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

{"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}

{"title":"An Evaluation of the Quality and Reliability of YouTube Videos on CGM System Installation and Replacement.","authors":"Merve Dervişoğlu, Merve Günbaş, Dilek Büyükkaya Besen","doi":"10.1177/26350106251371082","DOIUrl":"10.1177/26350106251371082","url":null,"abstract":"<p><p>PurposeThe purpose of the study was to evaluate the quality, reliability, and informational adequacy of YouTube videos related to the installation and replacement of continuous glucose monitor (CGM) systems.MethodsThis descriptive and correlational study evaluated 460 videos retrieved using the keywords \"CGM installation\" and \"CGM replacement\" and analyzed 35 videos that met the inclusion criteria. Videos were assessed using 3 tools: the DISCERN instrument, the Global Quality Scale (GQS), and the 24-item CGM Informational Survey (CIS) developed by the researchers.ResultsThe majority of videos (80%) were user-generated, and only 2.9% were uploaded by health care professionals. The average GQS score was 2.80, DISCERN 34.57, and CIS 11.86, indicating moderate to low quality and informativeness. Video duration showed strong positive correlations with CIS (<i>r</i> = .80), DISCERN (<i>r</i> = .64), and GQS (<i>r</i> = .71) scores (<i>P</i> < .001). Videos with high information scores were significantly longer and more comprehensive than low-scoring ones. No significant correlation was found between follower count and content quality. The most frequently shared YouTube videos were related to the Dexcom CGM System (34.3%) and the FreeStyle Libre CGM System (25.7%).ConclusionsYouTube videos related to CGM installation and replacement are largely insufficient in terms of medical accuracy and completeness. Given the growing reliance on digital health information, it is essential for health care professionals to produce accurate, standardized, and accessible video content to support safe diabetes self-management and improve public health literacy.</p>","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"644-657"},"PeriodicalIF":2.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187821","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":"Psychometric Properties of the Short-Form Revised Lifestyle Evaluation Scale for Metabolic Syndrome-Korean.","authors":"Shinae Seo, Chun-Ja Kim, Se-Won Kang, Dae Jung Kim, Elizabeth A Schlenk","doi":"10.1177/26350106251378720","DOIUrl":"10.1177/26350106251378720","url":null,"abstract":"<p><p>PurposeThe purpose of the study was to evaluate the validity and reliability of a short-form Revised Lifestyle Evaluation Scale for Metabolic Syndrome (RLES-MS)-Korean.MethodsA cross-sectional survey was administered to 211 people with diabetes who were taking medication for metabolic syndrome and attending an outpatient clinic at a university-affiliated hospital in Suwon, Korea. Structured questionnaires were used for the psychometric evaluation. The RLES-MS validity was examined using exploratory factor analysis, and reliability was assessed using Cronbach's alpha and McDonald's omega.ResultsThe interitem correlation analyses identified 2 low-correlation items, resulting in a 15-item scale. Factor analysis identified 4 dimensions of the RLES-MS: healthy eating and being active, monitoring and managing target goals, healthy coping, and awareness and taking medication. The 4-factor model explained 58.65% of the total variance. Item 8 (taking medication) scored the highest, and Item 2 (healthy eating) scored the lowest, followed by Item 13 (monitoring and managing the target values). Overall, Cronbach's alpha and McDonald's omega were .864 and .866, respectively. The RLES-MS showed significant associations with quality of life (<i>r</i> = .426, <i>P</i> < .001), self-efficacy (<i>r</i> = .530, <i>P</i> < .001), depressive symptoms (<i>r</i> = -.430, <i>P</i> < .001), and A1C (<i>r</i> = -.163, <i>P</i> = .018).ConclusionsThe RLES-MS showed good validity and moderate reliability, supporting its clinical use for evaluating lifestyle behaviors in Korean people with diabetes and metabolic syndrome.</p>","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":"51 6","pages":"578-588"},"PeriodicalIF":2.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145656191","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":"The Use of Artificial Intelligence (AI) in Journal Publishing.","authors":"James A Fain","doi":"10.1177/26350106251397460","DOIUrl":"10.1177/26350106251397460","url":null,"abstract":"","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"545-546"},"PeriodicalIF":2.