Self-regulation Theory and the Multigenerational Legacy of Diabetes

Abstract

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.

Family history and body mass index predict perceived risks of diabetes and heart attack among community-dwelling Caucasian, Filipino, Korean, and Latino Americans—DiLH Survey

“…The relationship between BMI and increased perceived risk of diabetes and heart attack has led to the recent broad public campaigns against the obesity epidemic in the United States. Acknowledging a family history of diabetes, heart attack, or obesity may provide an opportunity for healthcare providers to engage with patients about these conditions to promote better screening and reduce lifestyle risks [32,33]. …”

Investigating the factor structure of the Illness Perception Questionnaire-Revised for substance dependence among injecting drug users in China

“…The importance of illness representations can be seen by their associations with health outcomes such as medication adherence Ross et al, 2004;Chen et al, 2011), self-care activities (Reynolds et al, 2009), psychological distress and depression (Broadbent et al, 2011;Scollan-Koliopoulos et al, 2011;Dempster et al, 2012;Paddison et al, 2010;Paschalides et al, 2004;Knibb and Horton, 2008) across conditions such as hypertension (Chen et al, 2011;Ross et al, 2004), cancer (Dempster et al, 2012), allergy (Knibb and Horton, 2008), diabetes (Mc Sharry et al, 2011;Paddison et al, 2010), and HIV (Reynolds et al, 2009). Such associations have also been investigated among healthy individuals (Mo and Lau, 2014;Figueiras and Alves, 2007).…”

“We Are All Gonna Get Diabetic These Days”

“…33 First-degree relatives of adolescents with T2DM have a high prevalence of insulin resistance and T2DM and share many risk factors for diabetes, including binge eating and a sedentary lifestyle. 34 The influence of a multigenerational legacy of diabetes has been explored in research by Scollan-Koliopoulos et al 23,24,35 One study, conducted among adults with family histories of diabetes, found that participants’ recollections of their family members’ diabetes care influenced their perceptions of the controllability and consequences of diabetes, 35 and participants’ dietary behaviors were related to their recollections of the family member’s dietary behavior. 23 A second study, comparing participants with and without family histories of diabetes, found that those with family histories had less understanding of diabetes and more negative emotions related to diabetes and felt that diabetes was less predictable compared with those with no family histories.…”

“…23 A second study, comparing participants with and without family histories of diabetes, found that those with family histories had less understanding of diabetes and more negative emotions related to diabetes and felt that diabetes was less predictable compared with those with no family histories. 24 …”

“…During the course of conducting a longitudinal qualitative study of Hispanic young adults’ (YAs) strategies for managing T2DM, therefore, an emergent finding was the impact of family members’ diabetes care on the YAs’ own approach to diabetes. We conceptualized this as an ongoing, “living” multigenerational legacy of diabetes (in contrast to the remembered legacy described by Scollan-Koliopoulos et al 23,24,35 ). Therefore, we sought to investigate the following research question: How does a “living legacy” of diabetes influence YAs’ approaches to diabetes care?…”