Diet self-management and readiness to change in underserved adults with type 2 diabetes

Knight, Holly; Stetson, Barbara A.; Krishnasamy, Sathya; Mokshagundam, Sri Prakash L.

doi:10.1016/j.pcd.2014.09.007

Cited by 15 publications

(12 citation statements)

References 16 publications

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“…A patient's readiness to take action for the treatment of their conditions is therefore a crucial component for successful self-management. TTM interventions have been developed for diabetes and have been tested for various health behaviors, such as dietary control [17,18], physical activity [19], and smoking [16]. SOC as a well-accepted concept such as stages of change (SOC) of understanding an individual's psychological readiness to take actions for better health, which may medicate the HL-outcomes relationship [7,8,10,16,20].…”

Section: Introductionmentioning

confidence: 99%

Stages of change concept of the transtheoretical model for healthy eating links health literacy and diabetes knowledge to glycemic control in people with type 2 diabetes

Tseng

Liao

Wen

et al. 2017

Primary Care Diabetes

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Section: Introductionmentioning

confidence: 99%

Stages of change concept of the transtheoretical model for healthy eating links health literacy and diabetes knowledge to glycemic control in people with type 2 diabetes

Tseng

Liao

Wen

et al. 2017

Primary Care Diabetes

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“… 13 Few studies have investigated the diet barriers perceived by underserved adults with type 2 diabetes and all glycemic control levels using validated instruments. 7 , 14 , 15 None of these studies mentioned any attempt to report diet barriers perceived by patients with poor glycemic control via subgroup analysis. The needs and characteristics of patients with poorly controlled diabetes thereby remain unclear.…”

Section: Introductionmentioning

confidence: 99%

Factors associated with diet barriers in patients with poorly controlled type 2 diabetes

Cheng¹,

Leung²,

Sit³

et al. 2016

PPA

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BackgroundThe study was conducted to investigate the diet barriers perceived by patients with poorly controlled type 2 diabetes and examine the associations between diet barriers and sociodemographic characteristics, medical condition, and patient-centered variables.MethodsSecondary subgroup analyses were conducted based on the responses of 246 adults with poorly controlled type 2 diabetes from a multicenter, cross-sectional study. Diet barriers were captured by the Diet Barriers subscale of the Personal Diabetes Questionnaire. Participants also completed validated measures of diet knowledge, empowerment level, and appraisal of diabetes. Multiple regression techniques were used for model building, with a hierarchical block design to determine the separate contribution of sociodemographic characteristics, medical condition, and patient-centered variables to diet barriers.ResultsDiet barriers were moderately evident (2.23±0.86) among Chinese patients with poorly controlled type 2 diabetes. The feeling of deprivation as a result of complying with a diet was the most recognized diet barrier (3.24±1.98), followed by “eating away from home” (2.79±1.82). Significantly higher levels of diet barriers were observed among those with lower levels of diet knowledge (β=−0.282, P<0.001) and empowerment (β=−0.190, P=0.015), and more negative appraisal (β=0.225, P=0.003).ConclusionCulturally tailored, patient-centered intervention programs that acknowledge individuals’ preferences and allow for flexibility in diet management should be launched. Interventions programs that could enhance diet knowledge, promote positive appraisal, and improve empowerment level might effectively address diet barriers perceived by patients with poorly controlled type 2 diabetes.

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“…When patients came to healthcare services for treatment, they always received information from their healthcare providers to raise their awareness and practice coping with their illness [11]. NCD risk factors knowledge was linked to risk perception and health-related consequences that increased behavioral change [39].…”

Section: Discussionmentioning

confidence: 99%

“…Five questions for each NCD were constructed with three categories of answers: yes, no and uncertain. Knowledge on diabetic mellitus type 2 (T2DM) comprised common risk factors such as heredity and high sugar intake, symptoms such as frequent hunger, eating too much and body weight loss, and level of fasting blood sugar for diabetics [11,12,13]. Knowledge on hypertension comprised blood pressure classification and risk factors for hypertension such as cigarette smoking, alcohol consumption, obesity and hyperlipidemia [14,15].…”

Section: Methodsmentioning

confidence: 99%

Development and Validation of a Questionnaire to Assess Knowledge, Threat and Coping Appraisal, and Intention to Practice Healthy Behaviors Related to Non-Communicable Diseases in the Thai Population

Chamroonsawasdi

Chottanapund

Tunyasitthisundhorn

et al. 2017

Behavioral Sciences

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Non-communicable diseases (NCDs) are important issues in Thailand and health sectors are now focusing on modifiable risks that include cognitive, affective and behavioral factors. This study aimed to develop and validate a questionnaire to assess knowledge about NCDs, threat appraisal, coping appraisal and intention to practice based on protection motivation theory. Content validity was determined by the mean of the item content validity index (I-CVI) from five experts. The questionnaire was pilot tested for difficulty of knowledge items and reliability test using the Kuder-Richardson (KR)-20 and Cronbach’s alpha coefficient among 30 Thai adult subjects in the health office for two sub-districts. The mean I-CVI ranged from 0.90–1.00 and difficulty of knowledge ranged from 0.3–0.9. The reliability test of knowledge by KR-20 ranged from 0.648–0.799, while Cronbach’s alpha coefficients of threat and coping appraisal and intention to practice ranged from 0.70–0.843. We compared sociodemographic data, knowledge about NCDs, threat appraisal, coping appraisal and intention to practice between 50 diabetic type 2 cases and 50 controls. T2DM cases had higher age, knowledge scores on diabetes and hypertension, threat appraisal scores on hypertension and cardiovascular disease when compared with control (p < 0.05). The questionnaire was valid and sufficiently reliable to use for data collection.

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Diet self-management and readiness to change in underserved adults with type 2 diabetes

Cited by 15 publications

References 16 publications

Stages of change concept of the transtheoretical model for healthy eating links health literacy and diabetes knowledge to glycemic control in people with type 2 diabetes

Stages of change concept of the transtheoretical model for healthy eating links health literacy and diabetes knowledge to glycemic control in people with type 2 diabetes

Factors associated with diet barriers in patients with poorly controlled type 2 diabetes

Development and Validation of a Questionnaire to Assess Knowledge, Threat and Coping Appraisal, and Intention to Practice Healthy Behaviors Related to Non-Communicable Diseases in the Thai Population

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