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Factors Influencing Type 2 Diabetes Prevention And Management In Singapore Patients And Caregivers A Qualitative Study
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Book Synopsis Factors Influencing Type 2 Diabetes Prevention and Management in Singapore Patients and Caregivers: a Qualitative Study by : Suan Ee Ong
Download or read book Factors Influencing Type 2 Diabetes Prevention and Management in Singapore Patients and Caregivers: a Qualitative Study written by Suan Ee Ong and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Background:Singapore is an urbanised Southeast Asian city-state facing a growing chronic disease burden and ageing population. A 2015 International Diabetes Federation report declared Singapore as having the second-highest proportion of diabetics among the worldu2019s developed nations. The prevalence of Type 2 Diabetes Mellitus (T2DM) in the local population was 11.3% in 2010. This prevalence is expected to grow, with a study by Phan and colleagues (2014) projecting an increase in T2DM prevalence in Singaporeu2019s adult population to 15.3% by 2050, and a disproportionate burden of T2DM among ethnic Indians and Malays in comparison with the Chinese.Aims:This qualitative study sought to identify and explore the factors that influence T2DM prevention and management among T2DM patients in Singapore.Methods:53 in-depth interviews were conducted. Interviewees were purposively sampled. Interviews were with T2DM patients spanning across several categories: general population, lower socioeconomic status, and newly-diagnosed. Interviews were conducted in English, Malay, and Chinese. The average duration of each interview was 45 minutes. The resulting data were translated and transcribed into English and thematically analysed using QSR NVIVO 11.Results:Of the 53 interviewees, 25 were T2DM patients from the general population, 21 were T2DM patients of low socioeconomic status, and 7 were newly diagnosed (defined as clinical diagnosis
Book Synopsis Understanding the Factors Influencing Diabetes Self-management in Chinese People with Type 2 Diabetes Using Structural Equation Modeling by :
Download or read book Understanding the Factors Influencing Diabetes Self-management in Chinese People with Type 2 Diabetes Using Structural Equation Modeling written by and published by . This book was released on 2005 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: It China, more than 20 million people were diagnosed with diabetes in 2000 and it was estimated there would be 42.3 million people with diabetes by 2030 (Wild, Roglic, Green, Sicree, & King, 2004). Diabetes mellitus self-management (DMSM) is considered the cornerstone for controlling diabetes and preventing diabetic complications. To develop effective interventions to promote DMSM in China, it is critical to identify the factors influencing DMSM relevant to this population. The purposes of this study were to test a hypothesized model describing the effects of individual and environmental factors on DMSM in patients with type 2 diabetes in China, and to test if the estimated effects are the same between two subgroups, patients treated with insulin vs. patients treated without insulin. The individual factors included diabetes knowledge, beliefs of treatment effectiveness, and diabetes self-efficacy. Environmental factors included social support from family members and provider-patient communication. Methods: A cross-sectional survey research design was used in this study. The study was conducted at a major hospital in Beijing China. A convenience sample of 201 Chinese adult patients with type 2 diabetes mellitus who attended the outpatient department of the Endocrinology unit at the hospital from September 2004 to November 2004 was obtained for this study. Data were collected using a self-reported questionnaire. Structural equation modeling (SEM) analysis was conducted to test the hypothesized model, and examine and explore the relationships between and among the individual and environmental factors and DMSM. Findings: The initial hypothesized model did not fit the observed data. Based on statistical findings and theoretical soundness, the model was modified. The final model had a good fit to the data. The key findings were that belief in treatment effectiveness and diabetes self-efficacy were key proximal factors affecting DMSM. Knowledge and the environmental factors indirectly affected DMSM through belief in treatment effectiveness and self-efficacy. The findings based on the multi-group SEM analysis indicated that patient-provider communication was a more important factor affecting DMSM for the insulin-treated subgroup, while family support was more important for the non-insulin treated subgroup. Conclusions: The good fit of the final model indicated that significant determinants of DMSM described in American studies were also important predictors of DMSM in Chinese with diabetes. The model illustrated that individual and environmental factors affected DMSM both directly and indirectly. Understanding the complex relationships between and among the individual and environmental factors and DMSM helps the practitioner to design intervention programs promoting DMSM using a more comprehensive approach. The practitioner should also be aware of the differences between the subgroups when developing intervention programs.