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145515258","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":"Optimizing Dietary Concordance Through Self-Management in Type 2 Diabetes: Insights From Indonesia.","authors":"Angga Wilandika, Inggriane Puspita Dewi, Dandi Yohanes","doi":"10.1177/26350106251383881","DOIUrl":"10.1177/26350106251383881","url":null,"abstract":"<p><p>PurposeThe purpose of this study was to examine the relationship between self-management dietary behaviors and dietary concordance among patients with type 2 diabetes mellitus (T2DM) in West Java, Indonesia.MethodsA cross-sectional study was conducted among 278 adult patients with T2DM at a public hospital in West Java, Indonesia, selected through purposive sampling. Data were collected using validated questionnaires assessing self-management, dietary behaviors, and dietary concordance. Descriptive statistics summarized demographic data, and the Kendall Tau-c correlation analysis evaluated the association between self-management practices and dietary concordance.ResultsThe study demonstrated a positive association between self-management dietary behaviors and dietary concordance among patients with T2DM. Key practices such as meal planning, caloric awareness, and healthy food selection were linked to improved adherence, contributing to better glycemic stability and a reduced risk of diabetes-related complications. However, challenges such as dietary monotony (a lack of variety in meals) and limited nutritional knowledge remained obstacles to consistent engagement.ConclusionStrengthening self-management dietary behaviors is vital for enhancing dietary concordance in patients with T2DM. Targeted educational programs that emphasize meal planning, portion control, and food variety may significantly improve adherence. Integrating dietary management into routine clinical care and community health initiatives can bridge gaps between recommendations and patient habits. Expanding nutritional education and support in primary health care is essential for sustainable long-term adherence and improved health outcomes.</p>","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"569-577"},"PeriodicalIF":2.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145552300","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":"Overall Experiences and Perceptions of Racism of Parents of Non-Hispanic Black Children With Diabetes.","authors":"Terri H Lipman, Danny P Bracy, Carol J Howe, Yolanda S Williams, Torrin Davis, Lee Ang, Steven M Willi, Colin P Hawkes","doi":"10.1177/26350106251378718","DOIUrl":"10.1177/26350106251378718","url":null,"abstract":"<p><p>PurposeThe purpose of this study was to collect data from surveys and focus groups to describe the overall experiences and perceptions of racism of parents of non-Hispanic Black (NHB) children with diabetes.MethodsA concurrent mixed-methods research design was utilized. Surveys (General Intake, Brief Hypervigilance Scale) were obtained, and 5 focus groups (4 type 1 diabetes, 1 type 2 diabetes) were conducted with parents of NHB children followed at an urban pediatric diabetes center. A focus group guide was developed, and transcripts were coded and analyzed by the research team.ResultsForty-seven parents consented to participate in the study; 22 parents (47%) participated in 1 of 5 focus groups. Focus group participants were generally in good health and had higher education and income levels than nonparticipants. Hypervigilance (a heightened awareness to threat) was reported in parents, especially of those children with type 2 diabetes. Focus group themes related to experiences with diabetes management, including (1) communication with the diabetes team, (2) coping mechanisms, and (3) perceptions of medical racism.ConclusionsKey insights that emerged from the study included the importance of communicating openly with the diabetes team, the inequitable provision of diabetes technology, a desire for NHB role models, and high levels of hypervigilance in the participants. Innovative approaches, including trauma-informed care focused on patient/caregiver and parent voice, can help to address the racial disparities in the treatment and outcomes of youth with diabetes.</p>","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"631-643"},"PeriodicalIF":2.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12669394/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145566651","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":"The Effectiveness of Telehealth on Glycemic Stability and Quality of Life Among Patients With Type 1 and Type 2 Diabetes: A Systematic Review and Meta-Analysis.","authors":"Sathima Suratham, Piyanee Klainin-Yobas","doi":"10.1177/26350106251378717","DOIUrl":"10.1177/26350106251378717","url":null,"abstract":"<p><p>PurposeThe purpose of this systematic review and meta-analysis was to synthesize the best available evidence regarding the effectiveness of telehealth on glycemic stability, blood sugar, and quality of life (QoL) in patients with type 1 and type 2 diabetes.MethodsNine electronic databases were used for searching for published and unpublished randomized controlled trials (RCTs) conducted between 2010 and 2022, supplemented by hand search on references of relevant reviews. Two independent reviewers screened, appraised, and extracted data using standardized tools. Meta-analyses were performed using review manager software. Subgroup and sensitivity analysis were conducted.ResultsTwenty-three RCTs were included. Most studies supported the positive effects of telehealth interventions on glycemic stability and blood sugar, varying from small to large effect sizes. However, the pooled effect of QoL was very small. The use of mobile applications and telephone-delivered interventions appeared to be more effective than the internet platform. Studies conducted on young adults with type 1 diabetes and in European countries showed stronger effects.ConclusionsThis review suggested that telehealth interventions had the potential to improve glycemic stability and blood sugar. Health care professionals may adopt telehealth interventions for people with type 1 diabetes. Future research may explore participants' experiences of the telehealth interventions in Asian countries.