Self-Efficacy And Diabetes Self-Care In Tunisian Patients With Type 2 Diabetes

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Total Pages : pages
Book Rating : 4.:/5 (125 download)

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Book Synopsis Self-Efficacy And Diabetes Self-Care In Tunisian Patients With Type 2 Diabetes by : Wafa Abdelghaffar

Download or read book Self-Efficacy And Diabetes Self-Care In Tunisian Patients With Type 2 Diabetes written by Wafa Abdelghaffar and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: ObjectivesTo explore psychological factors having an impact on diabetes control in order to provide a better psychological management for patients with diabetes.Background and aimsGlycemic control in diabetes requires a good compliance to self care activities (diet, exercice, glycemic measureu2026). Self efficacy, has been found to have an impact on treatment compliance in chronic diseases such as diabetes. This study aimed at determining the relationship between self efficacy and self care in Tunisian patients with type 2 diabetes.Materials and methodsA cross sectional study was performed in primary care units assessing patients with type 2 diabetes for self efficacy (using the diabetes management self-efficacy scale (DMSES), diabetes related distress (using the problem areas in diabetes sclae (PAID 5) and diabetes slef care (using the summary of diabetes self care activities (SDSCA). Glycemic control was assessed using HbA1c. Demographic and clinical information (such as BMI, medications and comorbidities) were also recorded.ResultsOne hundred patients were enrolled in the study, with a mean age of 58.In our study, high levels of self efficacy were associated with lower levels of distress and better self care activities compliance.Glycemic conrol was associated with low levels of distress, thus indirectly associated with self efficacy.ConclusionsSeveral studies performed in other countries found similar results.Our study shows that patients with diabetes should be assessed for self efficacy and distress and appropriate psychological interventions should be implemented in order to help them achieve better compliance and thus better glycemic control.

Patient Knowledge, Perceived Self-efficacy, and Self-management Among Patients with Type II Diabetes Mellitus

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ISBN 13 :
Total Pages : 130 pages
Book Rating : 4.:/5 (118 download)

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Book Synopsis Patient Knowledge, Perceived Self-efficacy, and Self-management Among Patients with Type II Diabetes Mellitus by : Razel Bacuetes Milo

Download or read book Patient Knowledge, Perceived Self-efficacy, and Self-management Among Patients with Type II Diabetes Mellitus written by Razel Bacuetes Milo and published by . This book was released on 2017 with total page 130 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the United States (U.S.), Type 2 Diabetes Mellitus (T2DM) has reached epidemic portions with a prevalence of approximately 29.1 million people and is the seventh-leading cause of death (Centers for Disease Control and Prevention [CDC], 2014; Healthy People 2020, n.d.). The U.S. spends an estimated $245 billion in direct and indirect medical costs. The indirect costs include disability and lost productivity (CDC, 2014). Previous studies focusing on diabetes education acknowledge the significance of self-management activities in managing T2DM. Extant studies examining self-management and treatment outcomes for persons with T2DM have paid limited attention to the relationship between patients' disease perceptions, diabetes knowledge, self-efficacy, self-management practices, and glycemic control. The purpose of this investigation was to identify factors and outcomes associated with healthy diabetes self-management practices among a cohort of individuals with T2DM residing in southern California. Nola Pender's Health Promotion Model (Pender et al., 2015) guided the study. Specific aims include: 1) Provide conceptual clarity for the phenomenon of perception through a concept analysis using Walker and Avant (2011) methodology, 2) Identify factors and outcomes associated with diabetes self-management through a systematic review of the literature, and 3) Examine relationships among perceived self-efficacy, specific patient characteristics, diabetic knowledge, self-management practices, and HbA1C values among a sample of individuals with T2DM living in southern California. The research aims provided the structure to generate new scientific data and evidence towards the improvement of self-management practices and those characteristics leading to improved HbA1C outcomes.

