Document Detail


Predictors of self-care behavior in adults with type 2 diabetes: an RRNeST study.
MedLine Citation:
PMID:  11355645     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND AND OBJECTIVES: Fourfactors have been linked with self-care behaviors in patients with type 2 diabetes: (1) patient demographics, (2) doctor-patient relationship, (3) stress, and (4) social context. This study determined the relationship of each of these factors on self-care behavior in diabetic family practice patients. METHODS: We conducted a cross-sectional survey of patients seeking care in the outpatient clinics of the Residency Research Network of South Texas (RRNeST), a network of six family practice residency programs affiliated with the University of Texas Health Science Center at San Antonio. A total of 397 consecutive adults with type 2 diabetes presenting for appointments with family medicine faculty and family practice residents over a 6-month time period were surveyed about various factors and their relationship to self-care behavior pertinent to diabetes. RESULTS: Self-care was related to age, patient satisfaction with his/her doctor-patient relationship, personal stress, and family context. Social context, as reflected by the statement "My family understands my diabetes," was strongly associated with diet, exercise, and medication adherence. Multivariate analysis demonstrated that, after controlling for patient demographic characteristics andpatient satisfaction, personal stress and social context were strongly associated with self-care, especially diet. CONCLUSIONS: Social context, specifically the family, is significantly associated with self-care behaviors. Attempts to improve self-care behavior should include thefamily members of the diabetic patient. Since family physicians often provide care to multiple members of the family, they are ideally positioned to implement these interventions.
Authors:
T L Albright; M Parchman; S K Burge;
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Publication Detail:
Type:  Journal Article; Multicenter Study; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Family medicine     Volume:  33     ISSN:  0742-3225     ISO Abbreviation:  Fam Med     Publication Date:  2001 May 
Date Detail:
Created Date:  2001-05-17     Completed Date:  2001-12-28     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  8306464     Medline TA:  Fam Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  354-60     Citation Subset:  IM    
Affiliation:
The Corpus Christi Family Practice Residency Program, Tex, USA. tafpmd@aol.com
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MeSH Terms
Descriptor/Qualifier:
Age Factors
Cross-Sectional Studies
Diabetes Mellitus, Type 2 / psychology*
Family Practice
Female
Humans
Male
Middle Aged
Outpatient Clinics, Hospital
Physician-Patient Relations
Questionnaires
Self Care*
Social Support
Stress, Physiological
Texas
Grant Support
ID/Acronym/Agency:
5 D32 PE 16016-12/PE/BHP HRSA HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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