Partner support, social-cognitive variables and their role in adherence to self-monitoring of blood glucose in type 2 diabetes
DOI:
https://doi.org/10.1002/edn.212Keywords:
diabetes, adherence, self-monitoring of blood glucoseAbstract
AbstractIn Portugal, diabetes affects 11.7% of the population, of whom about 90% have type 2 diabetes. Patients and their partners are affected and the latter have a direct impact on patients’ adaptation to diabetes. A large proportion of patients, at diagnosis, have to readjust their daily routines in order to integrate self-care behaviours related to diabetes.
The goal of this study was to analyse the relationship among partner support, social-cognitive variables about self-monitoring of blood glucose (SMBG) (intentions, attitudes, subjective norms, perceived behaviour control, action planning and coping planning), adherence and glycaemic control in type 2 diabetes patients, diagnosed in the past 12 months.
A total of 179 people with diabetes participated in the study. The instruments used were: Multidimensional Diabetes Questionnaire; Revised Summary of Diabetes Self-Care Activities Scale; and Planned Behavior Questionnaire – Self-Monitoring of Blood Glucose. Glycaemic control was assessed by HbA1c.
The perception of positive support from partners and intention to perform SMBG predicted adherence to SMBG. Furthermore, positive support mediated the relationship between intention and adherence to SMBG. Positive and negative partner support were positively associated with intention, action and coping planning and adherence to SMBG. Good metabolic control was negatively associated with negative support.
The results show the importance of partners’ support and social-cognitive variables, regarding self-monitoring of blood glucose, on patients’ adherence.
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References
International Diabetes Federation. www.idf.org/atlasmap/atlasmap [accessed 4 Nov 2011].
Portuguese Society of Diabetology. www.minsaude.pt/NR/rdonlyres/219DAD78-CD13-43CE-9221-42744B24176C/O/EstudoprevalenciaDiabetesemPortugal.pdf [accessed 26 Nov 2010].
Observatório Nacional da Diabetes. www.portaldasaude.pt/NR/rdonlyres/4747F2BE-D534-4983-9A94-C5B7066C9731/0/i012326.pdf [accessed 12 Sept 2010].
Rubin RR. Adherence to pharmacological therapy in patients with type 2 diabetes mellitus. Am J Med 2005;118(Suppl 5A):27S1–34S.
Yeaw J, et al. Comparing adherence and persistence across 6 chronic medication classes. J Managed Care Pharmacy 2009;15:728–40.
Ajzen I, Manstead ASR. Changing health-related behaviors: an approach based on the theory of planned behavior. In: van den Bos V, et al, eds. The scope of social psychology: Theory and applications. New York: Psychology Press, 2006;43–63.
Arafijo-Soares V, et al Predicting changes in physical activity among intention, action planning and coping planning. Health Educ Res 2009;24:128–39.
Darker C, et al. An intervention to promote walking amongst the general population based on an extended theory of planned behavior: a waiting list randomized controlled trial. Psychol Health 2010;25:71–88.
Gatt S, Sammut R. An exploratory study of predictors of self-care behavior in persons with type 2 diabetes. Int j Nurs Stud 2008;45: 1525–33.
Ajzen I. http://people.umass.edu/aizen/pdf/tpb.measurement.pdf [accessed 21 Nov 2010].
Ajzen I. The Theory of Planned Behavior. Organ Behav Hum Dec is Process 1991;50:179–211.
Ajzen I. From intentions to actions: a theory of planned behavior. In: Kuhi J, Beckmann J, eds. Action control: from cognition to behavior. Heidelberg: Springer, 1985;11–39.
Coyne JC, Smith DA. Couples coping with a myocardial infarction: a contextual perspective on patient self-efficacy. J Fam Psychol 1994; 8:43–54.
Trief PM, et al Describing support: a qualitative study of couples living with diabetes. Fam Syst Health 2003; 21:57–67.
Chesla CA, et al. Family predictors of disease management over one year in Latino and European American patients with type 2 diabetes. Fam Process 2003;42:375–90.
Fisher L, et al The family and disease management in Hispanic and Euro-American patients with type 2 diabetes. Diabetes Care 2000;23: 267–72.
Stephens MA, et al. Spouses use of social control to improve diabetic patients' dietary adherence. Fam Syst Health 2010;28:199–208.
Schokker MC, et al Support behavior and relationship satisfaction in couples dealing with diabetes: main and moderating effects. Fam Psychol 2010;24:578–86.
Toobert DJ, et al The Summary of Diabetes Self-Care Activities Measure. Diabetes Care 2000;23:943–50.
Pereira MG, et al Research version of the Planned Behavior Questionnaire - Self-Monitoring of Blood Glucose. University of Minho, School of Psychology, 2008.
Talbot F, et al The assessment of diabetes-related cognitive and social factors: the Multidimensional Diabetes Questionnaire. J Behav Med 1997; 20:291–312.
Baron RM, Kenny DA. The modera-tor-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. J Pers Soc Psychol 1986;51:1173–82.
Trief PM, et al Family environment, glycemic control, and the psychosocial adaptation of adults with diabetes. Diabetes Care 1998;21:241–5.
Trief, PM, et al A prospective analysis of marital relationship factors and quality of life in diabetes. Diabetes Care 2002;25:1154–8.
Garay-Sevilla ME, et al Adherence to treatment and social support in patients with NIDDM. J Diabetes Complications 1995;9:81–6.
Berg CA, Upchurch R. A develop-mental-contextual model of couples coping with chronic illness across the adult life span. Psychol Bull 2007;133:920–54.
LaGreca AM, et al. I get by with a little help from my family and friends: adolescents' support for diabetes care. J Pediatr Psychol 1995;20:449–76.
Gallant MP. The influence of social support on chronic illness self-man-agement a review and directions for research. Health Educ Behav 2003; 30:170–95.
Trief PM, et al. The marital relation-ship and psychosocial adaptation and glycemic control of individuals with diabetes. Diabetes Care 2001; 24:1384–9.
Trief PM, et al. The relationship between marital quality and adherence to the diabetes care regimen. Ann Behav Med 2004;27:148–54.
Fisher L. Family relationships and diabetes care during the adult years. Diabetes Spectr 2006;19:71–4.
van Dam HA, et al Social support in diabetes: a systematic review of controlled intervention studies. Patient Educ Couns 2005;59:1–12.
Bastos F. O papel das esposas na adesão ao regime terapeutico no diabetic° tipo 2. In: Leal I, et al., eds. Actas do 6° Congress° Nacional de Psicologia da SaUde. Lisboa: ISPA, 2006;571–7.
Daly J, et al. An assessment of attitudes, behaviors, and outcomes of patients with type 2 diabetes. J Am Board Fam Med 2009;22:280–90.
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