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

{"title":"Oral Health Knowledge, Risk of Periodontitis, and Diabetes Management Self-Efficacy Among People With Type 2 Diabetes.","authors":"Ya-Ching Huang, Subash Sapkota, Julie A Zuñiga, Alexandra A García","doi":"10.1177/26350106251397905","DOIUrl":"10.1177/26350106251397905","url":null,"abstract":"<p><p>PurposeThe purpose of the study was to examine the association between the level of oral health knowledge (OHK), the risk of periodontitis, and diabetes management self-efficacy (DMSE) among individuals with type 2 diabetes (T2DM).MethodsA cross-sectional survey of 93 adults with T2DM in central Texas was used to examine OHK levels with descriptive analyses; 5 hierarchical regression analyses were conducted to explore the impact of OHK and periodontitis risk on DMSE.ResultsParticipants' mean age was 59.60 ± 12.76 years, 54.8% were female, and 54.8% were White. Their average duration of having diabetes was 12.17 ± 11.27 years, and 77.4% took oral medications. Their average A1C was 6.75 ± 1.56; nearly half (47.3%) had more than 1 comorbidity. The risk of periodontitis was high, and the level of OHK was low. On average, 65% of the OHK questions were answered correctly; the 2 questions with the lowest rates of being answered correctly were related to dry mouth risks. Forty-two percent of participants were at risk of periodontitis. Hierarchical regression analyses showed that only the risk of periodontitis significantly predicted DMSE in managing diet, DMSE in managing exercise and weight, and overall DMSE after controlling for age, gender, number of comorbidities, duration of diabetes, and treatment types.ConclusionsHealth care providers should proactively assess OHK and periodontitis risk, especially when patients indicate low efficacy concerning diet and body weight management.</p>","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"35-42"},"PeriodicalIF":2.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145776700","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":"Bridging the Digital Divide in Diabetes Care: An Integrative Review of Barriers and Facilitators to Technology Use.","authors":"Eric Peprah Osei, Sinead Campos, Pamela Martyn-Nemeth","doi":"10.1177/26350106251397917","DOIUrl":"10.1177/26350106251397917","url":null,"abstract":"<p><p>PurposeThe purpose of this integrative literature review was to assess barriers and facilitators to diabetes technology use among underrepresented racial and ethnic adolescents and young adults with type 1 diabetes mellitus (T1DM) in the United States.MethodsThis integrative review followed Whittemore and Knafl's methodology. A systematic database search was conducted in PubMed, CINAHL, EMBASE, PsycINFO, Scopus, and Web of Science from inception through December 2024. The inclusion criteria were English-language primary studies on diabetes technology targeting adolescents and young adults with T1DM from underrepresented racial and ethnic groups. Two independent reviewers identified articles for inclusion, extracted data, and assessed quality with the mixed-methods appraisal tool. The social ecological model guided thematic coding and deductive synthesis.ResultsOut of 1704 references, 8 articles met inclusion criteria. The most prevalent barriers to technology use were financial limitations, inadequate knowledge, limited patient-provider communication, insurance restrictions, lack of peer and family support, and cultural and psychosocial barriers. Facilitators included increased familiarity and support, positive experiences and involvement, effective communication, community-based education initiatives, and insurance and systemic advocacy.ConclusionThe review highlights persistent inequities in technology use among underrepresented racial-ethnic adolescents and young adults with T1DM. Actions should aim at preventing and reforming barriers, including racism and inequitable access, support for community-based interventions, and incentivize technological innovations for underrepresented individuals.</p>","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"88-102"},"PeriodicalIF":2.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145835482","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":"African American Youth and Parent Perspectives on Advanced Insulin Delivery Technologies in Diabetes Management: Challenges to Closing the Loop on Health Disparities.","authors":"Alan M Delamater, Elizabeth Pulgaron, Gabriela Guevara, Sonja Washington, Diane Franz, Ricardo Gomez, Dania Felipe, Jayalakshmi Bhat, Stuart Chalew","doi":"10.1177/26350106251397906","DOIUrl":"10.1177/26350106251397906","url":null,"abstract":"<p><p>PurposeThe purpose of the study was to understand challenges to optimal diabetes management for African American (AA) youth and willingness to use advanced diabetes technologies.MethodsTwenty AA youth with type 1 diabetes mellitus (mean age 13.81 ± 2.10 years; 8 girls and 12 boys) and their parents participated in focus groups or