A Preliminary Study to Evaluate the Influence of Self-efficacy, Self-care, Knowledge of HbA1C and Medication Regimen Complexity on Tight Glycemic Control in Individuals with Type 2 Diabetes

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ISBN 13 :
Total Pages : 69 pages
Book Rating : 4.:/5 (951 download)

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Book Synopsis A Preliminary Study to Evaluate the Influence of Self-efficacy, Self-care, Knowledge of HbA1C and Medication Regimen Complexity on Tight Glycemic Control in Individuals with Type 2 Diabetes by : Jill L. Davenport

Download or read book A Preliminary Study to Evaluate the Influence of Self-efficacy, Self-care, Knowledge of HbA1C and Medication Regimen Complexity on Tight Glycemic Control in Individuals with Type 2 Diabetes written by Jill L. Davenport and published by . This book was released on 2016 with total page 69 pages. Available in PDF, EPUB and Kindle. Book excerpt: "The purpose of this study was to examine if relationships existed between the following variables: knowledge of HbA1C, reported self-efficacy, reported self-care, and tight glycemic control. In addition, gender was examined in relationship to self-efficacy, and reported self-care. The study also examined if a relationship existed between the complexity of the medication regime used to manage diabetes and report self-care, reported self-efficacy and tight glycemic control. A quantitative, cross-sectional, descriptive and correlational design via self-report questionnaires was used. A convenience sample was purposefully identified and selected from individuals with type 2 diabetes referred for diabetes education sessions or current or past outpatient cardiac and pulmonary rehabilitation participants identified as having type 2 diabetes. A total of 93 questionnaires were returned. The Self-Efficacy for Diabetes Scale (SES) Stanford Patient Education Research Center and the Self-Care Inventory-Revised were utilized. The study results revealed a correlation between knowledge of HbA1C and report level of self-efficacy (r = -.224, p = 0.004) and level of self-care (r = .217, p = 0.036). A correlation was also identified between gender and self-care score (r = .298, p = 0.004), with females reporting higher self-care, compared to males. There were no significant relationships between knowledge of HbA1C and tight glycemic control or between the complexity of the medication regimen to manage diabetes and reported levels of self-efficacy and self-care and tight glycemic control. Delaying or preventing health complications associated with diabetes can lead to improved quality of life and improved patient outcomes in patients with diabetes, as well as lower the financial burden associated with the complex care of these patients."--Page v.

Self-Management of Type 2 Diabetes in Appalachina Women

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ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (61 download)

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Book Synopsis Self-Management of Type 2 Diabetes in Appalachina Women by :

Download or read book Self-Management of Type 2 Diabetes in Appalachina Women written by and published by . This book was released on 2007 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Gender, minority, and regional-related disparities have been documented in diabetes management. Self-efficacy, the belief in one's ability to carry out the actions mandated by a task, has been identified as a key predictor in glycemic control; however, it has not been investigated in rural, female populations. This crosssectional, correlation investigation examined the relationships among self-efficacy, depression, and diabetes self-care management in women living in Appalachia with type 2 diabetes. Using Banduraâs Social Cognitive Theory, 85 women ages âÆ 21 with type 2 diabetes for a minimum of 6 months who were residents in Appalachia completed the 1) Diabetes Self-Efficacy Scale, 2) Beck Depression Inventory-II, 3)Summary of Diabetes Self-Care Activities, and a 4) Diabetes Health-Related Demographics tool. Descriptive statistics detailed the sample characteristics. ANOVA, chi-square, and independent ttests were computed for between group differences as they related to depression, various physiologic states, presence of self-efficacy sources, and glycosylated hemoglobin. Pearson correlation coefficients were used to describe the relationships between selfefficacy, depression, and self-care management. Multiple linear regression analyses examined prediction models for glucose control while controlling for potential confounders. Eighty-four Caucasian and one African-American enrolled in the study with a mean age of 61. The mean time since diabetes diagnosis was 7 years with a mean glycosylated hemoglobin value of 6.9% (SD=1.3). Higher self-efficacy scores were associated with a lower glycosylated hemoglobin (r-.30, p=.005) and ability to choose foods best to maintain a healthy eating plan(r-.415, p=.001). The sources of self-efficacy associated with enhanced self-care management were mastery experience and vicarious experience. There were no significant relationships between self-efficacy and depression or depression and glycosylated hemoglobin. The diabetes self-c.

