Participation in structured diabetes self-management education programs and its associations with self-management behaviour – a nationwide population-based study

Carmienke, Solveig; Fink, Astrid; Baumert, Jens; Heidemann, Christin; Du, Yong; Frese, Thomas; Heise, Marcus

doi:10.1016/j.pec.2021.07.017

Cited by 12 publications

(10 citation statements)

References 36 publications

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“…A large amount of unstructured and sometimes contradictory information is a common barrier to information seeking among people with diabetes [48]. Since education programs structure and convey this information, our results underline the importance of a referral for every person with diabetes mellitus in order to increase the knowledge on diabetes-related concerns [22]. Physicians referral to DSME is a major predictor for DSME attendance [49].…”

Section: Discussionmentioning

confidence: 88%

“…Structured diabetes self-management education (DSME) programs are a critical element of care for people with diabetes that aims to influence diabetes knowledge and disease distress in a desirable way. DSME has consistently been demonstrated as an essential cornerstone in diabetes care, improving HbA1c levels [20], adherence in SMB [21,22] and psychosocial outcomes [23]. DSME seeks to provide participants with education about health-promoting behaviour, to empower active management of their disease in everyday life and to support informed decision-making [24].…”

Section: Introductionmentioning

confidence: 99%

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Structured diabetes self-management education and its association with perceived diabetes knowledge, information, and disease distress: Results of a nationwide population-based study

Heise

Heidemann

Baumert

et al. 2022

Primary Care Diabetes

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Section: Discussionmentioning

confidence: 88%

Section: Introductionmentioning

confidence: 99%

Structured diabetes self-management education and its association with perceived diabetes knowledge, information, and disease distress: Results of a nationwide population-based study

Heise

Heidemann

Baumert

et al. 2022

Primary Care Diabetes

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“… 7 , 8 Furthermore, persons with type 2 diabetes and type 1 diabetes also require regular measurement of HbA1c. 9 Therefore, SMBG and HbA1c measurement play a significant role in glycemic control and routine care for diabetic patients.…”

Section: Introductionmentioning

confidence: 99%

Factors Related to Diabetes Self-Management Among Patients with Type 2 Diabetes: A Chinese Cross-Sectional Survey Based on Self-Determination Theory and Social Support Theory

Chen¹,

Yun²,

Lin³

et al. 2022

PPA

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Purpose Self-management behavior (SMB) plays a significant role in glycemic control. This study aimed to explore the factors related to SMB among patients with type 2 diabetes and how these factors interacted with each other. Patients and Methods Patients diagnosed with type 2 diabetes were recruited from 18 community healthcare stations (CHSs) from six community healthcare centers (CHCs) in Beijing, China from April to May in 2017. Motivation, competence, autonomy support, social support, self-management skills, adherence to self-monitoring of blood glucose (SMBG) and haemoglobin A1c (HbA1c) measurement were tested by questionnaire. Correlation analysis and path analysis were performed so as to identify the factors associated with patients’ SMB. Results A total of 532 participants completed this study. Participants who have good compliance to SMBG got higher scores in social support (F = 7.68, p = 0.01), competence (F = 10.47, p = 0.01), and skills (F = 12.34, p < 0.01). Higher competence (β = 0.03, P < 0.001), higher social support (β = 0.01, P < 0.001), better skills(β = 0.01, P < 0.001) directly led to better adherence to SMBG. Social support had a positive effect on autonomy support (β = 0.69, P < 0.001), motivation (β = 0.45, P < 0.001), competence (β = 0.28, P < 0.001), skills (β = 0.14, P < 0.001), which was also indirectly linked to better adherence to SMBG. Better self-management skills directly led to better adherence to HbA1c measurement (β = 0.03, P < 0.001). Social support had a positive effect on autonomy support (β = 0.69, P < 0.001), motivation (β = 0.45, P < 0.001), competence (β = 0.28, P < 0.001), skills (β = 0.14, P < 0.001), which was also indirectly linked to better adherence to HbA1c measurement. Conclusion Self-determination theory and social support theory were practical in explaining SMB in Chinese population. Competence, motivation and social support played an important role in diabetic self-management. Paying attention to the promotion of individual’s intrinsic motivation and self-efficacy may be able to help patients maintain self-management behavior in the long-term routine.

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Section: Introductionmentioning

confidence: 99%

“…It entails facilitating the knowledge, skills and ability of young people to manage their T1D (Powers et al, 2015). In developed countries such as Germany and the United Kingdom, DSME is usually structured and continuous (Carmienke et al, 2022; Hermanns et al, 2020), and it has been found to improve self‐care, coping abilities and lifestyle modifications (Carmienke et al, 2020; Norris et al, 2001). Consequently, effective self‐management reduces the risk of both micro and macro‐vascular complications that cause damage to the eyes, kidneys, feet and cardiovascular system (Berkman et al, 2011; Chatterjee et al, 2017; Mayberry & Osborn, 2012).…”

Section: Introductionmentioning

confidence: 99%

Knowledge of young people living with type 1 diabetes and their caregivers about its management

et al. 2022

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Aims and Objective:We sought to investigate knowledge and skills of type 1 diabetes (T1D) management among young people living with the disease and their caregivers.Our aim is to provide baseline evidence to inform T1D self-management education for young people living with the disease and their caregivers.Background: Both local and international guidelines recommend ongoing T1D selfmanagement education for people living with the disease. This is because T1D often develops among young people who rarely have the competencies to adequately manage their condition. However, the extent to which young people living with T1D and their caregivers can self-manage this chronic disease in a low-resource country like Ghana is unknown.Methods: Using a phenomenological study design, semi-structured interviews were conducted with 28 young people living with type 1 diabetes, 12 caregivers and 6 healthcare providers in southern Ghana. Data were collected at homes, hospitals and support group centres of participants via face-to-face interviews, photovoice and video-conferencing. The data were analysed thematically using QSR NVivo 11. Results:The young people living with T1D and their caregivers demonstrated knowledge and skills in the self-monitoring of blood glucose, and the treatment of hyperglycaemia. Areas of more marginal or lack of knowledge were concerning carbohydrate counting, severe hypoglycaemia and the management of intercurrent illnesses. Young persons living with T1D and their caregivers received their management information from healthcare and non-healthcare providers. Access to diabetes self-management education influenced T1D management knowledge and practices. Conclusion:Young people living with type 1 diabetes and their caregivers possessed limited scope of knowledge on type 1 diabetes self-management. Multiple sources of T1D knowledge were found, some of which may not be helpful to patients. The knowledge gaps identified compromises transitional independence and self-management capacity.Relevance to Clinical Practice: It is important for clinicians and organizations that provide T1D education to provide diabetes self-management education also on managing | 2427 OWUSU et al.

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Participation in structured diabetes self-management education programs and its associations with self-management behaviour – a nationwide population-based study

Cited by 12 publications

References 36 publications

Structured diabetes self-management education and its association with perceived diabetes knowledge, information, and disease distress: Results of a nationwide population-based study

Structured diabetes self-management education and its association with perceived diabetes knowledge, information, and disease distress: Results of a nationwide population-based study

Factors Related to Diabetes Self-Management Among Patients with Type 2 Diabetes: A Chinese Cross-Sectional Survey Based on Self-Determination Theory and Social Support Theory

Knowledge of young people living with type 1 diabetes and their caregivers about its management

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