individual interviews addressing adherence barriers and attitudes about new technologies, such as the advanced hybrid closed loop (AHCL) insulin pump. Sessions were video recorded, and based on verbatim transcripts, 2 independent raters coded responses into themes, and a third rater resolved discrepancies; thematic analysis was conducted using NVivo.ResultsQualitative analyses revealed 6 main themes encompassing current regimens, life with diabetes, parenting, culture, willingness to try new technologies, and hesitancy to try an AHCL system. Most families (65%) reported being very willing to try the AHCL system, and a third were open but not ready to commit, citing concerns about reliance on technology and need for more information.ConclusionsInnovative technology, such as the AHCL insulin pump system, may help to improve glycemic outcomes and reduce health disparities for AA youth. Many AA youth with type 1 diabetes mellitus and their parents are ready to try advanced technologies but may require additional individualized support from the health care team to achieve optimal outcomes.</p>","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"43-53"},"PeriodicalIF":2.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145844508","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":"Advancing the ADCES 2026-2028 Research Agenda.","authors":"James A Fain","doi":"10.1177/26350106251414191","DOIUrl":"10.1177/26350106251414191","url":null,"abstract":"","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"9"},"PeriodicalIF":2.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145890646","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":"Motivators and Barriers for Health Behavioral Change Among Mothers With Cardiometabolic Diseases: Qualitative Evidence in Thailand.","authors":"Chonlatis Darawong, Natthapon Waewpanyasil","doi":"10.1177/26350106251397923","DOIUrl":"10.1177/26350106251397923","url":null,"abstract":"<p><p>PurposeThe purpose of the study was to explore the motivators and barriers influencing health behavior change and perceptions of public hospital services among mothers living with cardiometabolic diseases (CMDs) in Thailand.MethodsA qualitative descriptive approach was employed using in-depth interviews with 30 mothers diagnosed with CMDs, including hypertension, type 2 diabetes mellitus, and cardiovascular conditions. Participants were recruited from public hospitals in Thailand between April and June 2025. Data were analyzed thematically using QCAmap software to identify recurring patterns and themes.ResultsFive major categories of motivators emerged: concern for family and children, awareness of health risks, support from health care providers, peer and social support, and personal beliefs and self-motivation. Key barriers included time and role constraints, financial limitations, limited knowledge and misconceptions, and emotional and psychological challenges.ConclusionsMothers with CMDs are motivated by family responsibility and personal health goals but face significant structural and emotional barriers. For collectivistic culture, family-centered interventions and strengthened public health services are essential to support sustainable health behavioral change.</p>","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"76-87"},"PeriodicalIF":2.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145776738","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":"Health Education Disparities in Patients Diagnosed With Type 2 Diabetes Mellitus Using Data From the National Ambulatory Medical Care Survey for the Years 2012 to 2019.","authors":"Jaden C Zanek, Michael R Jiroutek, Susan Avila Misciagno","doi":"10.1177/26350106251383897","DOIUrl":"10.1177/26350106251383897","url":null,"abstract":"<p><p>PurposeThe purpose of the study was to examine the relationship between receipt of diet/nutrition, exercise, weight reduction, and diabetes education and various demographic and clinical factors among adults with type 2 diabetes mellitus (T2DM) using 2012-2019 National Ambulatory Medical Care Survey (NAMCS) data.MethodsThis retrospective, cross-sectional study included adults ages ≥18 diagnosed with T2DM in the NAMCS from 2012 to 2019. Plots of the annual percentage of visits (and associated 95% CIs) at which each type of education was received were constructed. Chi-square tests and multivariable logistic regression models were employed to examine the association between receipt of each education types and various factors collected in the NAMCS.ResultsA total of 11 525 patient visits were analyzed. Education was provided at 16.7% of visits for exercise, 24.3% for diet/nutrition, 7.5% for weight reduction, and 16.6% for diabetes. Adjusting for available covariates, higher body mass index increased the odds of receiving education on exercise. Diet/nutrition education was more common in visits with physicians and allied health providers and less common with surgical or medical specialists compared to primary care, as was exercise education. Tobacco users were less likely to receive weight reduction education. Limited racial or ethnic disparities were observed, but rural visits were less likely than urban visits to receive exercise and weight reduction education.ConclusionAlthough racial and ethnic disparities in diabetes education were not observed when adjusting for available covariates, geographic, specialty-based, and tobacco-use-related disparities persist, particularly affecting rural areas, specialist care, and smokers. These disparities highlight the necessity of targeted interventions to enhance access to education and improve health outcomes.