Book Synopsis Factors Influencing Poor Glycaemic Control In People with Type 2 Diabetes Using Insulin by : Wen Ting Tong
Download or read book Factors Influencing Poor Glycaemic Control In People with Type 2 Diabetes Using Insulin written by Wen Ting Tong and published by . This book was released on 2015 with total page 266 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Youth-onset Type 2 Diabetes: Self-management Among Adolescents in Bangkok by : Sappaporn Wirattanapokin
Download or read book Youth-onset Type 2 Diabetes: Self-management Among Adolescents in Bangkok written by Sappaporn Wirattanapokin and published by . This book was released on 2011 with total page 447 pages. Available in PDF, EPUB and Kindle. Book excerpt: The increasing prevalence of type 2 diabetes, in parallel with increased obesity among young people, has been a global concern, as these health issues are dual risks for developing cardiovascular disease in adulthood. The built environment, shaped by rapid urbanisation, industrialisation, and Westernisation, is one of the most important factors of endemic childhood obesity in Thailand. In this urban environment, eating out or public eating has expanded, together with an increase of nuclear families and the shift in the roles and positions of women, fading their role as primary caregivers. Weight reduction and blood glycemic control are major goals of paediatric treatment and self-management of pre-diabetes and type 2 diabetes. Many young patients find it difficult to comply with these medical requirements, because of various underlying factors, both personal and social. This thesis explores how Thai adolescents with pre-diabetes and type 2 diabetes understand causes of their illness and lifestyle, including prior to their diagnosis. The study site is Bangkok and its surroundings. This study is mainly based on a qualitative approach, using grounded theory, as a systematic method of qualitative research rather than a philosophy or theoretical standpoint. Fieldwork was conducted between December 2006 and January 2008. Data were collected through in-depth interviews and participant observation methods. Sixteen young people who were diagnosed with pre-diabetes or type 2 diabetes, aged 12-19, were study participants. They were recruited in three selected hospitals located in Bangkok. Their parents or primary caregivers were also included in the recruitment. Information from primary caregivers, other family members, and healthcare providers was gathered to broaden and contextualise data obtained from adolescents. I also draw on quantitative data collected from 60 healthy adolescents to supplement the qualitative findings. Information gathered from healthy adolescents provided a broad picture of teenagers' attitudes and lifestyles in contemporary Thailand, and provided some insight about potential factors associated with the development of pre-diabetes and type 2 diabetes among young people. In doing so, a 10-minute interview was conducted at two selected shopping malls - Siam Square and the Mall Baang Khae - to obtain data related to adolescents' lifestyle, i.e. daily food intake and activity. The findings from both quantitative and qualitative methods are concordant in that they indicate poor diet and inadequate physical activity among young people. Overall, in this study, family history of diabetes and childhood obesity, caused by poor diet and limited physical activity, predominantly influenced the development of pre-diabetes and diabetes among participants in this study. Similar to the healthy group, all adolescents with chronic illness who had had a history of childhood obesity followed an unhealthy lifestyle prior to their diagnosis. Unlike adults with type 2 diabetes, most young participants are diagnosed without delay as their caregivers seek help promptly from paediatric endocrinologists. Young participants' and caregivers' explanatory models of the causes of their illness are close to biomedical models, despite study participants not fully understanding the latter. Young participants' health beliefs are not affected by folk or supernatural notions of illness. Most of them perceive that their illness is caused by their personal lifestyle, behaviour and heredity. Living in a built urban environment which does not support an active lifestyle, the majority failed to change their unhealthy eating and sedentary behaviours, despite advice they received from health professionals. They frequently reported low self-efficacy and intention in adhering to diet control and regular exercise, perceived their illness as non-severe, understood that the disease cannot be cured, even if they followed health professionals' advice, and believed that they would face barriers