A Causal Model of Factors Influencing Diabetes Self-management in Chinese People with Type 2 Diabetes

2.50
Hdl Handle:
http://hdl.handle.net/10755/158834
Type:
Presentation
Title:
A Causal Model of Factors Influencing Diabetes Self-management in Chinese People with Type 2 Diabetes
Abstract:
A Causal Model of Factors Influencing Diabetes Self-management in Chinese People with Type 2 Diabetes
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2006
Author:Xu, Yin, PhD, RN
P.I. Institution Name:University of Cincinnati
Title:Assistant Professor
Contact Address:College of Nursing, PO Box 210038, Cincinnati, OH, 45221, USA
Contact Telephone:513-5585240
Co-Authors:Christine L. Savage, PhD, MSN, RN, Associate Professor; Kyra Whitmer, PhD, RN, Associate Professor; Wei Pan, PhD, Assistant Professor; and Deborah Toobert, PhD
Background: China was projected to have the highest increase in the prevalence of diabetes from 1995 to 2025 (King, Aubert, & Hermna, 1998). Diabetes mellitus self-management (DMSM) is considered the cornerstone for controlling diabetes and preventing diabetic complications. To develop effective interventions to promote DMSM in China, it is critical to identify the factors influencing DMSM relevant to this population. The purpose of this study was to test a hypothesized model describing the effects of individual and environmental factors on DMSM in patients with type 2 diabetes in China. Methods: A cross-sectional survey research design was used in this study. The study was conducted at a major hospital in Beijing China. A convenience sample of 201 Chinese adult patients with type 2 diabetes mellitus was obtained for this study. Structural equation modeling (SEM) analysis was conducted to test the hypothesized model. Findings: Based on statistical findings and theoretical soundness, the model was modified. The final model had a good fit to the data. The key findings were that belief in treatment effectiveness and diabetes self-efficacy were key proximal factors affecting DMSM. Knowledge and the environmental factors indirectly affected DMSM through belief in treatment effectiveness and self-efficacy. Conclusions: The good fit of the final model indicated that significant determinants of DMSM described in American studies were also important predictors of DMSM in Chinese with diabetes. The model illustrated that individual and environmental factors affected DMSM both directly and indirectly. Understanding the complex relationships between and among the individual and environmental factors and DMSM helps the practitioner to design intervention programs promoting DMSM using a more comprehensive approach.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleA Causal Model of Factors Influencing Diabetes Self-management in Chinese People with Type 2 Diabetesen_GB
dc.identifier.urihttp://hdl.handle.net/10755/158834-
dc.description.abstract<table><tr><td colspan="2" class="item-title">A Causal Model of Factors Influencing Diabetes Self-management in Chinese People with Type 2 Diabetes</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2006</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Xu, Yin, PhD, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Cincinnati</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Assistant Professor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">College of Nursing, PO Box 210038, Cincinnati, OH, 45221, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">513-5585240</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">yin.xu@uc.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Christine L. Savage, PhD, MSN, RN, Associate Professor; Kyra Whitmer, PhD, RN, Associate Professor; Wei Pan, PhD, Assistant Professor; and Deborah Toobert, PhD</td></tr><tr><td colspan="2" class="item-abstract">Background: China was projected to have the highest increase in the prevalence of diabetes from 1995 to 2025 (King, Aubert, &amp; Hermna, 1998). Diabetes mellitus self-management (DMSM) is considered the cornerstone for controlling diabetes and preventing diabetic complications. To develop effective interventions to promote DMSM in China, it is critical to identify the factors influencing DMSM relevant to this population. The purpose of this study was to test a hypothesized model describing the effects of individual and environmental factors on DMSM in patients with type 2 diabetes in China. Methods: A cross-sectional survey research design was used in this study. The study was conducted at a major hospital in Beijing China. A convenience sample of 201 Chinese adult patients with type 2 diabetes mellitus was obtained for this study. Structural equation modeling (SEM) analysis was conducted to test the hypothesized model. Findings: Based on statistical findings and theoretical soundness, the model was modified. The final model had a good fit to the data. The key findings were that belief in treatment effectiveness and diabetes self-efficacy were key proximal factors affecting DMSM. Knowledge and the environmental factors indirectly affected DMSM through belief in treatment effectiveness and self-efficacy. Conclusions: The good fit of the final model indicated that significant determinants of DMSM described in American studies were also important predictors of DMSM in Chinese with diabetes. The model illustrated that individual and environmental factors affected DMSM both directly and indirectly. Understanding the complex relationships between and among the individual and environmental factors and DMSM helps the practitioner to design intervention programs promoting DMSM using a more comprehensive approach.</td></tr></table>en_GB
dc.date.available2011-10-26T21:26:32Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T21:26:32Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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