Evaluating the Utilization of a Combination Therapy to Improve Self-efficacy and Glycemic Control in Patients with Type Two Diabetes Mellitus and Low Health Literacy

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ISBN 13 :
Total Pages : 88 pages
Book Rating : 4.:/5 (119 download)

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Book Synopsis Evaluating the Utilization of a Combination Therapy to Improve Self-efficacy and Glycemic Control in Patients with Type Two Diabetes Mellitus and Low Health Literacy by : Crystal Manus Masling

Download or read book Evaluating the Utilization of a Combination Therapy to Improve Self-efficacy and Glycemic Control in Patients with Type Two Diabetes Mellitus and Low Health Literacy written by Crystal Manus Masling and published by . This book was released on 2020 with total page 88 pages. Available in PDF, EPUB and Kindle. Book excerpt: Type 2 diabetes mellitus is a significant health issue, as it requires patients to perform daily self-management activities. One in every three Americans with Type 2 diabetes has limited or low health literacy skills. Limited or low health literacy skills can impact a patient’s overall health outcome; therefore, a critical element for disease management and patient adherence is health literacy. The purpose of this three-month scholarly project was to determine if the utilization of an educational intervention specific to one’s level of health literacy, combined with a short message service reinforcement tool, could improve glycemic control and self-efficacy in Type 2 diabetes mellitus patients with limited and low HL. A sample of four participants was recruited for this scholarly project. Participants completed pre and post self-efficacy and health literacy questionnaires. During the three-month intervention phase, participants interacted with the project leader utilizing the text messaging reinforcement tool. After the three-month intervention phase, participants had an overall 9% increase in self-efficacy confidence, a 42% overall increase in health literacy knowledge, and an overall HbA1c mean value reduction of 0.5%. This combination therapy intervention is easy and convenient for health care providers and Type 2 diabetes mellitus patients with limited or low health literacy. This intervention is an efficient and effective method to improve patients self-efficacy and diabetes knowledge; furthermore, this method improves patient self-management skills, glycemic control, and patient longevity.

The Relationship Between the Health Belief Model and Self-efficacy and Self-care Behaviors in Type 2 Diabetes Mellitus Patients

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ISBN 13 :
Total Pages : 346 pages
Book Rating : 4.:/5 (41 download)

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Book Synopsis The Relationship Between the Health Belief Model and Self-efficacy and Self-care Behaviors in Type 2 Diabetes Mellitus Patients by : Layla I. Aljasem

Download or read book The Relationship Between the Health Belief Model and Self-efficacy and Self-care Behaviors in Type 2 Diabetes Mellitus Patients written by Layla I. Aljasem and published by . This book was released on 1998 with total page 346 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Self-Efficacy, Self-Care, and Metabolic Control in Persons with Type 2, Diet and Exercised Controlled Diabetes

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ISBN 13 : 9781423558729
Total Pages : 169 pages
Book Rating : 4.5/5 (587 download)

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Book Synopsis Self-Efficacy, Self-Care, and Metabolic Control in Persons with Type 2, Diet and Exercised Controlled Diabetes by : Lisa Randall

Download or read book Self-Efficacy, Self-Care, and Metabolic Control in Persons with Type 2, Diet and Exercised Controlled Diabetes written by Lisa Randall and published by . This book was released on 1998-09-01 with total page 169 pages. Available in PDF, EPUB and Kindle. Book excerpt: Although people with diabetes are often judged by numbers on a computer screen, tight metabolic control remains the ultimate clinical endpoint (Diabetes control and Complications Trial, 1993). Nurses' understanding of diabetes management coupled with a holistic view of person makes them the optimal professionals to facilitate patient movement toward tight metabolic control. Diabetes knowledge is essential to self-care, but alone is insufficient to produce and maintain behavioral change. psychological determinants of self- care and metabolic control must be explored. Self-efficacy (Bandura, 1977) has demonstrated its importance in behavioral modification but has been minimally investigated in diabetes. This pilot study describes relationships among self- efficacy, self-care, and metabolic control in a convenience sample of six persons with diet and exercise controlled diabetes. Additionally, the study evaluates an integrated multidisciplinary diabetes education program by pre and post measures of these same variables.