in their social life if they modified their behaviours. Adolescents and their caregivers also reported that food availability at home and elsewhere (e.g. schools) is a barrier to changing lifestyle or maintaining healthiness. According to adolescents' and their caregivers' perceptions and management behaviours, four patterns of diabetes self-management were identified: thriving, accommodating, indulging and indifferent. The findings suggested that two illness management styles - thriving and accommodating - resulted in improved health outcomes. The remaining two illness management styles - indulging and indifferent - worsened blood glucose levels and body weight. The 'indifferent' adolescents reported both internal barriers (i.e. lack of self control, low self-efficacy, and no life goal) and external barriers (i.e. lack of social support and easy access to unhealthy food) to their diet control and exercise. Barriers to taking medication regularly commonly reported by those regarded as belonging to the 'indulging' and the 'indifferent' groups included skipping breakfast and forgetting to take medicine. Overall, parental involvement and the perceived benefits of weight loss and/or the perceived severity of the illness facilitate adolescents in the thriving and the accommodating management style to be able to control their food and exercise, but also psychological factors, including intention and self-efficacy, play a role in these illness management styles. The perceived barriers of adhering to diabetes self-management (i.e. social life disruption) and limited parental involvement predict low intention and self-efficacy in changing unhealthy behaviours among adolescents in the indulging and the indifferent management style. In the family setting, my study confirms that parents' modelling and parenting styles, such as authoritative parenting, can prevent children from developing unhealthy habits and behaviours from childhood to adolescence, and enhance young people's lifestyle modification. The families of young people with chronic illness need social support. Healthcare providers can potentially support or help caregivers or families by facilitating parental involvement, setting up dietary plans and raising awareness of unhealthy foods countrywide. This study also demonstrates a need to enhance self-efficacy and actual intention among adolescents, and to increase parental involvement in diabetes tasks in the achievement of treatment goals. The encouragement of life goals, to increase internal motivation and self-efficacy among young people, is a key strategy to help them achieve their diabetes self-management. This could be a solution for eliminating internal barriers. The enhancement of the social networks of ill adolescents, including young people with or without chronic illness and sportsmen, in self-help groups or as peer supporters, would benefit both ill adolescents and their peers to reduce a discrepancy between them; they can share life and learn from each other through lifestyle modification to be healthy. Furthermore, intervention programs for primary caregivers, aiming to encourage them to be highly involved in diabetes self-management and to be "healthy" role models, and enhancing their willpower in taking care of children with chronic illness, may be useful diabetes management strategies. These strategies would not only improve the health outcomes of ill young people but also the whole family, and in particular those who themselves have type 2 diabetes. As my study has a small sample size, with limited diversity in age, ethnicity, and the place of residence, and is based predominantly on qualitative research, the findings cannot be generalised. In addition, future research needs to investigate the social and environmental context (i.e. peers, teachers and school) and its impact on the lifestyle of healthy and ill adolescents and the illness management strategies of those who are diagnosed with type 2 diabetes.
Book Synopsis Psychosocial Care for People with Diabetes by : Deborah Young-Hyman
Download or read book Psychosocial Care for People with Diabetes written by Deborah Young-Hyman and published by American Diabetes Association. This book was released on 2012-12-25 with total page 330 pages. Available in PDF, EPUB and Kindle. Book excerpt: Psychosocial Care for People with Diabetes describes the major psychosocial issues which impact living with and self-management of diabetes and its related diseases, and provides treatment recommendations based on proven interventions and expert opinion. The book is comprehensive and provides the practitioner with guidelines to access and prescribe treatment for psychosocial problems commonly associated with living with diabetes.
