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Theoretical Framework For Diabetes

A Theoretical Framework For A Virtual Diabetes Self-management Community Intervention

A Theoretical Framework For A Virtual Diabetes Self-management Community Intervention

A Theoretical Framework for a Virtual Diabetes Self-Management Community Intervention 1Duke University School of Nursing, Durham, NC, USA 2University of California, Santa Barbara, USA Corresponding Author: Allison Vorderstrasse, Duke University School of Nursing, 307 Trent Dr., DUMC 3322, Durham, NC 27710, USA. [email protected] The publisher's final edited version of this article is available at West J Nurs Res See other articles in PMC that cite the published article. Due to its high prevalence, chronic nature, potential complications, and self-management challenges for patients, diabetes presents significant health education and support issues. We developed and pilot-tested a virtual community for adults with type 2 diabetes to promote self-management education and provide social support. Although digital-based programs such as virtual environments can address significant barriers to reaching patients (i.e., child care, transportation, location), they must be strongly grounded in a theoretical basis to be well-developed and effective. In this article, we discuss how we synthesized behavioral and virtual environment theoretical frameworks to guide the development of SLIDES (Second Life Impacts Diabetes Education and Support). Keywords: diabetes self-management education, type 2 diabetes, virtual environment, theoretical framework With expanding availability of internet access, more immersive virtual environments (i.e., computer-generated 3D representations of an environment that promote users perceptions of actual presence in the environment; Gorini, Gaggioli, Vigna, & Riva, 2008 ) are a potential solution to the logistical problems of providing diabetes self-management training and support (DSMT/S) to increasing numbers of patients with type 2 diabetes Continue reading >>

Usc Chan | Real: Resilient, Empowered, Active Living With Diabetes

Usc Chan | Real: Resilient, Empowered, Active Living With Diabetes

Intervention Protocol: Structure and Format In striving to achieve the desired proximal outcome of improved diabetes self-care in young adults, this intervention approaches the issue from a dynamic, multi-theoretical frame of reference. Given that no one theory can account for the complex dynamics of behavior change, and in order to personalize and customize an intervention tailored toward individual needs, a multifaceted theoretical approach is justifiable (Prochaska, Redding, & Evers, 2008). The primary goals of the intervention are to identify baseline health behaviors, as discovered through a life history and narrative assessment, and to collaboratively develop individualized self-care strategies which are congruent with the context of the clients existing daily activities, environment and lifestyle. The intervener, a licensed occupational therapist, will be using a Lifestyle Redesign therapeutic approach, taking into account external factors and personal resources when addressing individual client needs. The desired health outcome will be the establishment and maintenance of enhanced health-promoting habits and behaviors which incorporate diabetes care into everyday life demands. Health behavior can be influenced by a variety of factors. With regard to diabetes management among young adults, we have developed an individualized, customizable intervention which seeks to address a wide array of diabetes self-care challenges stemming from multiple life domains and influences on human behavior. In conjunction with exploring life histories, the following theories will help to conceptualize and explain the health behaviors of intervention participants, and identify targets and strategies for health behavior change. Social ecological models of health behavior (show) (hide Continue reading >>

Conceptual Framework For Developing A Diabetes Information Network

Conceptual Framework For Developing A Diabetes Information Network

Conceptual Framework for Developing a Diabetes Information Network 1School of Allied Medical Sciences, Tehran University of Medical Sciences, Tehran, Iran 2School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran 3Diabetes Research Center, Tehran University of Medical Sciences, Tehran, Iran Corresponding authors: Mostafa Langarizadeh, PhD. School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran. Phone: +98 21 88794301; E-mail: [email protected], Bagher Larijani, MD. Diabetes Research Center, Tehran University of Medical Sciences, Tehran, Iran. Phone: +98 21 88220037; Email: [email protected] Received 2016 Jan 13; Accepted 2016 Mar 25. Copyright : 2016 Hossein Riazi, Mostafa Langarizadeh, Bagher Larijani, and Leila Shahmoradi This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. This article has been cited by other articles in PMC. To provide a conceptual framework for managing diabetic patient care, and creating an information network for clinical research. A wide range of information technology (IT) based interventions such as distance learning, diabetes registries, personal or electronic health record systems, clinical information systems, and clinical decision support systems have so far been used in supporting diabetic care. Previous studies demonstrated that IT could improve diabetes care at its different aspects. There is however no comprehensive conceptual framework that defines how different IT applications can support diverse aspects of this care. There Continue reading >>

Malnutrition In Early Life And Risk Of Type 2 Diabetes: Theoretical Framework And Epidemiological Evidence

Malnutrition In Early Life And Risk Of Type 2 Diabetes: Theoretical Framework And Epidemiological Evidence

, Volume 72, Issue2 , pp 3746 | Cite as Malnutrition in early life and risk of type 2 diabetes: Theoretical framework and epidemiological evidence There exist numerous experimental and epidemiological data indicating that malnutrition in early development may influence the risk of developing metabolic disorders in adult life, including type 2 diabetes mellitus (T2DM). Epidemiological evidence for such a relationship was mostly obtained in quasi-experimental studies (natural experiments) carried out on the populations of different countries. These studies revealed that exposure to famine in prenatal and/or early postnatal development is associated with increased risk of developing type 2 diabetes in adult life. Epigenetic regulation of gene activity is considered to be the main mechanism linking starvation in early life and increased risk of type 2 diabetes in adulthood. It is believed that exposure to famine during pregnancy may induce persistent epigenetic variations that are thought to have some adaptive value in the early postnatal development but that also lay grounds for metabolic disorders, including type 2 diabetes, in later life. The present review consolidates and discusses the data indicating the possibility of early developmental programming of type 2 diabetes obtained in the course of quasi-experimental studies. type 2 diabetesfaminenatural experimentquasi-experimental studyepigeneticsreview Original Russian Text O.G. Zabuga, A.M. Vaiserman, 2017, published in Vestnik Moskovskogo Universiteta, Seriya 16: Biologiya, 2017, Vol. 72, No. 2, pp. 4757. This is a preview of subscription content, log in to check access. Unable to display preview. Download preview PDF. Wilmot, E. and Idris, I, Early onset type 2 diabetes: Risk factors, clinical impact and management Continue reading >>

Conceptual Framework For Developing A Diabetes Information Network.

