Investigation into knowledge, attitude, and practice regarding medical nutrition therapy among patients with diabetes in <scp>C</scp>hina: <scp>R</scp>esults from a national multicenter cross‐sectional study

Chen, Wei; Sun, Zi Lin; Zhu, Sai Nan; Shen, Li; Li, Wen Xia; Huang, Jin; Lou, Qing; Bian, Rong; Guo, Xiaofan

doi:10.1111/1753-0407.12500

Cited by 10 publications

(5 citation statements)

References 22 publications

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“…The findings indicate that many patients perceived diabetes as an ambiguous illness that they did not understand well. This result is consistent with previous research showing that the majority of Chinese T2D patients have a low level of diabetes‐related knowledge (Jing et al, ). This suggests that diabetes health education (with high feasibility, authenticity, and professionalism) is essential and urgently required in China.…”

Section: Discussionsupporting

confidence: 93%

Illness perceptions among patients with type 2 diabetes mellitus: A cross‐sectional study

Tang

Gao

2019

Int J of Nursing Practice

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Aims: This study aimed to investigate illness perceptions and their predictors among Chinese patients with type 2 diabetes. Methods: A descriptive, correlational, and exploratory design was used. The Chinese version of the Revised Illness Perception Questionnaire was modified and used to collect data between September 2016 and February 2017. Results: On average, patients recognized fewer than five of the 14 common symptoms of type 2 diabetes. Of the six causal factors, "dietary behaviours" had the highest mean score, while "psychological factors" had the lowest score. Most patients lacked understanding of type 2 diabetes mellitus. They perceived it as a chronic and stable illness, without negative affective response, and controllable by themselves and through treatment. Gender, age, marital status, educational level, family income, employment status, diabetes duration, diabetes-related complications, comorbid conditions, number of hospital admissions, and the level of haemoglobin A1c were predictors of illness perceptions. Conclusions: The findings of the present study suggest that the illness perceptions of Chinese patients with type 2 diabetes should be improved. This evidence may enrich the theoretical understanding of illness perceptions and be used to develop interventions for enhancing illness perceptions in such patients.

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Section: Discussionsupporting

confidence: 93%

Illness perceptions among patients with type 2 diabetes mellitus: A cross‐sectional study

Tang

Gao

2019

Int J of Nursing Practice

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“…It is suggested that other more acceptable types of exercise, such as yoga and tai chi, could be take into consideration, but more evidence is needed to support their effectiveness (Colberg et al, 2016). Our results also confirm that there is a huge gap in the current practice of medical nutrition therapy (Jing et al, 2017). The authenticity and professionalism of the medical nutrition therapy need to be improved.…”

Section: Discussionsupporting

confidence: 88%

Experiences and perceptions of self‐management in people with prediabetes: A qualitative meta‐synthesis

Wang

Shi

Zeng

et al. 2023

Journal of Clinical Nursing

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BackgroundDiabetes has become a global public health problem. Strengthening the self‐management ability of people with prediabetes plays an important role in preventing the occurrence and development of type 2 diabetes. The aim of this study is to synthesise the self‐management experiences and perceptions of people with prediabetes, which can contribute to the development of self‐management programs.MethodsThis review adheres to the ENTREQ Guide. Evidence‐based medicine database (JBI and Cochrane) and original literature database (PubMed, Medline, EMbase, Web of Science, Wanfang, CNKI and VIP) were searched up to 31 May 2022. Both Chinese and English literature of qualitative research on self‐management experiences and perceptions of prediabetic patients were included. The quality of the included studies was evaluated, and the data were synthesised and analysed by thematic synthesis method.ResultsA total of 23 primary studies containing 504 participants were included. After repeated reading and coding of the literature, three analytical themes were finally identified: coping with role management, success and failure in medical management, seeking and perceiving support.ConclusionRole management for people with prediabetes needs more attention. Healthcare providers should identify problems from patients' self‐management experiences and improve professional skills to assist program modifications. Integrating the self‐management program into community activities under the guidance of medical staff and inviting family members and peers to participate can increase involvement and improve the self‐management ability.Relevance to Clinical PracticeThese findings describe the different stages and issues in the self‐management process of prediabetic patients. The practice of prediabetes self‐management should incorporate the psychosocial, physical, and financial issues of the patients. As the main provider of health services, nurses should make patients aware of the susceptibility and severity of prediabetes and help them improve their self‐management skills.No Patient or Public ContributionThis is a meta‐synthesis without direct participation of patients.