Book Synopsis Multilevel Model of Integrated Self-management Education in People with Type 2 Diabetes: a Qualitative Study by : Huber Claudia
Download or read book Multilevel Model of Integrated Self-management Education in People with Type 2 Diabetes: a Qualitative Study written by Huber Claudia and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Title: Multilevel Model of Integrated Self-Management Education in People with Type 2 Diabetes: a Qualitative StudyBackground: National and international guidelines recognise self-management education as key element of diabetes care. However, less than half of people living with type 2 diabetes participate in self-management education programmes. Developing self-management programmes that are better integrated with patientsu2019 experiences, needs and ongoing care may help improve their uptake.Aims: To explore the ways different components of integration are expressed at an individual, professional and organisational level within a novel programme of self-management support.Methods: We conducted a qualitative study using thematic narrative analysis to explore factors influencing integration within the self-management programme. Sixteen purposively sampled programme participants were recruited in two programme settings to participate in semi-structured in-depth interviews. The sample included 10 people with type 2 diabetes, 3 healthcare professionals and 3 lay educators. Ten of the participants were also directly observed during a total of 24 hours of course interactions and 4 related programme documents were analysed. The data were collected in the context of a comparative case study exploring 3 different self-management education programmes aimed at enhancing patient-centred self-management. The ethical permission was provided by the respective authorities.Results: Five main themes were identified relating to components of integration in self-management education. The themes were: 1) raising the awareness of mutual expectations and roles in the group exchanges by understanding the mechanisms that encourage equal contributions, mainly motivation and position; 2) building a sustainable learning environment by integrating locally available resources that consider the structural and procedural programme aspects to support a continuous active learning; 3) sharing personal experiences by combining learning methods and group support that connects the individual behaviour with common self-management practice; 4) exploring individual challenges for self-management behaviour by responding to the participantsu2019 needs that respect different life priorities and the socio-cultural context; and 5) understanding interactions at the individual, professional and organisational level by encouraging active participation and collaboration as a consequence that reflects a person-centred programme delivery. These components of integration are interrelated and expressed the different interactions occurring in self-management education.Discussion: Understanding the integration of programme components at the individual, professional and organisational level enables to explore the programme implementation and furthers the development of self-management education. The study highlights the potential impact of interpersonal interaction that encourages the active engagement of people with chronic condition in their self-management. These five components build the basis for the development of the multileveled model to better understand integration in self-management education.
Book Synopsis Factors that Influence Physician Referral to Diabetes Self-management Education in Patients with Type 2 Diabetes by : Rebekah L. Panak
Download or read book Factors that Influence Physician Referral to Diabetes Self-management Education in Patients with Type 2 Diabetes written by Rebekah L. Panak and published by . This book was released on 2018 with total page 119 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis An Investigation of Barriers to Optimal Care in Type 2 Diabetes Mellitus by : Sandra P. Y. Pun
Download or read book An Investigation of Barriers to Optimal Care in Type 2 Diabetes Mellitus written by Sandra P. Y. Pun and published by . This book was released on 2010 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Diabetes Mellitus (DM) is a global health problem with a rapidly increasing prevalence. Despite the provision of comprehensive diabetes management programmes, patients are often not able to achieve the desired outcomes. The aims of the study were to investigate factors affecting self-care behaviours of patients with Type 2 DM among Hong Kong Chinese people and to explore barriers to self-care and strategies to overcome barriers from patients' and nurses' perspectives. The conceptual framework was developed from the Health Belief Model and the Theory of Planned Behaviour. A sequential explanatory mixed methods design was adopted. Structured questionnaires were used to investigate key variables for predicting self-care for 183 patients with Type 2 DM. Subsequently, 22 patients and 17 nurses were selected for focus group interviews. The quantitative findings showed that both attitudes and modifying factors (knowledge, demographics, socio-economic factors, insulin therapy) had a significant effect on self- care behaviours. They showed that older patients, those of lower socio-economic status, being treated with insulin, having better knowledge about DM, and with positive attitudes reported better adherence to self-care. The qualitative findings indicated that the patients and nurses perceived barriers to self-care were consistent including physical, psychological, socio-economic, environmental and cultural factors. The focus group interviews revealed that nurses understood most of the barriers to self- care perceived by their patients. The Diabetes Self-care Model was developed in the study to inform and guide healthcare professionals when designing diabetes management programmes by addressing key variables affecting self-care behaviours and patient outcomes. The unique position of nurses and their understanding of patients' needs are essential for improving patient outcomes. Therefore, the roles of nurses should be reinforced and further developed to address the needs of the patients through improving the effectiveness of diabetes management programmes and patient empowerment.
