Risk perception of developing diabetes: A concept analysis

Abstract

Background Cognitive risk perception has been linked to health behavior needed to reduce the risk of developing type 2 diabetes. The concept of risk perception of developing diabetes needed review due to: (a) frequent lack of congruency between perceived and actual risk of developing diabetes, and (b) inconsistent measures for calculating perceived diabetes risk. Design The concept analysis was conducted using the Walker and Avant approach. Data Sources Dictionary definitions, thesaurus synonyms and antonyms, theoretical sources, and seminal works related generally to risk perception were reviewed. Database searches for studies conducted in the United States measuring perceived risk of developing diabetes, were conducted in PubMed, Embase, and CINAHL; resulting in the selection and review of 23 research articles. Results The identified dimensions of perceived diabetes risk were: perceived likelihood, personal risk, general risk, cognitive, emotional, comparative risk, and unrealistic optimism. Some antecedents of perceived diabetes risk were motivational factor, individual difference, contextual factor, cognitive factor, and affective factor. A consequence of perceived diabetes risk was health‐promoting behaviors. Conclusions This concept analysis increases clarity of a multidimensional concept, providing a basis for validity for measurements. Consideration of antecedents for perceived diabetes risk will be important as related to diabetes prevention efforts.

Perception of inherited risk in type 2 diabetes: a systematic review

“…Although the themes were not formed according to the risk perception concept analysis ( 9 ), these dimensions were visible in the systematic review. For example, the concept of personal risk formed while recognizing one’s own family history as a risk factor, and perceived severity through family experiences while witnessing significant events, complications, and diabetes management.…”

“…Dimensions and descriptions of risk perception varied among studies, and the concept of risk had not always been clearly described. However, a concept analysis of risk perception of developing diabetes included personal risk (perceived susceptibility or vulnerability), perceived severity, perceived likelihood, and an affective dimension (e.g., worry) ( 9 ). Walter et al ( 10 , 11 ) have explored familial risk perception, developing a model to understand how individuals with familial risk handle their vulnerability concerning common chronic diseases.…”