</p>","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"615-630"},"PeriodicalIF":2.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145423539","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":"Experiences of Women With Diabetes Using Wearable Continuous Glucose Monitors During Pregnancy: A Qualitative Descriptive Study.","authors":"Hee Sun Kang, Hyang Rang Park, Jangmi Kang, Chun-Ja Kim","doi":"10.1177/26350106251378719","DOIUrl":"10.1177/26350106251378719","url":null,"abstract":"<p><p>PurposeThe purpose of this study was to describe the experiences of women with diabetes using continuous glucose monitoring (CGM) during pregnancy.MethodsA qualitative descriptive design was used. Fourteen perinatal women participated in this study, and data were collected through in-depth interviews conducted between November 2024 and May 2025. Qualitative content analysis was performed using NVivo software.ResultsThe participants were ages 31 to 42 years. One participant had pregestational diabetes, and the remaining 13 had gestational diabetes. Five participants received insulin therapy, and others were managed without insulin. Three key themes emerged: (a) navigating self-care for glucose management by integrating wearable CGM, (b) guidance of health care providers for glucose management and fetal well-being, and (c) expected improvements in affordability and usability. The participants appreciated the convenience and real-time feedback provided by CGM. They actively engaged in self-care by utilizing CGM data along with health care provider guidance to maintain target glucose levels. However, concerns regarding costs and utility were commonly expressed.ConclusionsThis study highlights that integrating CGM into self-care, with guidance from health care providers, can positively influence glucose management during pregnancy. Enhancing access to CGM through supportive health care policies may improve maternal outcomes and reduce health disparities, thus aligning with sustainable development goals.</p>","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"559-568"},"PeriodicalIF":2.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145226296","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":"Use of Social Media to Support Gestational Diabetes Risk Reduction for American Indian and Alaska Native Females: A Qualitative Study Soliciting Perspectives From American Indian and Alaska Native Youth, Mothers, and Content Experts.","authors":"Sarah A Stotz, Shelly Palmer, Shondra McCage, Sara J Mumby, Kelli Begay, Heather Garrow, Denise Charron-Prochownik, Melanie Aspaas, Melanie Charley, Sheana Bull, Josefa S Leon, Kelly Gonzales, Nicole Reed, Angela G Brega","doi":"10.1177/26350106251374238","DOIUrl":"10.1177/26350106251374238","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to collect qualitative feedback from key stakeholders as to their recommendations for developing a behavior-change-focused social media toolkit for American Indian and Alaska Native (AI/AN) female youth who are at risk for gestational diabetes mellitus (GDM). AI/AN women experience a higher rate of GDM than women from most other racial and ethnic groups. The Stopping Gestational Diabetes in Daughters and Mothers (SGDM) program is designed to reduce GDM risk for AI/AN females.</p><p><strong>Methods: </strong>Individual interviews were conducted with content experts (health care providers/educators, researchers, and social media experts) who serve AI/AN communities (n = 20), and focus group interviews were conducted with female AI/AN youth ages 12 to 21 (n = 20) and AI/AN mothers (n = 20). Interviews were conducted via teleconference by an experienced AI/AN moderator, and transcripts were analyzed using thematic analysis. Participants completed a survey assessing personal characteristics and technology use.</p><p><strong>Results: </strong>All youth and mothers (100%) reported using social media daily; 60% of content experts reported daily social media use. Overarching themes included (1) negative aspects of social media use should be balanced with health-promoting messaging; (2) female AI/AN youth need positive AI/AN female role models, support, and connection to be healthy; (3) engage female AI/AN youth on social media through use of videos, humor, strengths-based messaging, and codevelopment of content.