Assessment of Self-care and Education in Patients with Type 2 Diabetes Mellitus

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ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (133 download)

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Book Synopsis Assessment of Self-care and Education in Patients with Type 2 Diabetes Mellitus by : Kristen Mae Monroe

Download or read book Assessment of Self-care and Education in Patients with Type 2 Diabetes Mellitus written by Kristen Mae Monroe and published by . This book was released on 2022 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Background and Significance: The annual cost of diagnosed type 2 diabetes mellitus (DM2) in the United States is $327 billion, with individuals with DM2 spending 2.3 times more on health care than individuals without DM2. Education, such as Diabetes Self-Management Education and Support (DSMES) programs, and self-care support, utilizing tools such as the Summary of Diabetes Self-Care Activities (SDSCA) Measure, are the cornerstones of improving care and outcomes for patients with DM2. Purpose: The purpose of this quality improvement project was to implement a standardized self-care assessment and educational intervention for a mid-Michigan internal medicine clinic's adult patient population over 18 years of age with DM2 and hemoglobin A1c (HbA1c) greater than 9% and improve patient self-care. Methods: The Plan, Do, Act, Study (PDSA) Cycle and the Chronic Care Model were used as a framework to guide the project. Eligible participants were identified by clinic staff and received self-care education. Evaluation: The validated SDSCA tool was utilized to assess self-care pre- and post- educational intervention. A two-tailed paired t-test was then performed to compare pre- and post-intervention scores. Outcomes: Of 25 eligible patients in the clinic, 13 patients participated in the initial phase with 3 patients lost to follow-up, leaving 10 patients included in data analysis. A statistically significant improvement was seen in DM2 self-care with mean scores increasing from 4.1 days/week to 4.8 days/week (t = -6.5, p

Improving Diabetes Self-care and Glycemic Outcome in Lebanese Patients with Type 2 Diabetes: a Culturally Tailored Study

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ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (116 download)

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Book Synopsis Improving Diabetes Self-care and Glycemic Outcome in Lebanese Patients with Type 2 Diabetes: a Culturally Tailored Study by : Sukkarieh-Haraty Ola

Download or read book Improving Diabetes Self-care and Glycemic Outcome in Lebanese Patients with Type 2 Diabetes: a Culturally Tailored Study written by Sukkarieh-Haraty Ola and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Enhancing diabetes self-care is known to improve glycemic control and dietary habits of patients with type 2 diabetes mellitus (T2DM). The aim of this pilot-study was to test the effect of culturally-tailored educational program targeting diabetes self-care on glycemic control of Lebanese patients with T2DM, of low socioeconomic status. A convenience sample of 27 adults (Age: 61u00b110 years, 59% males, A1C: 8.98u00b11.38%) diagnosed with T2DM for at least one year was recruited from two dispensaries in Beirut. Participants received culturally-tailored, multidisciplinary educational sessions based on the Information-Motivation-Behavioral model and on American Diabetes Associationu2019s National Standards for Diabetes Self-Management Education and Support. Summary of Diabetes Self-Care Activities (SDSCA), Social Support Scale (SS), Diabetes Fatalism Scale (DFS), and Diabetes Knowledge Test (DKT), as well as blood samples (HbA1c, Fasting Plasma Glucose) were collected at baseline, three months and six months post-intervention. Results revealed improvements in various diabetes self-care activities (Diet, SMBG and foot care) after 6 months, which was reflected in a significant decrease in glycaemia (HbA1C: -0.5%; FPG: -38 mg/dl; p

The Relationship Between Self-efficacy and Self-care of Diabetes Among African American Women Aged 55 Years and Older with a Self-reported Diagnosis of Type 2 Diabetes

