Problem solving interventions for diabetes self-management and control: A systematic review of the literature

Fitzpatrick, Stephanie L.; Schumann, Kristina P.; Hill-Briggs, Felicia

doi:10.1016/j.diabres.2012.12.016

Cited by 94 publications

(72 citation statements)

References 31 publications

(221 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…These findings are consonant with other reports in the United States and worldwide [8]. Diabetes self-care management involves the interrelation of multiple behaviors and tasks [9]. Adherence to the complex diabetes self-care behaviors is a major barrier to achieve and sustain glycemic control.…”

Section: Discussionsupporting

confidence: 88%

The Relationship between Self-Management and Glycemic Control in A Cohort of Children with Type 1 and Type 2 Diabetes

et al. 2013

View full text Add to dashboard Cite

Aim: Self-management of diabetes improves glycemic control. The development of a quick, objective questionnaire in the clinic setting may provide data to the clinician caring for the patient in overall evaluation. Objective: We developed a 23 question tool (clinic preparedness score) and administered it to type 1 and 2 (T1DM & T2DM) diabetes patients. Clinicians of patients were surveyed to determine their perception of adherence by patients. A total of 350 T1DM patients and families and 137 T2DM families were administered the questionnaire. Additionally, HbA1C was correlated to the various parameters that are related to improved glycemic control such as having a meter, carrying glucose tablets for hypoglycemia, and downloading/ writing blood sugars in log book in T1DM and T2DM. Results: T1DM subjects had a lower HbA1C with better clinic preparedness (8.2 ± 1.3 vs. 9.4 ± 1.9%) However, this did not hold true for T2DM (p NS). If T1DM subjects adjusted their insulin dose and reported that their parent was involved they had better HbA1C than those that did not change insulin dose and if parent was uninvolved in the care. Clinicians of patients were able to accurately predict that appropriate dose adjustments resulted in good glycemic control. Conclusions: Pediatric T2DM adherence measures do not mirror similar characteristics of T1DM in childhood. The variability in glucose monitoring, medication and insulin administration may affect T2DM differently than T1DM.

show abstract

Section: Discussionsupporting

confidence: 88%

The Relationship between Self-Management and Glycemic Control in A Cohort of Children with Type 1 and Type 2 Diabetes

et al. 2013

View full text Add to dashboard Cite

show abstract

“…The latter has been noted in a survey of diabetes educators. They reported that appropriate problem-solving was the most difficult skill to teach patients [23,24]. A large trial in asthmatic adults showed no benefits of problem-solving education, and the authors suggested that patients' lack of motivation to achieve high adherence was the main reason for this failure [25].…”

Section: Discussionmentioning

confidence: 96%

Every parent tells a story: why non-adherence may persist in children receiving guideline-based comprehensive asthma care

et al. 2013

View full text Add to dashboard Cite

show abstract

“…Their work highlighted a synthesis of diabetes education and behavior change strategies. In addition to this early work, several reviews exist on the effectiveness of problem solving interventions [3,37] and those papers can be accessed for complete information on the findings. Problem solving interventions are popular with children and adults, and people with Type 1 or Type 2 diabetes.…”

Section: What Does Workmentioning

confidence: 99%

Effective strategies for encouraging behavior change in people with diabetes

Hood¹,

Hilliard²,

Piatt³

et al. 2015

Diabetes Management

View full text Add to dashboard Cite

Behavioral management of diabetes leads to better health outcomes. This paper reviews the available literature on facilitators of behavior change in people with diabetes and highlights approaches and strategies diabetes care providers can utilize. The research and clinical evidence points to the critical nature of considering the content and structure of recommendations, and utilizing problem solving and teamwork approaches. Furthermore, close attention to individual and community factors will optimize behavior change. These Practice points• Consider the five characteristics of effective messaging for behavior change recommendations. They are clarity, personal meaningfulness, frequency of feedback, active guidance and support, and patient interpretation. Messages conveyed to people with diabetes (PWD) that consider these key characteristics will increase the chances of effective implementation of behavior change.• Also work to promote trust with PWD by facilitating discussions about the personal side of living with diabetes and barriers to change that may not be offered without direct questioning.• Consider teaching problem solving in all clinical encounters. Problem solving is a learned skill with documented benefits on behavioral management of diabetes and health outcomes. Teach a simple method of identifying problems, goal setting, brainstorming solutions and implementing and evaluating a solution.• Go beyond education and consider multiple components to behavior change recommendations. These include bringing in other caregivers and individuals from the community, and ensuring health literacy and numeracy have been considered and addressed.• Rarely provide a 'one-size-fits-all' recommendation, but instead offer a recommendation that considers the age, gender, ethnicity, community infrastructure and perceptions about diabetes in PWD.• Screen for psychological factors that may complicate PWD's ability to implement and sustain behavior change recommendations. These include consideration of disordered eating or eating disorder, depressive symptoms and diabetes distress, and worries and fears related to diabetes (immediate and long term).For reprint orders, please contact: reprints@futuremedicine.com

show abstract

Problem solving interventions for diabetes self-management and control: A systematic review of the literature

Cited by 94 publications

References 31 publications

The Relationship between Self-Management and Glycemic Control in A Cohort of Children with Type 1 and Type 2 Diabetes

The Relationship between Self-Management and Glycemic Control in A Cohort of Children with Type 1 and Type 2 Diabetes

Every parent tells a story: why non-adherence may persist in children receiving guideline-based comprehensive asthma care

Effective strategies for encouraging behavior change in people with diabetes

Contact Info

Product

Resources

About