Social support and self‐management behaviour among patients with Type 2 diabetes
- 12 October 2011
- journal article
- research article
- Published by Wiley in Diabetic Medicine
- Vol. 29 (5), 654-661
- https://doi.org/10.1111/j.1464-5491.2011.03485.x
Abstract
Diabet. Med. 29, 654–661 (2012) Abstract Aims To investigate the relationship between structural and functional social support and patient activation, diabetes-related emotional distress, perceived diabetes care, self-management behaviour and HbA1c levels among patients with Type 2 diabetes. Methods Self-administered questionnaires were collected from 2572 patients with Type 2 diabetes. After adjusting for gender, age and education, Tobit and logistic regression models were used to examine associations between social network and patient activation, psychosocial problems, self-management behaviours and HbA1c levels. Results Frequent contact with friends was associated with more positive scores for activation, fewer psychosocial problems, more positive assessment of care and health-promoting self-management behaviours such as frequent exercising and frequent foot examinations. Frequent contact with family was associated with more positive assessments of care. Living with a partner was associated with lower prevalence of smoking, a higher frequency of foot examinations and higher HbA1c levels. A poor functional social network, measured as perceived lack of help in the event of severe illness, was associated with low patient activation, greater emotional distress, negative assessment of care, less health-promoting eating habits and less frequent foot examinations. Conclusions Good social support is significantly associated with health-promoting behaviours and well-being among patients with Type 2 diabetes. However, HbA1c levels are higher for cohabitant persons, indicating barriers for social support. Intervention research is needed to investigate the causal relationship between social networks and health-promoting behaviours. This knowledge should be used in clinical practice when targeting and designing education, support and care for patients with Type 2 diabetes.Keywords
This publication has 22 references indexed in Scilit:
- Monitoring of Individual Needs in Diabetes (MIND): Baseline Data From the Cross-National Diabetes Attitudes, Wishes, and Needs (DAWN) MIND StudyDiabetes Care, 2011
- Family influences on self-management among functionally independent adults with diabetes or heart failure: do family members hinder as much as they help?Chronic Illness, 2010
- Translation, adaptation and validation of the American short form Patient Activation Measure (PAM13) in a Danish versionBMC Public Health, 2009
- When Is Social Support Important? The Association of Family Support and Professional Support with Specific Diabetes Self-management BehaviorsJournal of General Internal Medicine, 2008
- Family Interactions Among African Americans Diagnosed With Type 2 DiabetesThe Diabetes Educator, 2008
- Help or Hindrance? How Family and Friends Influence Chronic Illness Self-Management among Older AdultsResearch on Aging, 2007
- Do Increases in Patient Activation Result in Improved Self‐Management Behaviors?Health Services Research, 2006
- Development of the Patient Activation Measure (PAM): Conceptualizing and Measuring Activation in Patients and ConsumersHealth Services Research, 2004
- The summary of diabetes self-care activities measure: results from 7 studies and a revised scale.Diabetes Care, 2000
- Social relations: network, support and relational strainSocial Science & Medicine, 1999