The science of diabetes self-management and care最新文献_第8页

Fatigue, Sleep, and Mental Health as Hidden Predictors of Prediabetes in Undergraduate Students: A Cross-Sectional Study. 疲劳、睡眠和心理健康是大学生前驱糖尿病的潜在预测因素：一项横断面研究。

IF 2.2

The science of diabetes self-management and care Pub Date : 2025-08-01 Epub Date: 2025-07-13 DOI: 10.1177/26350106251350634

Ollyvia Freeska Dwi Marta, Satwika Arya Pratama, Safiruddin Al Baqi, Fergi Patricia Essing, Rudy Kurniawan, Hsiao-Yean Chiu, Faizul Hasan, Debby Syahru Romadlon

{"title":"Fatigue, Sleep, and Mental Health as Hidden Predictors of Prediabetes in Undergraduate Students: A Cross-Sectional Study.","authors":"Ollyvia Freeska Dwi Marta, Satwika Arya Pratama, Safiruddin Al Baqi, Fergi Patricia Essing, Rudy Kurniawan, Hsiao-Yean Chiu, Faizul Hasan, Debby Syahru Romadlon","doi":"10.1177/26350106251350634","DOIUrl":"10.1177/26350106251350634","url":null,"abstract":"PurposeThe purpose of the study was to examine the associations between fatigue, sleep quality, and mental health (depression and anxiety) among undergraduate students with prediabetes.MethodsA cross-sectional study was conducted among 327 undergraduate students (ages 18-25) from 3 universities in Indonesia. Participants completed surveys on fatigue, sleep quality, depression, and anxiety. Fasting blood glucose were measured to determine prediabetes. Multivariate logistic regression analyzed associations between psychological, behavioral, and metabolic factors.ResultsPrediabetes was found in 21.4% (n = 70) of participants. Students with prediabetes had significantly higher fatigue, poorer sleep quality, and shorter sleep duration (<6 hours) more often. They also had higher depression scores and more anxiety symptoms. Multivariate analysis, adjusting for age, sex, body mass index, smoking, physical activity, and family history, revealed that higher fatigue, poor sleep quality, short sleep duration, and depression were independent predictors of prediabetes.ConclusionFatigue, poor sleep quality, and mental health symptoms are key factors associated with prediabetes risk in undergraduate students. These findings highlight the importance of addressing psychological and behavioral factors in prediabetes prevention.","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"415-424"},"PeriodicalIF":2.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144621454","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

An Exploratory Partner Approach to Participation in the National Diabetes Prevention Program Lifestyle Change Program in Maryland. 参与马里兰州国家糖尿病预防计划生活方式改变计划的探索性伙伴方法。

IF 2.2

The science of diabetes self-management and care Pub Date : 2025-08-01 Epub Date: 2025-07-20 DOI: 10.1177/26350106251350628

Cynthia Baur, Rebecca Ledsky, Allison Elkins, Monica Miller, Kathleen Pellechia, Thomas Lehman, Yvonne Mensa-Wilmot, LaShonda Hulbert, Lisa Tensuan

{"title":"An Exploratory Partner Approach to Participation in the National Diabetes Prevention Program Lifestyle Change Program in Maryland.","authors":"Cynthia Baur, Rebecca Ledsky, Allison Elkins, Monica Miller, Kathleen Pellechia, Thomas Lehman, Yvonne Mensa-Wilmot, LaShonda Hulbert, Lisa Tensuan","doi":"10.1177/26350106251350628","DOIUrl":"10.1177/26350106251350628","url":null,"abstract":"Purpose: The purpose of this study was to describe an exploratory partner approach to enrolling in the National Diabetes Prevention Program (National DPP), a proven 12-month lifestyle change program (LCP) for people at risk for developing type 2 diabetes. FHI360 and the University of Maryland Horowitz Center for Health Literacy created a \"partner approach\" to investigate whether people at risk for developing diabetes might be willing to join, complete, and be successful in the LCP if they intentionally go through the program with a partner who influences their lifestyle choices.Methods: The research team analyzed aggregated participant self-reported weight and physical activity data, participant survey and focus group data, and lifestyle coach in-depth interview data to assess the retention, motivation, and acceptability of the partner approach.Results: Across sites, retention of participants at risk of developing type 2 diabetes at the end of the year-long program was at 79%. Participants at the partner approach sites reported being motivated and successful. Lifestyle coaches reported that participants stayed in the program longer and adapted their lifestyle more than participants at other sites that did not offer the partner approach.Conclusions: People at risk of developing type 2 diabetes may respond positively to participating in a National DPP LCP when they can join with engaged partners. Based on study results, the partner approach may be a way to attract people at risk for type 2 diabetes who are more comfortable joining with a partner.","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"394-403"},"PeriodicalIF":2.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144676735","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

