Clinical and socio-demographic determinants of self-care maintenance, monitoring and management in us adults with type 2 diabetes mellitus
Journal article
Luciani, Michela, Rossi, Emanuela, Rebora, Paola, Stawnychy, Michael, Ausili, Davide and Riegel, Barbara. (2020). Clinical and socio-demographic determinants of self-care maintenance, monitoring and management in us adults with type 2 diabetes mellitus. Clinical Nursing Research. 3(3), pp. 285-292. https://doi.org/10.1177/1054773820916987
Authors | Luciani, Michela, Rossi, Emanuela, Rebora, Paola, Stawnychy, Michael, Ausili, Davide and Riegel, Barbara |
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Abstract | The aims of this study were to describe self-care in US T2DM patients and to identify clinical and sociodemographic determinants of self-care maintenance, monitoring, and management in US T2DM patients. A secondary analysis was performed using data from a cross-sectional study done to test the psychometric performance of the Self-Care of Diabetes Inventory in US English speaking adults with diabetes. In our sample (n = 207), self-care maintenance was adequately performed (median = 75), self-care monitoring was borderline (median = 67.6) and self-care management was poor (median = 55.6). Low income (p = .0019) and low self-care confidence (p < .0001) were associated with relatively lower self-care maintenance. Not taking insulin (p = .0153) and low self-care confidence (p < .0001) were associated with relatively low self-care monitoring. Low self-care confidence (p < .0001) was associated with low self-care management. Self-care confidence is a strong determinant of self-care. Interventions designed to improve self-care confidence are urgently needed. |
Keywords | type 2 diabetes mellitus; self-care; self-management; self-efficacy |
Year | 2020 |
Journal | Clinical Nursing Research |
Journal citation | 3 (3), pp. 285-292 |
Publisher | SAGE Publications Inc. |
ISSN | 1054-7738 |
Digital Object Identifier (DOI) | https://doi.org/10.1177/1054773820916987 |
Scopus EID | 2-s2.0-85086100455 |
Research or scholarly | Research |
Page range | 285-292 |
Publisher's version | License All rights reserved File Access Level Controlled |
Output status | Published |
Publication dates | |
Online | 08 Jun 2020 |
Publication process dates | |
Deposited | 24 Jun 2021 |
https://acuresearchbank.acu.edu.au/item/8w44w/clinical-and-socio-demographic-determinants-of-self-care-maintenance-monitoring-and-management-in-us-adults-with-type-2-diabetes-mellitus
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