Book Synopsis Depression and Diabetes by : Wayne Katon
Download or read book Depression and Diabetes written by Wayne Katon and published by John Wiley & Sons. This book was released on 2011-06-09 with total page 197 pages. Available in PDF, EPUB and Kindle. Book excerpt: In recent years, there has been a growing awareness of the multiple interrelationships between depression and various physical diseases. The WPA is providing an update of currently available evidence on these interrelationships by the publication of three books, dealing with the comorbidity of depression with diabetes, heart disease and cancer. Depression is a frequent and serious comorbid condition in diabetes, which adversely affects quality of life and the long-term prognosis. Co-occurrent depression presents peculiar clinical challenges, making both conditions harder to manage. Depression and Diabetes is the first book devoted to the interaction between these common disorders. World leaders in diabetes, depression and public health synthesize current evidence, including some previously unpublished data, in a concise, easy-to-read format. They provide an overview of the epidemiology, pathogenesis, medical costs, management, and public health and cultural implications of the comorbidity between depression and diabetes. The book describes how the negative consequences of depression in diabetes could be avoided, given that effective depression treatments for diabetic patients are available. Its practical approach makes the book ideal for all those involved in the management of these patients: psychiatrists, psychologists, diabetologists, general practitioners, diabetes specialist nurses and mental health nurses.
Book Synopsis Socio-cultural Factors Influencing Self-management of Australian Pacific Islander Women with Type 2 Diabetes by : Heena Akbar
Download or read book Socio-cultural Factors Influencing Self-management of Australian Pacific Islander Women with Type 2 Diabetes written by Heena Akbar and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: BackgroundType 2 diabetes disproportionately affects ethnically and culturally diverse communities in Australia and is a major public health challenge for Australian Pacific Islander (API) communities residing in Queensland. APIs in Queensland face health inequalities, such that they are two to four times more likely to be hospitalised or die from preventative chronic conditions compared to the general Queensland population. API women are also four times more at risk of developing diabetes and diabetes-related mortality and co-morbidities. Despite a higher burden of diabetes mortality and morbidity, very little is known about the socio-cultural factors influencing self-management of API women with type 2 diabetes living in Queensland, which has the largest Pacific Islander diaspora, outside of New Zealand. AimsThe objective of this study was to identify socio-cultural, lifestyle and diabetes-related factors influencing self-care behaviours of API women with type 2 diabetes. This study also examined the relationship between socio-cultural, demographics, lifestyle, diabetes- related factors and self-care behaviours.MethodsA self-reported cross-sectional survey was used for health data collection from 148 API women with type 2 diabetes in Queensland. The dependent variable was self-care behaviours which was collected using the Summary of Diabetes Self-Care Activity (SDSCA) and independent variables included socio-demographics, lifestyle and health and diabetes-related factors. Descriptive and multiple linear regression methods were used to identify factors influencing self-management in API women with type 2 diabetes. ResultsThe API women with type 2 diabetes generally had low levels of self-management behaviour engaging on average two to three days per week in diabetes self-care activities. Taking medication (ave =5 days) and self-monitoring blood glucose (avg. = 3.4 ) were the most frequently reported behaviours. Healthy eating (avg.=3.2 days), foot care (avg.=2.6 days) and physical activity avg.=2.4 days) were least reported. Socio-cultural factors including age, ethnicity, diabetes knowledge, membership with Diabetes Queensland and self-reported HbA1c (knowledge of) were significant determinants of diabetes self-care. Older women (aged 55 years and over) were more likely to report better self-management. There were significant variations among the ethnic groups, whereby Tongan, Solomon and i-Kiribati API women were less likely to seek support from health professionals and API women from i-Kiribati and Tongan background were less likely to adhere to healthy eating behaviours.DiscussionThis is the first Australian study for Pacific Islander women with diabetes in Queensland with the largest Pacific population. This study highlighted socio-cultural factors including age, ethnicity, knowledge of Glycosylated haemoglobin (HbA1c) values, diabetes knowledge, and membership with Diabetes Queensland, as important determinants of self-management for API women with type 2 diabetes. The study allows one to look at diabetes health from the cultural lens. It also provides a platform to further examine other social determinants of health specifically to diabetes self-management within the Australian Pacific community context.
