Information-Motivation-Behavioral Skill in Diabetes Self-management Using Structural Equation Modeling Analysis

Abstract

Diabetes is the “mother” of various diseases increasing the risk of morbidity and mortality. Diabetes self-management, an effort made by patients to control blood sugar levels, is an important part of the management strategy. Therefore, this study analyzed information, motivation, and behavioral skills associated with diabetes self-management. Data were collected in the Special Capital Region of Jakarta, with 277 diabetic patients selected using a questionnaire by a systematic random sampling method. The analyzed variables were information (with indicator variables of information on physical activity, nutritional intake, drug consumption, and blood sugar monitoring); sociodemographic (age, sex, occupation, education level, and duration of diabetes); motivation (barrier, benefit, self-efficacy, severity, and susceptibility); and behavioral skills (new motor, self-regulatory, and social skills), which were analyzed to identify their influence on diabetes self-management using structural equation modeling. The results indicated that information and motivation significantly and positively affected behavioral skills; while, sociodemographic did not. Behavioral skills had a significant and positive effect on diabetes self-management. Accordingly, people with diabetes information, motivation, and behavioral skills need to be improved to increase the success of diabetes self-management.

Efektivitas Information Motivation Behavioral Skills Model terhadap Self Care Remaja Beresiko Prediabetes

“…Model ini sudah terbukti dalam meningkatkan informasi, motivasi dan skill pencegahan dalam perilaku berisiko terhadap penularan HIV AIDS di berbagai Negara (Ndebele et al, 2012). Fisher dan Fisher mendapatkan hasil rancangan perubahan perilaku tingkat individu intervensi menargetkan proses regulasi yang reflektif dengan pemberian Informasi Motivasi Perilaku dan keterampilan (IMBS), hal ini membuat individu mendapatkan informasi yang baik, motivasi tinggi, dan memiliki keterampilan yang diperlukan untuk itu melakukan perubahan perilaku yang diinginkan (Kurtanty et al, 2023). Model edukasi berupa Information-motivation-behavioral skills (IMBS) merupakan intervensi khusus menggunakan strategi fokus pada informasi, motivasi, perilaku dan ketrampilan efektif digunakan pada individu dengan penyakit kronis (Chang et al, 2014).…”

Distress and Coping Strategy among Indonesian Men with Type-2 Diabetes Mellitus

“…DM can increase the risk of various diseases, including cardiovascular diseases, neuropathy, obesity, liver diseases, and others (WHO, 2020). In Southeast Asia, Indonesia is positioned among the countries with the highest prevalence of DM cases accounting for 11.3% cases (Kurtanty et al, 2023). According to the National Report of Riskesdas 2018, the prevalence of DM in Indonesia increased by 1.5% in 2013 and by an additional 2% in 2018 (Riskesdas, 2019).…”