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ISBN 13 :
Total Pages : 116 pages
Book Rating : 4.:/5 (85 download)

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Book Synopsis The Relationship Between Self-efficacy and Self-care of Diabetes Among African American Women Aged 55 Years and Older with a Self-reported Diagnosis of Type 2 Diabetes by : Kelley Nalana Miller

Download or read book The Relationship Between Self-efficacy and Self-care of Diabetes Among African American Women Aged 55 Years and Older with a Self-reported Diagnosis of Type 2 Diabetes written by Kelley Nalana Miller and published by . This book was released on 2010 with total page 116 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Improving Glycemic Control and Self-efficacy Through Telehealth

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ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (134 download)

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Book Synopsis Improving Glycemic Control and Self-efficacy Through Telehealth by : Fredo Jean Clermont

Download or read book Improving Glycemic Control and Self-efficacy Through Telehealth written by Fredo Jean Clermont and published by . This book was released on 2017 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Uncontrolled diabetes causes target end organ damage that is devastating to multiple body systems including cardiovascular, neurologic, and renal systems. Adequate management of diabetes is required to prevent these health complications but unfortunately includes many lifestyle changes that are difficult to maintain. Weekly support in the form of telehealth has been demonstrated in the literature as a method to help patients with diabetes improve self-efficacy and glycemic control. This evidence-based practice change project implemented telehealth in the form of phone calls, text messages, or emails among a group of participants (N=15) with type 2 diabetes at a privately owned health clinic in a large metropolitan area in a northeastern state. Blood glucose levels decreased and self-efficacy scores increased after the implementation of the telehealth intervention. Project findings led to recommendations for the practice site, and implications for policy and health promotion. It is recommended that future implementation of this intervention occurs among a larger, heterogenous population and that more methods of telehealth be included. Keywords: Diabetes mellitus, type 2 diabetes, self-efficacy, telehealth, telemedicine, self-management" -- Abstract

The Use of Self-efficacy Evaluations, Self-care Evaluations, and Motivational Interviewing to Improve Glycated Hemoglobin Values in Type 2 Diabetes Mellitus

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ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (134 download)

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Book Synopsis The Use of Self-efficacy Evaluations, Self-care Evaluations, and Motivational Interviewing to Improve Glycated Hemoglobin Values in Type 2 Diabetes Mellitus by : Meredith Ann Kelley

Download or read book The Use of Self-efficacy Evaluations, Self-care Evaluations, and Motivational Interviewing to Improve Glycated Hemoglobin Values in Type 2 Diabetes Mellitus written by Meredith Ann Kelley and published by . This book was released on 2022 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: When improperly managed, type 2 diabetes mellitus is a serious and chronic health condition with far-reaching repercussions for individuals, families, and societies. In the United States, 34.2 million individuals live with diabetes, and 90%-95% have type 2 diabetes. While the United States healthcare system faces the monumental task of improving diabetic care outcomes and associated costs, publications have established that motivational interviewing (MI) can improve self-efficacy and associated self-care behaviors of type 2 diabetics, resulting in improved hemoglobin A1c values. Thus, this scholarly project’s intent was to track participant hemoglobin A1c values over three months, measure participant self-efficacy and self-care tendencies via validated questionnaires, provide participants with MI, and evaluate participant hemoglobin A1c, self-efficacy, and self-care progress through follow-up appointments three months after the intervention’s introduction. Practice changes included utilizing an evidence-based communication model to improve diabetes care, instead of antiquated physician-centric models. This scholarly project’s measurable outcomes were found to be statistically insignificant. Implications for practice included highlighting the need for personalized care delivery models in diabetes management and providing further insight into the fluidity of self-efficacy in those living with chronic disease such as type 2 diabetes mellitus.