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“…Most of the participants acknowledged the importance of some education on the role of nutrition and physical activity levels in diabetes management, especially for people who had been recently diagnosed or lacked knowledge, before accessing the platform. This seems fruitful because knowledge, attitude, and practice seem to be positively related to glycemic control [ 52 ]. Although studies have suggested that education is an important aspect to improve existing mHealth apps in diabetes management, this has only been adopted by a few apps [ 15 , 47 ].…”

Section: Discussionmentioning

confidence: 99%

Usability and Preliminary Efficacy of an Artificial Intelligence–Driven Platform Supporting Dietary Management in Diabetes: Mixed Methods Study

Bul¹,

Holliday²,

Bhuiyan³

et al. 2023

JMIR Hum Factors

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Background Nutrition plays an important role in diabetes self-management. Web-based diabetes care, driven by artificial intelligence (AI), enables more personalized care. Objective This study aimed to examine the usability and preliminary efficacy of a web-based AI-driven nutrition platform to support people with diabetes and their carers in identifying healthy recipes, meal planning, and web-based shopping. Methods Diabetes UK signposted people with diabetes and their carers to the platform’s study-specific portal through its website, social media, and newsletters. A total of 73 adult participants with prediabetes or diabetes or their carers completed the baseline web-based survey. Of these 73 participants, 23 (32%) completed a web-based survey after 8 weeks of platform use. Web-based semistructured interviews were conducted with platform users (7/23, 30%) who agreed to be followed up and diabetes experts (n=3) who had nutrition and platform knowledge. The intervention consists of a web-based platform that incorporates AI to personalize recipes, meal planning, and shopping list experiences and was made available for 8 weeks. Baseline characteristics, satisfaction, system usability, and diabetes-related and general health indicators were assessed before and after using the platform for 8 weeks. Results Reductions in weight (mean difference 4.5 kg/m2, 95% CI 1.0-12.0; P=.009; Cliff δ=0.33) and waist size (mean difference 3.9 cm, 95% CI 2.0-6.5; P=.008; Cliff δ=0.48) were found. Most of the participants (151/217, 69.6%) did not regularly use the platform and had low or very low engagement scores. However, the platform was perceived as accessible with no need for additional assistance (11/21, 52%), user-friendly (8/21, 38%), and easy to use (8/21, 38%), regardless of some usability issues. Saving recipes was the most popular feature, with 663 saved recipes. Conclusions This study indicated that the usability of the nutrition platform was well perceived by users and their carers. As participants managed their diabetes well, adding an education component would be specifically relevant for people less familiar with the role of diet in diabetes management. To assess the platform’s effectiveness in improving diabetes-related health indicators, controlled studies with a larger and more diverse participant sample are recommended.

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Investigation into knowledge, attitude, and practice regarding medical nutrition therapy among patients with diabetes in China: Results from a national multicenter cross‐sectional study

Abstract: Patients with diabetes and prediabetes achieved moderate scores for KAP towards MNT. Glycemic control was positively correlated with the KAP score. Thus, MNT education should be improved, with a particular focus on feasibility and authenticity and professionalism, in China.

Cited by 10 publications

References 22 publications

Illness perceptions among patients with type 2 diabetes mellitus: A cross‐sectional study

Illness perceptions among patients with type 2 diabetes mellitus: A cross‐sectional study

Experiences and perceptions of self‐management in people with prediabetes: A qualitative meta‐synthesis

Usability and Preliminary Efficacy of an Artificial Intelligence–Driven Platform Supporting Dietary Management in Diabetes: Mixed Methods Study

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