Development and testing of Diabetes Complications Risk Educational Tool (DiREcT) for improving risk perception among patients with diabetes mellitus: a mixed method study

Anjali, Chathoth; Olickal, Jeby Jose; Arikrishnan, Kalaiselvy; Banu, Asiya; Sahoo, Jayaprakash; Kar, Sitanshu Sekhar; Lakshminarayanan, Subitha

doi:10.1007/s13410-020-00891-8

Cited by 1 publication

(1 citation statement)

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“…In this study, even in the absence of the internal cause of risk perception, the patient’s SMBG could still be changed through the external cause of family support. Other studies suggest that patients’ risk perception should be improved, 39 but it is difficult. 40 This study suggests that family support is necessary for the patients with uncontrolled blood glucose.…”

Section: Discussionmentioning

confidence: 99%

Patients’ and family members’ knowledge, attitudes and perceived family support for SMBG in type 2 diabetes: a fuzzy-set qualitative comparative analysis

Zhao

Feng

et al. 2022

BMJ Open

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Aims and objectivesTo examine the combined effects of the patient’s and family members’ knowledge, attitudes and perceived family support on self-monitoring of blood glucose (SMBG) behaviour of patients with type 2 diabetes.DesignA cross-sectional design using the framework of knowledge–attitude–behaviour (KAB) combined with family support.SettingShanghai, China.ParticipantsSeventy type 2 diabetes patient–family member dyads recruited from 26 residential committees in Shanghai were investigated. Twenty-three health providers were interviewed.Primary outcome measuresThe knowledge, attitudes and perceived family support of patients’ and their family members’ data were measured through scales. Combined effects were analysed by a fuzzy-set qualitative comparative analysis (fsQCA) using fsQCA V.3.0. Other analyses and calculations were performed by STATA V.14.0.ResultsSMBG was very poor (20%), and behaviour was characterised by ‘multiple complications,’ and ‘all paths lead to the same destination’ for patients. There were two solution paths toward patients’ SMBG (solution coverage=0.4239, solution consistency=0.7604). One path was the combination of ‘patients with low risk perception, the patients’ and family members’ perceived negative support’, the other was the combination of ‘patients with high risk perception, the patients’ perceived negative support’. In both paths, basic knowledge serves as an auxiliary condition.ConclusionThe study revealed that for patients with high and low risk perceptions that are relatively difficult to change, we could strengthen family support to achieve the desired SMBG behaviour. Knowledge is not a prerequisite to achieving SMBG. Moreover, negative family support plays a crucial role. Perceived family support by patients is more important than perceived family support by family members, which suggests that family members should improve support for patients so that the patients can perceive more family support.

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Section: Discussionmentioning

confidence: 99%