Self-efficacy and Social Support as Predictors of Diabetic Self-care

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ISBN 13 :
Total Pages : 516 pages
Book Rating : 4.:/5 (45 download)

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Book Synopsis Self-efficacy and Social Support as Predictors of Diabetic Self-care by : Mary Katherine Crabtree

Download or read book Self-efficacy and Social Support as Predictors of Diabetic Self-care written by Mary Katherine Crabtree and published by . This book was released on 1986 with total page 516 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Exploring the Relationship Between Diabetes Distress, Self-efficacy, and Glycemic Control in Persons with Type II Diabetes

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ISBN 13 :
Total Pages : 78 pages
Book Rating : 4.:/5 (932 download)

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Book Synopsis Exploring the Relationship Between Diabetes Distress, Self-efficacy, and Glycemic Control in Persons with Type II Diabetes by : Helen R. Chung

Download or read book Exploring the Relationship Between Diabetes Distress, Self-efficacy, and Glycemic Control in Persons with Type II Diabetes written by Helen R. Chung and published by . This book was released on 2014 with total page 78 pages. Available in PDF, EPUB and Kindle. Book excerpt: Persons with type II diabetes are faced with the challenging task of maintaining glycemic control by making significant lifestyle changes in the areas of nutrition, exercise, medication management, and glucose testing. Previous research has shown the significant role self-efficacy has on the implementation of self-care behaviors and as a result, on glycemic control. However, many persons with diabetes do not meet the diagnostic criteria for depression and may be experiencing more general psychosocial distress. Due to the multifaceted nature of the disease, persons with diabetes may experience diabetes distress related to the emotional burden that comes with diabetes management, physician-patient relationship, self-care tasks associated with diabetes management, and interpersonal relationships with support system. In this study, the relationship between diabetes-related distress, self-efficacy, and glycemic control were explored in persons with type II diabetes. Additional analysis was conducted to assess whether self-efficacy mediates the relationship between diabetes distress and glycemic control. The results of this study indicated that self-efficacy did not mediate the relationship between diabetes distress and glycemic control. However, diabetes distress was found to be significantly associated with self-efficacy and glycemic control.

Depression, Self-efficacy and Adherence in Patients with Type 2 Diabetes Mellitus

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ISBN 13 :
Total Pages : 142 pages
Book Rating : 4.:/5 (67 download)

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Book Synopsis Depression, Self-efficacy and Adherence in Patients with Type 2 Diabetes Mellitus by : Jamie Elizabeth Adam

Download or read book Depression, Self-efficacy and Adherence in Patients with Type 2 Diabetes Mellitus written by Jamie Elizabeth Adam and published by . This book was released on 2009 with total page 142 pages. Available in PDF, EPUB and Kindle. Book excerpt:

An Avatar Video Intervention on Type 2 Diabetes for Women of Color Using Brief Motivational Interviewing

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ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (115 download)

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Book Synopsis An Avatar Video Intervention on Type 2 Diabetes for Women of Color Using Brief Motivational Interviewing by : Bukunmi Gesinde

Download or read book An Avatar Video Intervention on Type 2 Diabetes for Women of Color Using Brief Motivational Interviewing written by Bukunmi Gesinde and published by . This book was released on 2019 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: These suggested that engagement in the brief online intervention of watching the new video was associated with: a significant increase in type 2 diabetes self-management knowledge for performing the AADE7TM Self-Care Behaviors; and, a significant increase for stages of change, self-efficacy, and motivation to perform the 7 diabetes self-management behaviors. Finally, the mixed methods data were important for underscoring the value of the study's quantitative findings. Some 89.1% (n=57) would recommend the video to other women of color living with type 2 diabetes. Reflecting how the video intervention was a true innovation in integrating a brief form of motivational interviewing with relapse prevention, consider sample emergent themes: video was motivational; and video covered relapse prevention and problem solving, using a menu of options. There is value in ensuring exposure to an e-health avatar video on the AADE7 Self-Care BehaviorsTM that also integrates the evidence-based approaches of motivational interviewing and relapse prevention, in order to meet the health education needs of those diagnosed with type 2 diabetes.

Patient Diabetes Education in the Management of Adult Type 2 Diabetes

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ISBN 13 : 9781896956398
Total Pages : 90 pages
Book Rating : 4.9/5 (563 download)

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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.