</p>","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"674-698"},"PeriodicalIF":2.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145566716","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":"Clinician, Youth, and Parent Perspectives on Diabetes Technology Education.","authors":"Brynn E Marks, Seema Meighan, Dorene F Balmer, Randi Streisand, Joseph I Wolfsdorf, Andrea Kelly, Victoria A Miller","doi":"10.1177/26350106251383865","DOIUrl":"10.1177/26350106251383865","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to explore the educational experiences of youth with type 1 diabetes (T1D), their parents, and clinicians when initiating continuous glucose monitoring (CGM) and insulin pumps.</p><p><strong>Methods: </strong>Twenty parent-child dyads with T1D ≥6 months and ≥1 month CGM and insulin pump use were eligible to participate in semistructured dyadic interviews. Purposive sampling was used to recruit youth with a range of A1C levels and to overrepresent dyads from minoritized backgrounds. Eight diabetes clinicians with ≥1 year of experience participated in individual interviews using a parallel interview guide. A subset of interviews was double-coded, and thematic analysis was used to generate themes.</p><p><strong>Results: </strong>Poor internet connections, distractions in the home, and small screens made in-person education the preferred modality for dyads and clinicians due to the physical skills required when learning to use these devices. Structured education addressing essential topics was constrained by allotted appointment times and thus (1) often overlooked cognitive and emotional burdens of diabetes technology education and (2) insufficiently accounted for individual learning pace and capacity. Real-world experiential learning supported by the clinical team through telemedicine, phone calls, and electronic medical record messaging was often used to fill the gaps of structured education.</p><p><strong>Conclusions: </strong>Both clinicians and parent-child dyads initiating CGM and automated insulin delivery expressed a preference for in-person education. Although experiential learning can supplement important concepts not adequately addressed during structured education, relying solely on this approach may unintentionally omit crucial concepts. Educational strategies are needed to overcome information overload and support families in diabetes self-management.</p>","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"547-558"},"PeriodicalIF":2.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12669406/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145544147","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":"Writing Up a Rigorous Methods Section in Quantitative Research Reports.","authors":"James A Fain","doi":"10.1177/26350106251377013","DOIUrl":"10.1177/26350106251377013","url":null,"abstract":"","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"445-446"},"PeriodicalIF":2.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145006938","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":"Evaluating Pharmacist-Driven Interventions in Multidisciplinary Diabetes Care: A Quasi-Experimental Study.","authors":"Jiunn-Bey Pao, Shu-Chuan Wu, Ya-Wun Guo, Wei-Hsiang Huang","doi":"10.1177/26350106251361368","DOIUrl":"10.1177/26350106251361368","url":null,"abstract":"<p><p>BackgroundPharmacist-led multidisciplinary care may enhance diabetes self-management, yet evidence from Taiwan is limited. This study evaluates the impact of such interventions on health literacy, medication adherence, and clinical outcomes in patients with type 2 diabetes.MethodsA quasi-experimental pretest-posttest study was conducted at Taipei City Hospital (April to December 2021) with 70 adults allocated into a pharmacist-led care group or standard care group. The intervention included medication management, diabetes education, and structured follow-ups. Generalized estimating equations analyzed changes in health literacy, medication adherence, weight, low-density lipoprotein cholesterol (LDL-C), A1C, fasting glucose, and total cholesterol (TC).ResultsThe intervention group achieved a 21.1% increase in health literacy and a 20.4% improvement in medication adherence (<i>P</i> < .01). Significant reductions were observed in weight (<i>B</i> = -0.16, <i>P</i> < .01) and LDL-C (<i>B</i> = -12.83, <i>P</i> = .02). Differences in A1C, fasting glucose, and TC were not statistically significant, although time effects suggested overall improvement.ConclusionsPharmacist-led care significantly improved health literacy, adherence, and some clinical outcomes in patients with type 2 diabetes. These findings highlight the value of integrating pharmacists into multidisciplinary teams to enhance chronic disease management.</p>","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"462-475"},"PeriodicalIF":2.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144981952","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}