Dispositional Gratitude and Psychosocial and Glycemic Outcomes in Adolescents With Type 1 Diabetes. 1型糖尿病青少年的性格感恩与社会心理和血糖结局。

IF 2.2

The science of diabetes self-management and care Pub Date : 2025-08-01 Epub Date: 2025-07-19 DOI: 10.1177/26350106251350614

Rebecca Koerner, Kaitlyn Rechenberg

{"title":"Dispositional Gratitude and Psychosocial and Glycemic Outcomes in Adolescents With Type 1 Diabetes.","authors":"Rebecca Koerner, Kaitlyn Rechenberg","doi":"10.1177/26350106251350614","DOIUrl":"10.1177/26350106251350614","url":null,"abstract":"PurposeThe purpose of this secondary data analysis is to examine associations among dispositional gratitude and psychosocial and glycemic outcomes in adolescents with type 1 diabetes (T1DM).MethodsThis is a secondary data analysis using baseline data from a pilot study examining the efficacy of a mindfulness-based stress reduction mHealth application in adolescents with T1DM. A total of 31 participants who were between the ages of 12 to 19 years old, had diabetes for at least 6 months, were able to speak and read English, and had access to a mobile phone were included in the analysis. Correlations among dispositional gratitude, anxiety symptoms, A1C, insomnia, and diabetes self-care were evaluated.ResultsDispositional gratitude was negatively correlated with anxiety symptoms, A1C, and insomnia. Dispositional gratitude was positively correlated with diabetes self-care.ConclusionsHigher dispositional gratitude was associated with lower anxiety symptoms, better glycemic control, better sleep, and better diabetes self-care. The practice of gratitude may be a modifiable factor that can reduce anxiety symptoms and, in turn, optimize glycemic outcomes in this vulnerable population.","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"375-381"},"PeriodicalIF":2.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144669123","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

Lifelong Learning With Type 1 Diabetes: The Lived Experiences of Adults Diagnosed in Younger Years. 与1型糖尿病终生学习：年轻时被诊断为糖尿病的成年人的生活经历。

IF 2.2

The science of diabetes self-management and care Pub Date : 2025-08-01 Epub Date: 2025-08-05 DOI: 10.1177/26350106251361371

Charlotte Gillrell, Peter Hellman, Malin Axelsson, Anne Wennick

{"title":"Lifelong Learning With Type 1 Diabetes: The Lived Experiences of Adults Diagnosed in Younger Years.","authors":"Charlotte Gillrell, Peter Hellman, Malin Axelsson, Anne Wennick","doi":"10.1177/26350106251361371","DOIUrl":"10.1177/26350106251361371","url":null,"abstract":"PurposeThe purpose of this study was to illuminate the lived experiences of lifelong learning in self-care from the perspective of adults diagnosed with type 1 diabetes in younger years.MethodsIn 2020 to 2021 a hermeneutic phenomenological study was conducted in Sweden based on individual conversational interviews. Participants in the study were 20 consecutively chosen adults diagnosed with type 1 diabetes, ages 25 to 75 years (median 44.5 years) and with an illness duration of 10 to 61 years (median 26 years), recruited purposively via social media.ResultsThe analysis of participants' lived experiences of lifelong learning in self-care generated the overall theme \"making meaning of type 1 diabetes as a lifelong illness\"; this process was constantly challenged or triggered by all other ongoing or occurring processes in the participants' everyday lives. More precisely, the participants likened this to having a ticket for a lifelong journey of personal learning, largely informal, characterized by a continuous reconstruction of one's understanding of the illness and the necessary self-care while having to acknowledge, understand, manage, and endure diabetes.ConclusionsStudy findings suggest that lifelong learning in diabetes self-care in everyday life means learning how to become and remain a lifelong learner in the trajectory of diabetes. Thus, continuously learning how to manage self-care in different situations throughout life helps those diagnosed with a lifelong illness to construct and reconstruct living with the illness into a meaningful life.","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"365-374"},"PeriodicalIF":2.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12344203/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144791026","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

