Tags

Type your tag names separated by a space and hit enter

An exploratory study of predictors of self-care behaviour in persons with type 2 diabetes.
Int J Nurs Stud. 2008 Oct; 45(10):1525-33.IJ

Abstract

BACKGROUND

Type 2 diabetes constitutes a growing public health concern due to the risk of long-term complications. Control of blood glucose and other preventative measures are known to decrease this risk. Since prevention depends on the individual's behaviour, this study sought to identify factors related to self-care behaviour of persons with type 2 diabetes. The theory of planned behaviour provided the theoretical framework.

OBJECTIVES

The objectives were to explore the relationship between attitudes towards self-care behaviour, subjective norms, behavioural control, behavioural intentions and actual self-care behaviour.

DESIGN

A two-stage, descriptive survey design was used; data was collected at two time points, 1 week apart.

SETTINGS

Participants were recruited by telephone. Data collection was carried out in participants' homes and over the phone.

PARTICIPANTS

Participants were Maltese, over 50 years, diagnosed with type 2 diabetes at least 6 months beforehand. A random sample of 200 individuals was selected from a database of persons registered at a diabetes clinic in Malta.

METHODS

In the first stage, data on factors which may predict self-care behaviour was collected by means of a structured interview. This included four subscales consisting of items rated on a seven point Likert Scale, constructed to measure the independent variables of attitudes to self-care behaviour, subjective norm, behavioural control and the independent variable of intent to perform the self-care behaviour. In the second stage, a structured telephone interview, including a revised version of the Summary of Diabetes Self-Care Activities, was used to measure the independent variable of self-care behaviour.

RESULTS

A 50% (n=100) response rate was achieved. All participants were on insulin and/or hypoglycaemic agents. Attitude to self-care behaviour, subjective norms and behavioural control all predicted behavioural intent. Of these, perceived behavioural control was the most predictive and was also predictive of actual self-care behaviour. Participants reported high perceived behavioural control in relation to medication taking, but low perceived control in relation to exercise and dietary behaviour.

CONCLUSIONS

Strategies to improve self-care behaviour in relation to type 2 diabetes should focus on improving the individual's perception of behavioural control, especially with regards to exercise and diet.

Authors+Show Affiliations

Intensive Care Unit, Mater Dei Hospital, Msida, Malta.No affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

18439609

Citation

Gatt, Sylvmarie, and Roberta Sammut. "An Exploratory Study of Predictors of Self-care Behaviour in Persons With Type 2 Diabetes." International Journal of Nursing Studies, vol. 45, no. 10, 2008, pp. 1525-33.
Gatt S, Sammut R. An exploratory study of predictors of self-care behaviour in persons with type 2 diabetes. Int J Nurs Stud. 2008;45(10):1525-33.
Gatt, S., & Sammut, R. (2008). An exploratory study of predictors of self-care behaviour in persons with type 2 diabetes. International Journal of Nursing Studies, 45(10), 1525-33. https://doi.org/10.1016/j.ijnurstu.2008.02.006
Gatt S, Sammut R. An Exploratory Study of Predictors of Self-care Behaviour in Persons With Type 2 Diabetes. Int J Nurs Stud. 2008;45(10):1525-33. PubMed PMID: 18439609.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - An exploratory study of predictors of self-care behaviour in persons with type 2 diabetes. AU - Gatt,Sylvmarie, AU - Sammut,Roberta, Y1 - 2008/04/25/ PY - 2007/07/17/received PY - 2008/02/13/revised PY - 2008/02/20/accepted PY - 2008/4/29/pubmed PY - 2009/1/17/medline PY - 2008/4/29/entrez SP - 1525 EP - 33 JF - International journal of nursing studies JO - Int J Nurs Stud VL - 45 IS - 10 N2 - BACKGROUND: Type 2 diabetes constitutes a growing public health concern due to the risk of long-term complications. Control of blood glucose and other preventative measures are known to decrease this risk. Since prevention depends on the individual's behaviour, this study sought to identify factors related to self-care behaviour of persons with type 2 diabetes. The theory of planned behaviour provided the theoretical framework. OBJECTIVES: The objectives were to explore the relationship between attitudes towards self-care behaviour, subjective norms, behavioural control, behavioural intentions and actual self-care behaviour. DESIGN: A two-stage, descriptive survey design was used; data was collected at two time points, 1 week apart. SETTINGS: Participants were recruited by telephone. Data collection was carried out in participants' homes and over the phone. PARTICIPANTS: Participants were Maltese, over 50 years, diagnosed with type 2 diabetes at least 6 months beforehand. A random sample of 200 individuals was selected from a database of persons registered at a diabetes clinic in Malta. METHODS: In the first stage, data on factors which may predict self-care behaviour was collected by means of a structured interview. This included four subscales consisting of items rated on a seven point Likert Scale, constructed to measure the independent variables of attitudes to self-care behaviour, subjective norm, behavioural control and the independent variable of intent to perform the self-care behaviour. In the second stage, a structured telephone interview, including a revised version of the Summary of Diabetes Self-Care Activities, was used to measure the independent variable of self-care behaviour. RESULTS: A 50% (n=100) response rate was achieved. All participants were on insulin and/or hypoglycaemic agents. Attitude to self-care behaviour, subjective norms and behavioural control all predicted behavioural intent. Of these, perceived behavioural control was the most predictive and was also predictive of actual self-care behaviour. Participants reported high perceived behavioural control in relation to medication taking, but low perceived control in relation to exercise and dietary behaviour. CONCLUSIONS: Strategies to improve self-care behaviour in relation to type 2 diabetes should focus on improving the individual's perception of behavioural control, especially with regards to exercise and diet. SN - 0020-7489 UR - https://www.unboundmedicine.com/medline/citation/18439609/An_exploratory_study_of_predictors_of_self_care_behaviour_in_persons_with_type_2_diabetes_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0020-7489(08)00053-9 DB - PRIME DP - Unbound Medicine ER -