Abstract
Purpose: Diabetic retinopathy (DR) is an important, chronic complication of diabetes, requiring competent self-management that depends on adherence to behavioral regimens. This study attempted to identify factors influencing self-management behaviors and develop a model illustrating the interdependence of several factors associated with DR patients. Methods: In June–December 2012, 368 patients with DR completed questionnaires assessing self-management behavior, diabetes knowledge, health beliefs, social support, and treatment adherence. Structural equation modeling was used to test predicted pathways linking self-management behavior to diabetes knowledge, health beliefs, social support, and treatment adherence. Results: The results indicated that health beliefs, treatment adherence, and duration of diabetes each had a direct impact on diabetes self-management (p < 0.05). Diabetes knowledge only indirectly influenced diabetes self-management, through health beliefs. Social support had a direct impact on diabetes self-management (β = 0.35, p < 0.01), and an indirect influence on diabetes self-management, through treatment adherence (β = 0.77, p < 0.01). Conclusion: Health beliefs, treatment adherence, and social support directly affect diabetes self-management, and diabetes knowledge indirectly affects diabetes self-management. This suggests that enhancing DR patients’ health beliefs, treatment adherence, and social support would facilitate their diabetes self-management. Meanwhile, improved health education can strengthen diabetes knowledge, which in turn, can positively affect diabetes self-management.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 1-8 |
| Number of pages | 8 |
| Journal | Quality of Life Research |
| DOIs | |
| State | Accepted/In press - Sep 3 2016 |
| Externally published | Yes |
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Keywords
- Diabetic retinopathy
- Health beliefs
- Self-management
- Social support
- Structural equation modeling
ASJC Scopus subject areas
- Public Health, Environmental and Occupational Health
Cite this
Self-management behavior among patients with diabetic retinopathy in the community : a structural equation model. / Yang, Li; Wu, Qunhong; Hao, Yanhua; Cui, Yu; Liang, Libo; Gao, Lijun; Jiao, Mingli; Ning, Ning; Sun, Hong; Kang, Zheng; Han, Liyuan; Li, Ye; Yin, Hui.
In: Quality of Life Research, 03.09.2016, p. 1-8.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Self-management behavior among patients with diabetic retinopathy in the community
T2 - a structural equation model
AU - Yang, Li
AU - Wu, Qunhong
AU - Hao, Yanhua
AU - Cui, Yu
AU - Liang, Libo
AU - Gao, Lijun
AU - Jiao, Mingli
AU - Ning, Ning
AU - Sun, Hong
AU - Kang, Zheng
AU - Han, Liyuan
AU - Li, Ye
AU - Yin, Hui
PY - 2016/9/3
Y1 - 2016/9/3
N2 - Purpose: Diabetic retinopathy (DR) is an important, chronic complication of diabetes, requiring competent self-management that depends on adherence to behavioral regimens. This study attempted to identify factors influencing self-management behaviors and develop a model illustrating the interdependence of several factors associated with DR patients. Methods: In June–December 2012, 368 patients with DR completed questionnaires assessing self-management behavior, diabetes knowledge, health beliefs, social support, and treatment adherence. Structural equation modeling was used to test predicted pathways linking self-management behavior to diabetes knowledge, health beliefs, social support, and treatment adherence. Results: The results indicated that health beliefs, treatment adherence, and duration of diabetes each had a direct impact on diabetes self-management (p < 0.05). Diabetes knowledge only indirectly influenced diabetes self-management, through health beliefs. Social support had a direct impact on diabetes self-management (β = 0.35, p < 0.01), and an indirect influence on diabetes self-management, through treatment adherence (β = 0.77, p < 0.01). Conclusion: Health beliefs, treatment adherence, and social support directly affect diabetes self-management, and diabetes knowledge indirectly affects diabetes self-management. This suggests that enhancing DR patients’ health beliefs, treatment adherence, and social support would facilitate their diabetes self-management. Meanwhile, improved health education can strengthen diabetes knowledge, which in turn, can positively affect diabetes self-management.
AB - Purpose: Diabetic retinopathy (DR) is an important, chronic complication of diabetes, requiring competent self-management that depends on adherence to behavioral regimens. This study attempted to identify factors influencing self-management behaviors and develop a model illustrating the interdependence of several factors associated with DR patients. Methods: In June–December 2012, 368 patients with DR completed questionnaires assessing self-management behavior, diabetes knowledge, health beliefs, social support, and treatment adherence. Structural equation modeling was used to test predicted pathways linking self-management behavior to diabetes knowledge, health beliefs, social support, and treatment adherence. Results: The results indicated that health beliefs, treatment adherence, and duration of diabetes each had a direct impact on diabetes self-management (p < 0.05). Diabetes knowledge only indirectly influenced diabetes self-management, through health beliefs. Social support had a direct impact on diabetes self-management (β = 0.35, p < 0.01), and an indirect influence on diabetes self-management, through treatment adherence (β = 0.77, p < 0.01). Conclusion: Health beliefs, treatment adherence, and social support directly affect diabetes self-management, and diabetes knowledge indirectly affects diabetes self-management. This suggests that enhancing DR patients’ health beliefs, treatment adherence, and social support would facilitate their diabetes self-management. Meanwhile, improved health education can strengthen diabetes knowledge, which in turn, can positively affect diabetes self-management.
KW - Diabetic retinopathy
KW - Health beliefs
KW - Self-management
KW - Social support
KW - Structural equation modeling
UR - http://www.scopus.com/inward/record.url?scp=84984887344&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84984887344&partnerID=8YFLogxK
U2 - 10.1007/s11136-016-1396-1
DO - 10.1007/s11136-016-1396-1
M3 - Article
C2 - 27592109
AN - SCOPUS:84984887344
SP - 1
EP - 8
JO - Quality of Life Research
JF - Quality of Life Research
SN - 0962-9343
ER -