Predicting Healthy Lifestyle Behaviours Among Patients With Type 2 Diabetes in Rural Bali, Indonesia

Asril, Nice Maylani; Tabuchi, Keiji; Tsunematsu, Miwako; Kobayashi, Toshio; Kakehashi, Masayuki

doi:10.1177/1179551420915856

Cited by 8 publications

(7 citation statements)

References 95 publications

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“…Because environmental, ethical, and health values may influence intention and moderate the effect of other predictors [ 43 , 44 , 45 ], we explored potential direct and indirect roles of values on intentions and behaviors. Furthermore, due to the documented role of perceived benefits, perceived susceptibility, perceived severity, subjective norms, and moral satisfaction in explaining dietary and health-related behavior changes [ 34 , 35 , 37 , 45 , 46 , 47 , 48 ], we explored the extent by which these predictors explained changes in intentions and intake.…”

Section: Theoretical Frameworkmentioning

confidence: 99%

Health- or Environment-Focused Text Messages as a Potential Strategy to Increase Plant-Based Eating among Young Adults: An Exploratory Study

Lim

Okine

Kershaw

2021

Foods

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Previous plant-based diet (PBD) adoption strategies have primarily focused on health rather than environmental rationale and meat reduction rather than plant-based protein promotion. In this study, we explored the effect of a theory-informed text-message intervention on dietary intentions and behaviors in young adult omnivores and the potential explanatory role of PBD beliefs, subjective norm, self-efficacy, moral norm, and health and environmental values. Participants completed baseline questionnaires and reported dietary intake before being randomly assigned to receive 2–3 health- or environment-focused text messages per week for eight weeks and then repeated baseline assessments. Although we did not see significant changes in meat or plant protein intake, we did observe a marked decrease in intentions to consume animal protein and a marginal increase in fruit and vegetable consumption intention. We identified subjective norms, self-efficacy, and moral satisfaction as the strongest predictors of changes in intention to consume animal or plant protein. Although few group differences were observed, those receiving environment-focused text messages experienced a greater change in values and were more likely to increase vegetable intake. Messages that improve sustainability awareness and provide practical adoption strategies may be part of an effective strategy to influence PBD intake among young adults.

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Section: Theoretical Frameworkmentioning

confidence: 99%

Health- or Environment-Focused Text Messages as a Potential Strategy to Increase Plant-Based Eating among Young Adults: An Exploratory Study

Lim

Okine

Kershaw

2021

Foods

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“…• Individuals can be highly dependent on their social networks (especially family members) for emotional support in coping with a condition, as well as for assistance in making adjustments to dietary and lifestyle habits [ 35 – 37 ]…”

Section: Resultsmentioning

confidence: 99%

“…For many people, how a health condition is understood and experienced is reliant on their immediate network of support, frequently consisting of their family. This is perhaps a consequence of—and reinforced by—the central importance of family in many populations within collectivist cultures and/or the salience of the condition due to its high prevalence in certain communities [ 35 – 37 ]. A qualitative study exploring diabetes illness representations in a predominantly Black sample similarly found that participants frequently related their own concerns to family members’ disease-related complications [ 40 ].…”

Section: Resultsmentioning

confidence: 99%

Advancing the communication of genetic risk for cardiometabolic diseases: a critical interpretive synthesis

Law,

Sultan,

Finer

et al. 2023

BMC Med

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Background Genetics play an important role in risk for cardiometabolic diseases—including type 2 diabetes, cardiovascular disease and obesity. Existing research has explored the clinical utility of genetic risk tools such as polygenic risk scores—and whether interventions communicating genetic risk information using these tools can impact on individuals’ cognitive appraisals of disease risk and/or preventative health behaviours. Previous systematic reviews suggest mixed results. To expand current understanding and address knowledge gaps, we undertook an interpretive, reflexive method of evidence synthesis—questioning the theoretical basis behind current interventions that communicate genetic risk information and exploring how the effects of genetic risk tools can be fully harnessed for cardiometabolic diseases. Methods We obtained 189 records from a combination of database, website and grey literature searches—supplemented with reference chaining and expert subject knowledge within the review team. Using pre-defined critical interpretive synthesis methods, quantitative and qualitative evidence was synthesised and critiqued alongside theoretical understanding from surrounding fields of behavioural and social sciences. Findings Existing interventions communicating genetic risk information focus predominantly on the “self”, targeting individual-level cognitive appraisals, such as perceived risk and perceived behavioural control. This approach risks neglecting the role of contextual factors and upstream determinants that can reinforce individuals’ interpretations of risk. It also assumes target populations to embody an “ascetic subject of compliance”—the idea of a patient who strives to comply diligently with professional medical advice, logically and rationally adopting any recommended lifestyle changes. We developed a synthesising argument—“beyond the ascetic subject of compliance”—grounded in three major limitations of this perspective: (1) difficulty applying existing theories/models to diverse populations, (2) the role of familial variables and (3) the need for a life course perspective. Conclusions Interventions communicating genetic risk information should account for wider influences that can affect individuals’ responses to risk at different levels—including through interactions with their family systems, socio-cultural environments and wider health provision. Protocol registration PROSPERO CRD42021289269