Lack of Association of Emotional Distress With Insulin Initiation in the GRADE Randomized Diabetes Comparative Effectiveness Trial. 在GRADE随机糖尿病比较疗效试验中，情绪困扰与胰岛素启动缺乏关联。

IF 2.2

The science of diabetes self-management and care Pub Date : 2025-08-01 DOI: 10.1177/26350106251361363

Caroline A Presley, Nicole M Butera, Heidi Krause-Steinrauf, Cyrus V Desouza, Priscilla A Hollander, Claire J Hoogendoorn, Violet S Lagari, Elizabeth A Legowski, Catherine L Martin, Neda Rasouli, Jeffrey S Gonzalez, Andrea L Cherrington

{"title":"Lack of Association of Emotional Distress With Insulin Initiation in the GRADE Randomized Diabetes Comparative Effectiveness Trial.","authors":"Caroline A Presley, Nicole M Butera, Heidi Krause-Steinrauf, Cyrus V Desouza, Priscilla A Hollander, Claire J Hoogendoorn, Violet S Lagari, Elizabeth A Legowski, Catherine L Martin, Neda Rasouli, Jeffrey S Gonzalez, Andrea L Cherrington","doi":"10.1177/26350106251361363","DOIUrl":"10.1177/26350106251361363","url":null,"abstract":"PurposeThe purpose of this study is to evaluate whether higher emotional distress (depressive symptoms or diabetes distress) was associated with a lower likelihood of basal or rapid-acting insulin initiation among participants enrolled in the GRADE Emotional Distress Substudy (EDS).MethodsIndividuals with type 2 diabetes <10 years duration on metformin alone were randomized to add 1 of 4 glucose-lowering drugs. Per protocol, participants were expected to start basal or rapid-acting insulin rescue therapy after reaching secondary or tertiary glycemic outcomes (A1C >7.5%). Depressive symptoms and diabetes distress were assessed ≤12 months prior to outcome confirmation. Multinomial and binomial logistic regression models examined associations of depressive symptoms and diabetes distress with basal insulin initiation and rapid-acting insulin initiation, respectively.ResultsOf the 525 participants expected to start basal insulin, 30.9% initiated ≤6 weeks, 35.2% initiated >6 weeks, and 33.9% never initiated. Of the 325 participants expected to start rapid-acting insulin, 67.4% never initiated. Neither depressive symptoms nor diabetes distress were associated with starting basal or rapid-acting insulin.ConclusionsIn the GRADE EDS, approximately one-third of participants did not start basal insulin, and two-thirds of participants did not start rapid-acting insulin. Emotional distress did not appear to play a role in insulin initiation among trial participants.","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"382-393"},"PeriodicalIF":2.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12403243/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144765869","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

Exercise Barriers Among Females With Type 2 Diabetes: Exploring Age-Related Differences. 女性2型糖尿病患者的运动障碍：探索年龄相关差异

IF 2.2

The science of diabetes self-management and care Pub Date : 2025-08-01 Epub Date: 2025-07-20 DOI: 10.1177/26350106251350613