Book Synopsis Type 2 Diabetes. A Comparison of the Awareness in the Asian Indian Culture and the USA by : Henriette Frädrich
Download or read book Type 2 Diabetes. A Comparison of the Awareness in the Asian Indian Culture and the USA written by Henriette Frädrich and published by . This book was released on 2016-08-22 with total page 20 pages. Available in PDF, EPUB and Kindle. Book excerpt: Seminar paper from the year 2015 in the subject Cultural Studies - Miscellaneous, grade: 1,7, University of Potsdam (Institut fur Anglistik/Amerikanistik), course: Seminar: Researching Cultural Models, language: English, abstract: For some time now India has been undergoing a nutrition transition which boosts the development of overweight and obesity leading to chronic diseases such as type 2 diabetes. Due to industrialisation and modernization, the diet of Indians living in urbanised areas changes from traditional diets to excessive intake of western fast food. Besides these dietary factors the rising lack of physical activity is highly associated with the rising emergence of the aforementioned disease. According to the Asian Diabetes Prevention Initiative, in the year 2013 60% of diabetics lived in Asia, whereby India was home to the second largest population of individuals with type 2 diabetes worldwide, with 65.1 million diabetics. In contrast, the American Diabetes Association reported 21.9 million diabetics for the year 2012. As a result, the awareness of influencing factors for the development respectively prevention of type 2 diabetes should be quite high for both countries, and even higher for the Asian Indian population. To see if this is the case, in this paper I am going to examine the English language of both cultures with the help of corpus-linguistic analysis. Some factors influencing the emergence of type 2 diabetes were already mentioned before. Overweight and obesity are clearly the main risk factors for developing type 2 diabetes. Asian Indians have a higher percentage of abdominal body fat compared to Europeans, which leads to a higher insulin resistance associated with type 2 diabetes. Therefore, Asian Indians have a higher prevalence for developing type 2 diabetes than other ethnic groups, even at a lower Body Mass Index. Of course, body weight is highly dependent on nutritional factors. In addition to the traditional consumption of alread"
Author :U. S. Department of Health and Human Services Publisher :CreateSpace ISBN 13 :9781478238911 Total Pages :52 pages Book Rating :4.2/5 (389 download)
Book Synopsis Silent Trauma by : U. S. Department of Health and Human Services
Download or read book Silent Trauma written by U. S. Department of Health and Human Services and published by CreateSpace. This book was released on 2012-07-13 with total page 52 pages. Available in PDF, EPUB and Kindle. Book excerpt: The impact of type 2 diabetes on Southeast Asian (SEA) communities in the United States—a group that includes Cambodians, Hmong, Laotians, and Vietnamese—is driven by cultural, historical, and logistical factors. Understanding these factors is a fi rst step in identifying potential interventions. Though there is great diversity within the SEA subgroup, its members are united by a strong sense of their respective communities and a reverence for local leaders. Effective programs to overcome barriers to type 2 diabetes prevention and control must capitalize on these strengths, while taking into account the unique requirements of this population. The purpose of this paper is to: 1. Increase awareness among health care providers, decision makers, and organizations serving Asian Americans of the risk for type 2 diabetes in SEAs and potential impacting factors. 