Self-Regulation in Individuals With Type II Diabetes

Hamera, Edna; Cassmeyer,; Ka, O'Connell; Gt, Weldon; Tm, Knapp; Jl, Kyner

doi:10.1097/00006199-198811000-00010

Cited by 18 publications

(13 citation statements)

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“…However, precious existing evidence suggests that perceptions of control are associated with medication adherence in those with a family history of diabetes who have diabetes themselves 5 . Illness representation constructs have been shown to predict self-care (blood glucose monitoring, dietary adherence, physical activity, and medication adherence), glycemic control, quality of life, and well-being in samples with Type 2 diabetes 2,3,43,44,45,46,47,48 .…”

Section: Discussionmentioning

confidence: 99%

Self-regulation Theory and the Multigenerational Legacy of Diabetes

2011

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The purpose of this study was to lend further support to the practice-based theory multigenerational legacies of diabetes (MGLDM). The hypothesis that perceptions of diabetes differ depending upon self-reported family history of diabetes was tested. Surveys assessing illness representation were administered by mail to adults with type 2 diabetes who attended diabetes education programs in a Northern Metropolitan East Coast location. Perceptions of diabetes were significantly different between those who remember a family member having diabetes and those who do not. Components of the commonsense model that differ in this sample were personal control, treatment control, emotional representations, and illness coherence (understanding), which were associated with dietary and monitoring adherence. Exploring commonsense models of diabetes during education sessions may help identify perceptions that may be shaped by the experiences of family members.

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Section: Discussionmentioning

confidence: 99%

Self-regulation Theory and the Multigenerational Legacy of Diabetes

2011

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“…Two studies concluded that the accuracy of symptom beliefs was related to metabolic control in type 2 diabetes (Hamera, Cassmeyer, O'Connell, Weldon, & Knapp, 1988;O'Connell et al, 1984). Individuals labeled their symptoms as either hyperglycemic or hypoglycemic episodes and took actions such as monitoring their blood glucose to control their blood glucose levels.…”

Section: Illness (Cognitive) Representationsmentioning

confidence: 99%

Illness representations, emotional distress, coping strategies, and coping efficacy as predictors of patient outcomes in type 2 diabetes

Hart¹,

Grindel²

2010

J of Nursing and Healthcare

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hart pl & grindel cg (2010) Journal of Nursing and Healthcare of Chronic Illness2, 225–240 Illness representations, emotional distress, coping strategies, and coping efficacy as predictors of patient outcomes in type 2 diabetes Aim. To examine the relationship between illness representations, emotional distress, coping strategies, and coping efficacy as predictors of self‐care behaviour and A1c levels in individuals with type 2 diabetes. Background. Diabetes mellitus affects 23·6 million Americans and is the seventh leading cause of death in the United States. Reduction in complications can be best achieved by individuals’ adhering to appropriate lifestyle changes and maintaining tight glycemic control. Understanding the degree of influence that psychosocial factors have on individuals’ decisions to perform self‐regulation activities will give insight on strategies to encourage better decision‐making to prevent acute and chronic complications. Methods. A descriptive, correlational design examined the psychosocial factors to determine the predictive relationships with self‐care behaviour and A1c levels. Participants were 119 men and women recruited from physician offices, medical clinics, and diabetes education centers. The research was conducted from March–December 2007. Results. Participants perceived their diabetes to be a chronic, moderately cyclical condition with negative consequences and with moderate amounts of symptomatology that greatly influenced their emotional status. Hierarchical multiple linear regression analyses revealed that a) coping efficacy uniquely accounted for 9% of the variance in self‐care behaviour and b) illness representations, particularly timeline‐cyclical, uniquely accounted for 12% of the variance in A1c levels. Conclusions. The findings confirm how illness representations, emotional distress, coping strategies, and coping efficacy influence self‐care behaviour and health outcomes. Psychosocial factors can influence lifestyle behaviour changes and outcomes of individuals with diabetes mellitus. Relevance to clinical practice. Findings from the study have implications for nurses in the areas of assessment, diabetes management, coping skills training, and cognitive behavioural therapy. Nurses should incorporate these strategies into their daily practice to help individuals identify successful coping strategies, enhance coping efficacy, and change misconceptions about diabetes mellitus to improve self‐care behaviour and health outcomes.

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“…The self-regulation models of health and illness (Wing et al 1986;Hamera et al 1988;Cameron and Leventhal 2003) can be considered as instances of more general cybernetic models in which the feedback is the main mechanism aimed at reducing (and sometimes increasing) the discrepancy between goals and actual states. Cybernetic models can, in turn, be considered as instances of systems thinking (Gharajedaghi 2006;de Savigny and Taghreed 2009).…”

Section: Discussionmentioning

confidence: 99%

“…Several models of self-regulation of health and illness behavior have been suggested (Wing et al 1986;Hamera et al 1988;Cameron and Leventhal 2003). Most of these models conceive self-regulation as ''a dynamic motivational system of setting goals, developing enacting strategies to achieve those goals, appraising progress, and revising goals and strategies'' (Baumeister and Vohs 2004, p. 180).…”

Section: Introductionmentioning

confidence: 99%

A Model of Single-Agent Illness Self-Regulation

Giani

Garzillo

2013

Cybernetics and Systems

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This article is an attempt to develop a formal model of single-actor\ud illness self-regulation; that is, a goal-oriented, emotional and cog-\ud nitive process based upon the creation of anticipated possible\ud futures that trigger plans, decisions, and actions aimed at correct-\ud ing the present state. The contemplated effects of the actions are\ud represented as a transition operator that hopefully transforms the\ud present state into a more desirable future state. As a case study,\ud the model is applied to the self-regulation of glycemia in type-2\ud diabetes. An outline for the extension of the model to multi-agent,\ud multidimensional self-regulation is also suggested

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Self-Regulation in Individuals With Type II Diabetes

Cited by 18 publications

References 0 publications

Self-regulation Theory and the Multigenerational Legacy of Diabetes

Self-regulation Theory and the Multigenerational Legacy of Diabetes

Illness representations, emotional distress, coping strategies, and coping efficacy as predictors of patient outcomes in type 2 diabetes

A Model of Single-Agent Illness Self-Regulation

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