</p><p><strong>Conclusion: </strong>Understanding the perspectives of content experts and members of the priority audience is a key first step in developing an AI/AN culturally relevant and community-engaged social media toolkit.</p>","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":"51 6","pages":"602-614"},"PeriodicalIF":2.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13094376/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145656233","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":"Cultural Adaptation and Content Validity of the Type 2 Diabetes Distress Assessment Tool for Brazilian Culture.","authors":"Priscila Peruzzo Apolinário, Mariana Roque Brito, Stéfanie Souza Rocha Ferreira, Danilo Donizetti Trevisan, Bruna Andrade Oliveira, Deborah Cristina De Oliveira, Maria Helena Melo Lima","doi":"10.1177/26350106251378721","DOIUrl":"10.1177/26350106251378721","url":null,"abstract":"<p><p>PurposeThe purpose of the study was to translate, adapt, and validate the Type 2 Diabetes Distress Assessment Tool (T2-DDAS) for use in individuals with type 2 diabetes mellitus (T2DM) in Brazil. Considering the risks arising from glycemic instability, emotional regulation has become fundamental in the management of T2DM. Therefore, having valid instruments to assess emotional stress is essential.MethodA methodological study was conducted consisting of the following steps: initial translation of the instrument by 2 independent bilingual translators, synthesis of the translated versions, back-translation by 2 additional bilingual translators, analysis by a committee of experts, pretesting of the consolidated version with 32 patients with T2DM treated at an adult outpatient clinic in a tertiary hospital in southeastern Brazil, submission of the translated version to the author of the original instrument, and content validation. Content validity was verified using the content validity index (CVI), content validity ratio (CVR), and modified kappa, ensuring the adequacy of the items for the target population.ResultsMost items obtained a CVI ≥0.80, indicating good adequacy. Minor modifications were made based on participants' suggestions, improving the clarity of the items. The final version of the T2-DDAS in Brazilian Portuguese demonstrated high validity and adequacy for the Brazilian sociocultural context.ConclusionThe Brazilian version of the T2-DDAS showed semantic and conceptual equivalence with the original, having been validated with methodological rigor. The results confirm its applicability to assess emotional distress in people with T2DM in Brazil.</p>","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"589-601"},"PeriodicalIF":2.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145314359","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":"Factors Impacting Pneumococcal Vaccination Among Non-Hispanic Black Adults With Type 2 Diabetes: A Nationwide Cross-Sectional Study.","authors":"Chinyere M Okoh, Leticia R Moczygemba, Carolyn Brown, Whitney Thurman, Anton L V Avanceña, Sharon Rush","doi":"10.1177/26350106251371085","DOIUrl":"10.1177/26350106251371085","url":null,"abstract":"<p><p>PurposeThe purpose of the study was to evaluate factors associated with pneumococcal vaccination among non-Hispanic Black adults with type 2 diabetes mellitus (T2DM).MethodsA cross-sectional, online survey was conducted in December 2023 using a Qualtrics research panel. Eligible participants were adults 19 years and older and non-Hispanic Blacks who self-reported a T2DM diagnosis. The survey comprised 55 items across 5 sections based on the health belief model. Descriptive and bivariate analyses and hierarchical binary logistic regression were used for data analysis.ResultsThere were 330 eligible participants. Two-thirds received at least 1 dose of the pneumococcal vaccine. Participants had a mean age of 51.4 ± 16.8 years; 63.9% were women. Higher perceived susceptibility and higher cues to action were significantly associated with pneumococcal vaccination. However, higher perceived susceptibility, higher severity, geographical location, and history of influenza vaccination emerged as significant predictors, and improved model predictive ability for pneumococcal vaccination was observed (Akaike information criterion = 384.1 vs 423.5) after controlling for sociodemographic and other factors (education level, income, geographical location, diabetes-related complications, treatment types, frequency of health visits, influenza vaccination history, pneumococcal disease history, general vaccine beliefs, perceived mistrust).ConclusionClinical, public health, and health policy programs should address these factors in planning educational campaigns and strategies to increase pneumococcal vaccination among non-Hispanic Black individuals with T2DM.</p>","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"658-673"},"PeriodicalIF":2.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12669392/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145180814","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}