Sian A O'Gorman, Michelle A Keske, Kimberley L Way

{"title":"Exercise Barriers Among Females With Type 2 Diabetes: Exploring Age-Related Differences.","authors":"Sian A O'Gorman, Michelle A Keske, Kimberley L Way","doi":"10.1177/26350106251350613","DOIUrl":"10.1177/26350106251350613","url":null,"abstract":"PurposeThe purpose of this study was to explore age-specific differences in exercise barriers among females with type 2 diabetes (T2D).MethodsAn online survey explored psychosocial and logistical barriers to exercise among Australian females with T2D (≥18 years). Participants were categorized into younger (18-54 years) and older (≥ 55 years) age groups to explore age-related differences. The survey also collected sociodemographic, general health and T2D management data, and current physical activity (PA) levels and behaviors.ResultsA total of 119 females participated (younger: n = 36, age: 42.7 ± 9.6 years; older: n = 83, age: 66.8 ± 6.1 years). Although 57.1% reported being physically active, 77.1% of these individuals were not meeting the PA guidelines. Younger females more frequently cited barriers related to time constraints and lack of transport, and older females more frequently reported insufficient social support and not knowing how to initiate an exercise routine. Exercise knowledge and self-efficacy were low across all participants. Only 42.9% believed they could realistically meet the PA guidelines.ConclusionsAustralian females with T2D face distinct age-related barriers to exercise, highlighting the need for tailored strategies. Interventions should focus on improving exercise knowledge and self-efficacy while mitigating key barriers to enhance exercise self-management in females with T2D.","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"404-414"},"PeriodicalIF":2.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12344209/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144669124","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

Managing Diabetes in Children in the School Setting. 在学校环境下管理儿童糖尿病。

IF 2.2

The science of diabetes self-management and care Pub Date : 2025-08-01 Epub Date: 2025-07-31 DOI: 10.1177/26350106251361373

Paulina N Duker

引用次数: 0

Chronic Illness Self-Management Latent Profiles in Individuals With Comorbid Type 2 Diabetes and Hypertension. 2型糖尿病合并高血压患者慢性疾病自我管理的潜在特征

IF 2.2

The science of diabetes self-management and care Pub Date : 2025-06-01 Epub Date: 2025-05-14 DOI: 10.1177/26350106251336311

Donghwan Lee, Qing Yang, Matthew J Crowley, Daniel Hatch, Gina Pennington, Doreen Matters, Ryan J Shaw

{"title":"Chronic Illness Self-Management Latent Profiles in Individuals With Comorbid Type 2 Diabetes and Hypertension.","authors":"Donghwan Lee, Qing Yang, Matthew J Crowley, Daniel Hatch, Gina Pennington, Doreen Matters, Ryan J Shaw","doi":"10.1177/26350106251336311","DOIUrl":"10.1177/26350106251336311","url":null,"abstract":"PurposeThe purpose of the study was to identify chronic illness self-management latent profiles based on health literacy, disease knowledge, self-efficacy, disease distress, perceived self-care, and medication use among individuals with type 2 diabetes and hypertension.MethodsThis cross-sectional study utilized baseline data from 220 participants in the EXTEND trial. Latent profile analysis was employed to identify distinct chronic illness self-management profiles based on attributes such as health literacy, disease knowledge, self-efficacy, disease distress, perceived self-care, and medication use. Sociodemographic and clinical data were analyzed to explore associations with these profiles.ResultsThree profiles were identified: \"high distress\" (18.1%), characterized by high disease distress and a high medication use score, indicating greater inconsistency in medication-taking behaviors; \"high health knowledge\" (38.6%), with high health literacy and disease knowledge; and \"high self-efficacy\" (43.3%), exhibiting high self-efficacy and perceived self-care. Significant differences in A1C levels were observed across profiles, with the high distress group showing the highest A1C levels. Racial identity and socioeconomic factors were significantly associated with profile membership.DiscussionThis study underscores the complexity of chronic illness self-management in individuals with comorbid diabetes and hypertension. Tailored, multifaceted interventions addressing the unique challenges individuals face in managing their illnesses are crucial for improving clinical outcomes and promoting health equity.","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"250-261"},"PeriodicalIF":2.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12178176/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082740","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

Intermittent Use of Continuous Glucose Monitoring in Type 2 Diabetes Is Preferred: A Qualitative Study of Patients' Experiences. 在2型糖尿病患者中间歇性使用连续血糖监测是首选：一项对患者经历的定性研究

The science of diabetes self-management and care Pub Date : 2025-06-01 Epub Date: 2025-03-21 DOI: 10.1177/26350106251326517

Bente Elisabeth Bendixen, Ane Wilhelmsen-Langeland, Kirsten Lomborg, Eirin Måkestad, Marjolein M Iversen, Eirik Søfteland, Anne Haugstvedt