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“… 14 The theory assumes that people’s health behaviours may be influenced by five dimensions of health beliefs: perceived susceptibility, perceived severity, perceived benefits, perceived barriers, and cues to action. 15 , 16 HBM is widely used to explain and predict health behavior changes, such as vaccination, 17 disease screening 18 and treatment compliance of diabetic patients, 19 and to guide interventions to improve patients’ self-care behavior, such as blood glucose self-test, 20 and physical exercise. 21 However, it is rarely used to explain the blood glucose management of elderly patients with type 2 diabetes in Chinese community.…”

Section: Introductionmentioning

confidence: 99%

Mediation Effect of Self-Efficacy Between Health Beliefs and Glycated Haemoglobin Levels in Elderly Patients with Type 2 Diabetes Mellitus: A Cross-Sectional Study

Zhang¹,

Wan²,

Zhang³

et al. 2022

PPA

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To explore the mediating effect of self-efficacy in the relationship between glycated haemoglobin (HbA1c) levels and health beliefs in community elderly patients with type 2 diabetes. Patients and Methods: From January to March 2022, convenience sampling was adopted to investigate 200 elderly patients with type 2 diabetes in a community in Yangzhou, China. Data were collected using the Health Beliefs Questionnaire, Self-efficacy for Diabetes, and Medication Compliance Questionnaire. Laboratory parameters included HbA1c, fasting blood glucose, postprandial blood glucose, total cholesterol, triglyceride, high-density-lipoprotein cholesterol, and low-density-lipoprotein cholesterol levels. Correlation, linear regression, and mediation analyses were performed using SPSS 27.0. Results: HbA1c levels were higher in men (women vs men: 6.80% [6.08%, 7.73%] vs.7.30% [6.30%, 9.18%]) and employed (employed vs not employed vs retired: 7.60% [6.90%, 10.45%] vs 5.85% [5.40%, 6.95%] vs 7.10% [6.20%, 8.20%]) and low selfefficacy (low vs high: 13.1% [6.55%, 13.85%] vs 6.8% [6.10%, 7.70%]). HbA1c levels were negatively associated with health beliefs (r = −0.246) and self-efficacy (r = −0.240; p<0.01). Linear regression showed that perceived susceptibility, severity, benefit, and barriers, cues to action, and self-efficacy explained 50% of the variance in HbA1c levels after adjusting for sex and current work status. The mediation effect of self-efficacy was partial between health beliefs and HbA1c levels and accounted for 24.65% of the total effect (p < 0.001). Conclusion: Health beliefs influenced the improvement of self-efficacy in older patients with type 2 diabetes mellitus, which in turn could improve HbA1c control. Self-efficacy plays a partial mediating role between health beliefs and Hba1c levels in elderly patients with type 2 diabetes.

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Predicting Healthy Lifestyle Behaviours Among Patients With Type 2 Diabetes in Rural Bali, Indonesia

Cited by 8 publications

References 95 publications

Health- or Environment-Focused Text Messages as a Potential Strategy to Increase Plant-Based Eating among Young Adults: An Exploratory Study

Health- or Environment-Focused Text Messages as a Potential Strategy to Increase Plant-Based Eating among Young Adults: An Exploratory Study

Advancing the communication of genetic risk for cardiometabolic diseases: a critical interpretive synthesis

Mediation Effect of Self-Efficacy Between Health Beliefs and Glycated Haemoglobin Levels in Elderly Patients with Type 2 Diabetes Mellitus: A Cross-Sectional Study

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