2. Highlight data collection issues, barriers to care, and special health care needs, and introduce successful models in reaching Southeast Asian populations. 3. Identify resources available to organizations, government agencies, health care providers, and others who work with SEAs in the United States. This monograph discusses the following: The data on diabetes prevalence, rates of complications, and health care quality measures among SEAs are limited; Overweight as a risk factor for type 2 diabetes in SEAs—and Asian Americans in general—is underrecognized. The risk for type 2 diabetes increases at a lower body mass index for Asians than for other ethnic groups. Qualitative evidence from focus groups with Asian Americans indicates many Asians believe themselves to be at lower risk for type 2 diabetes because of smaller average body build; SEAs experience major obstacles to diabetes diagnosis and management, including inadequate access to culturally appropriate health care, lack of insurance coverage, and language barriers. For example, many SEAs are unaware of their federally mandated right to interpreter services and do not request these services; Low cultural acceptance of preventive health services among SEAs reduces opportunities for risk assessment, opportunistic testing, timely diabetes diagnosis, and interventions for diabetes prevention and management; Diagnosis and culturally appropriate treatment of concomitant mental health disorders such as depression, anxiety, and post-traumatic stress disorder (PTSD) are key in diabetes management; Mental health conditions such as PTSD (resulting from trauma and torture), anxiety, and depression are highly prevalent among SEAs and further complicate diabetes self-care; and Cultural competency among health care providers who treat SEAs is critical to successful interventions for diabetes prevention and control.
Book Synopsis Patient Diabetes Education in the Management of Adult Type 2 Diabetes by : Paula Corabian
Download or read book Patient Diabetes Education in the Management of Adult Type 2 Diabetes written by Paula Corabian and published by . This book was released on 2001 with total page 90 pages. Available in PDF, EPUB and Kindle. Book excerpt: This report is a systematic review and critical appraisal of the literature on the use of formal outpatient diabetes education as a therapeutic tool for self-management in the adult patients with type 2 diabetes. Formal patient diabetes education to promote self-management (PDE) at different levels of complexity and comprehensiveness has emerged from instructions by physicians, nurses, and dieticians in physicianþs offices and hospitals. Since 1990 there has been a shift from traditional approaches of PDE to focus on patient-centered perspectives, self-efficacy, self-management and empowerment issuses. Quantitatives research on the use of formal PDE as a therapeutic tool promote self-management in adults with type 2 diabetes has produced mixed results in terms of improved metabolic control and reduced risks for cardiovascular disease. The long-term diabetes control outcomes of formal PDE when used to promote self-management in adults with type 2 diabetes have yet to be established. Further investigations are needed to determine which types of programs or what components are most effective in improving the ability of adults with type 2 diabetes to self-manage their disease; or which category of patients might benefit most. Findnings from qualitative research studies helped to better understand the context in which formal PDE should be applied to be successful in promoting self-managemenet behaviors in adults with type 2 diabetes.
