Life values and self‐regulation behaviours among adults with type 2 diabetes

Oftedal, Bjørg Frøysland; Karlsen, Bjørg; Bru, Edvin

doi:10.1111/j.1365-2702.2010.03243.x

Cited by 25 publications

(31 citation statements)

References 37 publications

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“…The results confirmed the first research hypothesis, implying that self-regulated teaching had a significant effect on lowering blood sugar. The finding is in agreement with the results of similar studies conducted in this field (12, 16, 19, 23, 24). Brown is a case in point, affirmed that training programs resulted in substantial improvement in lowering blood sugar in diabetics treated with insulin (20).…”

Section: Discussionsupporting

confidence: 93%

“…Some of these studies include self-regulated training and mental health (12), smoking (13), chronic pain (14), bulimia nervosa and regulatory disorder (15). In addition, some correlative studies have also been conducted on self-regulation training and diabetes (12, 16-18). In a research recently conducted on self-regulation training and diabetes, patients compared their condition with standard ones.…”

Section: Introductionmentioning

confidence: 99%

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Effect of Self-regulation Training on Management of Type 2 Diabetes

Tavakolizadeh¹,

Moghadas²,

Ashraf³

2014

Iran Red Crescent Med J

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Background:Diabetes is the most common metabolic disorder which is required to be taken under control. According to some studies, the impact of self-regulation on health has been considered as a monitoring strategy to achieve individual’s goals.Objectives:This study, which was performed in 2012, aimed at determining the consequences of self-regulation on controlling type 2 diabetes.Patients and Methods:In this double-blind clinical trial, 60 patients with type 2 diabetes - who were referred to Diabetes Clinic of Bisto-Dou Bahman Hospital in Gonabad, Iran - were divided randomly into case and control groups. Self-regulation questionnaire, nutritional information and physical activity checklists were completed by both groups once at the beginning and once at end of the training. Fasting blood sugar (FBS) of both groups were measured as well. Case group was trained for a month, whereas the control group received no special training. Data were analyzed by SPSS version 19 software, K-square and paired t-tests.Results:Comparing the case with the control group before and after the training showed that teaching patients self-regulatory strategies had significant impact on lowering blood sugar (-16.50 vs. -2.47, P < 0.001), observing dietary behaviors (5.97 vs. -0.87, P < 0.001) and increasing physical activities (6.2 vs. -0.73, P < 0.001) of the former group.Conclusions:Learning self-regulations has a role to play in controlling type 2 diabetes. Therefore, it is suggested to professionals in healthcare centers to educate patients about self-regulatory techniques and use them as auxiliary methods for keeping type 2 diabetes under control.

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Section: Discussionsupporting

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Effect of Self-regulation Training on Management of Type 2 Diabetes

Tavakolizadeh¹,

Moghadas²,

Ashraf³

2014

Iran Red Crescent Med J

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“…12,13,29,30 Providers should also consider the clinical and functional characteristics of older adults [5][6][7] when addressing values and preferences for care, given that comorbidity may be an important factor in the expression of older adults' values and preferences. Recognition of older adults' values and preferences for care is crucial to improving shared decision-making and quality care in diabetes.…”

Section: Discussionmentioning

confidence: 99%

Listening to Older Adults' Values and Preferences for Type 2 Diabetes Care: A Qualitative Study

Beverly¹,

Wray²,

Lacoe³

et al. 2014

Diabetes Spectrum

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In Brief Individuals' values and preferences have a considerable impact on their motivation and, therefore, their willingness to follow treatment recommendations. This qualitative study aimed to describe older adults' values and preferences for type 2 diabetes care. Older adults valued an effective physician-patient treatment relationship and quality of life in their diabetes care. They preferred physicians who knew them as a person and were honest about their diabetes treatment and progression of the illness. When developing treatment plans, providers should assess the effect that treatment will likely have on older adults' health, while explicitly acknowledging their values and preferences for care as a prelude to better patient-centered care and potentially shared decision-making.

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“…Many people with T2DM find adequate self-management difficult to achieve and maintain [8]. Some of the recommended self-management behaviors do not coincide with peoples’ priorities and desire for a “normal life.” They may differ from people’s habits and preferences and be perceived as burdensome [9,10]. Research indicates that only 1 in 8 patients with T2DM achieves the recommended treatment goals of glycemic control, cholesterol, and blood pressure [11].…”

Section: Introductionmentioning

confidence: 99%

Dropout From an eHealth Intervention for Adults With Type 2 Diabetes: A Qualitative Study

et al. 2017

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BackgroundAdequate self-management is the cornerstone of type 2 diabetes treatment, as people make the majority of daily treatment measures and health decisions. The increasing prevalence of type 2 diabetes mellitus (T2DM) and the complexity of diabetes self-management demonstrate the need for innovative and effective ways to deliver self-management support. eHealth interventions are promoted worldwide and hold a great potential in future health care for people with chronic diseases such as T2DM. However, many eHealth interventions face high dropout rates. This led to our interest in the experiences of participants who dropped out of an eHealth intervention for adults with T2DM, based on the Guided Self-Determination (GSD) counseling method.ObjectiveIn this study, we aimed to explore experiences with an eHealth intervention based on GSD in general practice from the perspective of those who dropped out and to understand their reasons for dropping out. To the best of our knowledge, no previous qualitative study has focused on participants who withdrew from an eHealth self-management support intervention for adults with T2DM.MethodsA qualitative design based on telephone interviews was used to collect data. The sample comprised 12 adults with type 2 diabetes who dropped out of an eHealth intervention. Data were collected in 2016 and subjected to qualitative content analysis.ResultsWe identified one overall theme: “Losing motivation for intervention participation.” This theme was illustrated by four categories related to the participants’ experiences of the eHealth intervention: (1) frustrating technology, (2) perceiving the content as irrelevant and incomprehensible, (3) choosing other activities and perspectives, and (4) lacking face-to-face encounters.ConclusionsOur findings indicate that the eHealth intervention based on GSD without face-to-face encounters with nurses reduced participants’ motivation for engagement in the intervention. To maintain motivation, our study points to the importance of combining eHealth with regular face-to-face consultations. Our study also shows that the perceived benefit of the GSD eHealth intervention intertwined with choosing to focus on other matters in complex daily lives are critical aspects in motivation for such interventions. This indicates the importance of giving potential participants tailored information about the aim, the content, and the effort needed to remain engaged in complex interventions so that eligible participants are recruited. Finally, motivation for engagement in the eHealth intervention was influenced by the technology used in this study. It seems important to facilitate more user-friendly but high-security eHealth technology. Our findings have implications for improving the eHealth intervention and to inform researchers and health care providers who are organizing eHealth interventions focusing on self-management support in order to reduce dropout rates.

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Life values and self‐regulation behaviours among adults with type 2 diabetes

Cited by 25 publications

References 37 publications

Effect of Self-regulation Training on Management of Type 2 Diabetes

Effect of Self-regulation Training on Management of Type 2 Diabetes

Listening to Older Adults' Values and Preferences for Type 2 Diabetes Care: A Qualitative Study

Dropout From an eHealth Intervention for Adults With Type 2 Diabetes: A Qualitative Study

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