Ongoing Outcome Assessments in a Rural Diabetes Self-Management Education and Support Program: Validation via Retrospective Pre-Post Studies. 在农村糖尿病自我管理教育和支持计划中采用耗时最少的方法进行定期、持续的成果评估：通过事后回顾性研究进行验证。

The science of diabetes self-management and care Pub Date : 2025-04-01 Epub Date: 2025-02-03 DOI: 10.1177/26350106251315675

Xin Zhang, Tiaha E McGettigan

{"title":"A Minimally Time-Consuming Method for Regular, Ongoing Outcome Assessments in a Rural Diabetes Self-Management Education and Support Program: Validation via Retrospective Pre-Post Studies.","authors":"Xin Zhang, Tiaha E McGettigan","doi":"10.1177/26350106251315675","DOIUrl":"10.1177/26350106251315675","url":null,"abstract":"PurposeThe purpose of this study was to introduce and validate a minimally time-consuming method for regular, ongoing assessments of practice- and individual-level outcomes in a rural diabetes self-management education and support (DSMES) program.MethodsThe method involves a report developed within an electronic health record system to capture the initial A1C data of patients in the program and their most recent A1C data at the time the report is run. To validate the method's ability to continuously assess outcomes, 3 retrospective pre-post studies were conducted over 3 consecutive months: October, November, and December 2023. The subjects were individuals with type 2 or type 1 diabetes who completed their initial visits in the program during these months. A1C changes in patient cohorts and their statistical significance were analyzed as practice-level outcomes, and individual-level outcomes were monitored by plotting and analyzing patient data.ResultsThe report accurately captured data, enabling minimally time-consuming analyses. The method allowed both continuous assessment of program effectiveness based on A1C changes and monitoring of individual patient progress. Statistically significant reductions in average A1C were observed for subjects seen in October and December 2023 (but not in November) and across the combined data from all 3 months. Data plotting helped identify individual subjects who may benefit from follow-up.ConclusionsThe method is feasible and accurate for ongoing outcome assessments, providing timely feedback to clinicians and promoting practice changes to improve patient outcomes. It is also flexible and adaptable to other DSMES programs.","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"194-202"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143124137","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}

引用次数: 0

Barriers and Facilitators to Taking Medication in Newly Diagnosed Patients With Type 2 Diabetes: A Qualitative Study Based on the Transtheoretical Model. 新诊断2型糖尿病患者服药障碍与促进因素：基于跨理论模型的定性研究

The science of diabetes self-management and care Pub Date : 2025-04-01 Epub Date: 2025-03-13 DOI: 10.1177/26350106251319541

Baolu Zhang, Arpaporn Powwattana, Jutatip Sillabutra, Gang Liu, Siyu Li, Surintorn Kalampakorn

{"title":"Barriers and Facilitators to Taking Medication in Newly Diagnosed Patients With Type 2 Diabetes: A Qualitative Study Based on the Transtheoretical Model.","authors":"Baolu Zhang, Arpaporn Powwattana, Jutatip Sillabutra, Gang Liu, Siyu Li, Surintorn Kalampakorn","doi":"10.1177/26350106251319541","DOIUrl":"10.1177/26350106251319541","url":null,"abstract":"PurposeThe purpose of this study was to explore the barriers and facilitators to taking medication in newly diagnosed patients with type 2 diabetes (T2DM) at each stage of change from the perspective of the Transtheoretical model.MethodsThis qualitative descriptive study used purposive sampling to select 32 newly diagnosed patients with T2DM, with 8 representing each of the 4 stages of change (precontemplation, contemplation, preparation, and action). Participants were recruited at a community health service center in Sichuan Province, China. Semistructured interviews were conducted, and data were transcribed and analyzed using qualitative content analysis.ResultsThis study identified barriers and facilitators related to the patient, medication, health care service, and sociocultural dimensions. At the precontemplation and contemplation stages, various barriers across different domains predominated (e.g., incomplete comprehension of the disease; gaps in medication knowledge regarding importance, benefits, and indications; limited access to care; preferred traditional and alternative medication approaches). At the preparation and action stages, although patient, medication, health care service, and sociocultural facilitators were more reported (e.g., awareness of medication benefits, health system financial support, peer medication experiences), medication-related barriers persisted (e.g., medication knowledge gaps regarding side effects, adverse reactions, administration procedures, and missed dose management).ConclusionsThe primary barriers to taking medication in newly diagnosed patients with T2DM are medication-related factors, with barriers and facilitators dynamically evolving across the stages of change. Future research should focus on developing and evaluating stage-matched interventions to promote medication-taking behavior and patient well-being.","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"180-193"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626982","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}

引用次数: 0

Integrating a Care Supporter in Diabetes Self-Management Education to Enhance Health Outcomes: A Pilot Study. 在糖尿病自我管理教育中整合护理支持者以提高健康结果：一项试点研究。

The science of diabetes self-management and care Pub Date : 2025-04-01 Epub Date: 2025-03-17 DOI: 10.1177/26350106251320327

Ninfa C Peña-Purcell, Jungjoo Jay Lee, Marcia G Ory

{"title":"Integrating a Care Supporter in Diabetes Self-Management Education to Enhance Health Outcomes: A Pilot Study.","authors":"Ninfa C Peña-Purcell, Jungjoo Jay Lee, Marcia G Ory","doi":"10.1177/26350106251320327","DOIUrl":"10.1177/26350106251320327","url":null,"abstract":"PurposeThe purpose of this study was to evaluate the impact of a novel diabetes self-management education (DSME) intervention on self-reported behavioral and clinical outcomes.MethodsAdults over the age of 35 with type 2 diabetes mellitus (T2DM) were recruited to participate in a 3-month study to assess the impact of the Live in Control intervention, a 4-week care supporter-integrated DSME program. Forty-nine participants and their care supporters participated in the program in a community setting. A prospective, repeated measure, pretest and posttest research design was employed with assessments at week 0 (W0; baseline), 4 weeks (W4), and 3 months (W12). The primary measures were diabetes-related self-management behaviors, self-efficacy, autonomy support, social support, distress, and A1C.ResultsPaired t-test analyses revealed significant changes in study variables across different time points. The self-management scores significantly improved from W0 to W4 and from W0 to W12. Self-efficacy significantly increased from W0 to W4 and from W0 to W12. Autonomy support significantly increased from W0 to W12, and social support scores significantly improved over the same period. Findings indicate that participants experienced enhanced support for themselves and from their social networks throughout the study. Diabetes-related distress significantly decreased from W0 to W12. Although decreases in A1C were not significant for the total study sample, those with A1C ≥8 had significant decreases from W0 to W12.ConclusionsA care supporter-integrated DSME intervention can favorably impact diabetes self-care, perceived social support, and A1C, especially for those with higher A1C values, suggesting the positive impact of program participation.","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"156-167"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143652425","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}

引用次数: 0