{"title":"Intermittent Use of Continuous Glucose Monitoring in Type 2 Diabetes Is Preferred: A Qualitative Study of Patients' Experiences.","authors":"Bente Elisabeth Bendixen, Ane Wilhelmsen-Langeland, Kirsten Lomborg, Eirin Måkestad, Marjolein M Iversen, Eirik Søfteland, Anne Haugstvedt","doi":"10.1177/26350106251326517","DOIUrl":"10.1177/26350106251326517","url":null,"abstract":"PurposeThe purpose of the study was to explore experiences with use of a continuous glucose monitor (CGM) in people with type 2 diabetes (T2DM).MethodsA qualitative study with individual semistructured interviews at 2 time points was conducted; first with 14 adults, ages 45 to 74 years (8 women) and second with 9 of the first interviewed adults (5 women) approximately 2 years later. Participants used CGM before, during, and 3 months after the concentrated group intervention. Thematic analysis was performed on the transcribed interviews.ResultsThree main themes were identified regarding the use of CGMs: (1) a gamechanger in diabetes education, (2) intermittent use is preferred, and (3) a balancing act. The participants described the use of CGMs as a valuable tool in diabetes education. It increased their understanding of insulin demand and sensitivity and strengthened their awareness of how to make more health-promoting micro-choices in everyday life. Intermittent use was described as the preferred way of using CGMs. Some experienced that CGMs could be challenging, and in periods of satisfactory glucose control, CGM use was experienced as unnecessary, underpinning intermittent use as appropriate.ConclusionStudy findings showed that participants with T2DM experienced CGMs as a valuable tool to gain deeper understanding of processes in the body, which could improve diabetes self-management. CGMs can facilitate more healthy micro-choices in life. Intermittent use of CGMs is most often the preferred approach for people with T2DM, but access to CGMs should take individual preferences into consideration.","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"323-332"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12127601/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143671928","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

The Effect of Acculturation on Diabetes Knowledge Among Chinese Americans With Type 2 Diabetes. 文化适应对美籍华人2型糖尿病患者糖尿病知识的影响。

The science of diabetes self-management and care Pub Date : 2025-06-01 Epub Date: 2025-03-31 DOI: 10.1177/26350106251326503

Ya-Ching Huang, Julie A Zuñiga, Hsuan-Ju Kuo, So Hyeon Bang, Alexandra A García

{"title":"The Effect of Acculturation on Diabetes Knowledge Among Chinese Americans With Type 2 Diabetes.","authors":"Ya-Ching Huang, Julie A Zuñiga, Hsuan-Ju Kuo, So Hyeon Bang, Alexandra A García","doi":"10.1177/26350106251326503","DOIUrl":"10.1177/26350106251326503","url":null,"abstract":"PurposeThe purpose of the study was to examine the level of diabetes knowledge among Chinese Americans with type 2 diabetes (T2DM) and the influence of acculturation levels on diabetes knowledge. T2DM is a significant health issue for Chinese Americans because of the unique challenges they face that reflect a complex interplay of culture, language, insufficient numbers of culturally congruent health care providers, and socioeconomic factors. Diabetes knowledge is an essential foundation for effective diabetes self-management behaviors. However, few studies have assessed Chinese Americans' level of diabetes knowledge and its relationship to acculturation.MethodsA secondary analysis of cross-sectional survey data from 110 Chinese Americans with T2DM was conducted. Descriptive analyses summarized specific knowledge deficits, and a hierarchical regression model was used to test the contribution of acculturation to the level of knowledge after controlling for demographics, diabetes duration, treatment, number of comorbidities, and diabetes numeracy.ResultThe average percentage of correct responses on the Diabetes Knowledge Questionnaire-Revised was approximately 77%. Items that were answered incorrectly the most frequently pertained to low or high blood glucose symptoms, desired A1C level, and glucose levels' relation to emotions. Diabetes numeracy and acculturation significantly predicted diabetes knowledge after controlling for demographic and health indicators.ConclusionChinese American patients may have significant gaps in knowledge regarding diabetes and its management that correspond to lower numeracy and acculturation levels. Health care providers should reinforce diabetes education for Chinese American patients who have lower acculturation levels.","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"241-249"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143756336","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