Factors influencing diabetes self-management in chinese people with type 2 diabetes

Yin Xu, Deborah Toobert, Christine Savage, Wei Pan, Kyra Whitmer

Research output: Contribution to journalArticlepeer-review


Patients with diabetes must incorporate a complicated regimen of self-management into their daily lives (e.g., taking medication, diet, exercise). Diabetes self-management (DSM) is the cornerstone for controlling diabetes and preventing diabetic complications. The purpose of this study was to test a model describing the effects of individual and environmental factors on DSM in a sample of patients with diabetes in Beijing, China. Survey data were gathered from a convenience sample of 201 Chinese adults with type 2 diabetes during outpatient visits. Data were analyzed using structural equation modeling. Model fit indices indicated a good fit to the data. In the final model, belief in treatment effectiveness and diabetes self-efficacy were proximate factors affecting DSM. Knowledge, social support, and provider-patient communication affected self-management indirectly via beliefs and self-efficacy. The findings provide a theoretical basis to direct the development of interventions for improving DSM in Chinese individuals with diabetes.

Original languageEnglish (US)
Pages (from-to)613-625
Number of pages13
JournalResearch in Nursing and Health
Issue number6
StatePublished - Dec 2008
Externally publishedYes


  • Chinese patients with type 2 diabetes
  • Diabetes mellitus self-management
  • Structural equation modeling

ASJC Scopus subject areas

  • Nursing(all)


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