Book Synopsis A Novel Research Approach for Cities to Prioritise Social Factors and Cultural Determinants Relevant to Type 2 Diabetes by : Bagger Malene
Download or read book A Novel Research Approach for Cities to Prioritise Social Factors and Cultural Determinants Relevant to Type 2 Diabetes written by Bagger Malene and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: A novel research approach for cities to prioritise social factors and cultural determinants relevant to type 2 diabetesNapier D1, Volkmann A1, Hesseldal L2, Bagger M21: Department of Anthropology, University College London, 14 Taviton Street, WC1E 6BT London, United Kingdom2: Health Advocacy, Novo Nordisk A/S, Novo Allu00e9 1, 2880 Bagsvu00e6rd, Denmark Background:Today, there are 415 million people living with diabetes worldwide, corresponding to 8.8% of the global adult population and almost two-thirds of all people with diabetes live in urban areas (1). By 2040, the number of people with diabetes is expected to rise to 642 million, with 74% of them living in urban areas (1). These projections make cities ideal sites for studying type 2 diabetes and for understanding better what drives this condition globally.Social factors and cultural determinants constitute both barriers and opportunities for successful prevention, care and management of type 2 diabetes. We present a novel research approach, the Diabetes Q Assessment (D-QA) that explores priorities, attitudes, and shared points of views among people living with type 2 diabetes. It builds on findings from in-depth Diabetes Vulnerability Assessments conducted in five cities as part of the Cities Changing Diabetes programme (2). The vulnerability assessments identified eight locally distinct and globally shared social factors (financial constraints, time constraints, resource constraints, geographical constraints) and cultural determinants (traditions and conventions, health and illness, self and other, and change and transition) relevant to type 2 diabetes. The D-QA enables cities to prioritise specific local social factors and cultural determinants relevant to type 2 diabetes.Aims: The aim of the D-QA is to understand the presence and impact of local social factors and cultural determinants of type 2 diabetes across specific population sub-groups to inform interventions and improve both care and management of type 2 diabetes. Method: The D-QA methodology is based on Q-methodology (3). 50-60 participants are recruited to each carry out a computer-based statement sorting procedure in which they rank a set of statements reflecting the eight social factors and cultural determinants according to personal preference. Statements are sorted into a forced-distribution matrix, which encourages participants to relate the statements to one another, and to think carefully about what statements take priority over others. A variant of statistical factor analysis is employed to explore correlations between participantsu2019 viewpoints, and participants who express a similar point of view are grouped. Each group is then described based on the commonly held point of view and on the characteristics of the participants in the group. Selected participants from each group are then invited to focus group interviews for in-depth exploration of the viewpoints. The final analysis is based on the Q-sorts, demographic data and focus group interviews. The D-QA will be implemented in Vancouver, Johannesburg and Rome in the coming year. Results: The outcomes of the D-QA are 1) an analysis of the presence and impact of the social factors and cultural determinants of diabetes relevant to the given city, 2) well-characterised groups of participants that share similar points of views regarding the experience of living with type 2 diabetes, 3) in-depth description of each group and those participants who represent that viewpoint in a statistically significant manner. Discussion: The D-QA enables cities to identify specific barriers and opportunities to successful diabetes care and prevention that can inform future interventions and policies. Through a deeper understanding of how the social factors and cultural determinants of diabetes play out in a given city, diabetes prevention and care can be improved upon and tailored to specific target groups. References: 1. International Diabetes Federation: IDF Diabetes Atlas, 7th edn. 2015.2. Cities Changing Diabetes: Urban diabetes. Understanding the challenges and opportunities. 2015. 3. The study of behavior; Q-technique and its methodology. Stephenson, William. Chicago, IL, US: University of Chicago Press The study of behavior; Q-technique and its methodology. 1953; ix 376 pp.
Book Synopsis A Quantitative and Qualitative Analysis of Factors Affecting Acceptance of a Computer-based Disease Self-monitoring System Among Patients with Type 2 Diabetes Mellitus And/or Hypertension by : 閆勉
Download or read book A Quantitative and Qualitative Analysis of Factors Affecting Acceptance of a Computer-based Disease Self-monitoring System Among Patients with Type 2 Diabetes Mellitus And/or Hypertension written by 閆勉 and published by . This book was released on 2016 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Type 2 diabetes written by Steve Chaplin and published by . This book was released on 2005 with total page 36 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Caring For People With Chronic Conditions: A Health System Perspective by : Nolte, Ellen
Download or read book Caring For People With Chronic Conditions: A Health System Perspective written by Nolte, Ellen and published by McGraw-Hill Education (UK). This book was released on 2008-09-01 with total page 283 pages. Available in PDF, EPUB and Kindle. Book excerpt: This text systematically examines some of the key issues involved in the care of those with chronic diseases. It synthesises the evidence on what we know works (or does not) in different circumstances. From an international perspective, it addresses the prerequisites for effective policies and management of chronic disease.