Conceptual Framework For Developing A Diabetes Information Network.

Conceptual Framework for Developing a Diabetes Information Network. 1.School of Allied Medical Sciences, Tehran University of Medical Sciences, Tehran, Iran. 2.School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran. 3.Diabetes Research Center, Tehran University of Medical Sciences, Tehran, Iran. To provide a conceptual framework for managing diabetic patient care, and creating an information network for clinical research.A wide range of information technology (IT) based interventions such as distance learning, diabetes registries, personal or electronic health record systems, clinical information systems, and clinical decision support systems have so far been used in supporting diabetic care. Previous studies demonstrated that IT could improve diabetes care at its different aspects. There is however no comprehensive conceptual framework that defines how different IT applications can support diverse aspects of this care. Therefore, a conceptual framework that combines different IT solutions into a wide information network for improving care processes and for research purposes is widely lacking. In this study we describe the theoretical underpin of a big project aiming at building a wide diabetic information network namely DIANET.A literature review and a survey of national programs and existing regulations for diabetes management was conducted in order to define different aspects of diabetic care that should be supported by IT solutions. Both qualitative and quantitative research methods were used in this study. In addition to the results of a previous systematic literature review, two brainstorming and three expert panel sessions were conducted to identify requirements of a comprehensive information technology solution. Continue reading >>

Helping People With Diabetes Change Behavior: From Theory To Practice

Helping People With Diabetes Change Behavior: From Theory To Practice

Reducing fat intake: precontemplation stage Reducing caloric intake: preparation stage Increasing physical activity (i.e., walking three times/week): contemplation stage Putting It All Together: Individualized Stage-Matched Interventions The diabetes care field has recognized the value of using best practice guidelines to maintain standards of care (e.g., American Diabetes Association, 200024) while still emphasizing the importance of individualization of the care plan to reach optimal management for a particular person with diabetes. The importance of providing both best practice (stage-matched) guidelines and individualization is also central to the behavior change process based on the TTM. Research has indicated that interventions tailored for the individual's stage of change work better than generic approaches.6 Interventions based on the TTM are tailored for individuals based on their stage at the highest level and then on the other variables of the model to maximize effectiveness. General guidelines for which processes and principles of change to emphasize at a particular stage are shown in Figure 2. These are designed to be general stage-matched guidelines, and readers should refer to the most recent literature regarding a particular behavior to obtain specific guidelines. Figure 2. General guidelines for principles and processes of change most emphasized at each stage. Adapted from Prochaska & Velicer, 1997 A number of interventions have been developed based on this model. Stage-matched interventions based on the TTM have included written stage-based self-help materials, such as handbooks, manuals, and newsletters. Interventions that are further individualized include stage-matched counseling approaches and expert system-generated individualized feedback (e.g., Continue reading >>

Attitude Behaviour Theories And Diabetes Education Programmes - Sciencedirect

Attitude Behaviour Theories And Diabetes Education Programmes - Sciencedirect

Volume 14, Issue 1 , August 1989, Pages 3-19 Attitude behaviour theories and diabetes education programmes Author links open overlay panel Ingede Weerdt Get rights and content A most important aim of diabetes education is to alter self-care behaviour of patients with diabetes. In order to change their behaviour, its determinants must be known. A review of literature on this subject shows that level of knowledge and anxiety, health locus of control, attitude to self-care, social environment and demographic variables are important determinants. An integration of these determinants into a theoretical framework is necessary to create a guideline for future developments of diabetes education programmes. The attitude-behaviour theory of Fishbein and Ajzen is proposed as such a guideline. However, until now the usefulness of this theory for explaining and changing self-care behaviour of patients with diabetes has not been investigated. A review of evaluation studies of diabetes education programmes also showed no evidence of the usefulness of the theory of Fishbein and Ajzen; further research is needed. Continue reading >>

Testing A Conceptual Framework For Diabetes Self-care Management

Testing A Conceptual Framework For Diabetes Self-care Management

Testing a Conceptual Framework for Diabetes Self-Care Management Diabetes is a major source of morbidity, mortality, and economic expense in the United States. The majority of researchers and clinicians believe that diabetes is a self-care management disease, and that patients should be reliable, capable, and sufficiently responsible to take careof themselves. However, individuals with diabetes may or may not have diabetes knowledge, social support, self-care agency (an individual's capability to perform self-care actions), and self-efficacy (an individual's beliefs in his or her capability to perform self-care actions) that wouldhelp them to engage in diabetes self-care management. Therefore, this study examined the relationship among those factors using a cross-sectional model testing design. A convenient sample of 141 insulin-requiring individuals with either diabetes type 1 or type 2, 21 years old and over, wasrecruited from an outpatient diabetes care center located in a Southeast region of the United States. Simple linear regression, multiple standard regression, and multiple hierarchical regression were used to analyze the data. Individuals with greater diabetes knowledge had greater self-careagency and self-efficacy. Those with a higher score in social support had greater self-care agency and better diabetes self-care management, and those with greater self-efficacy had better diabetes self-care management. In addition, self-care agency mediated the effects of diabetes knowledgeon self-efficacy and the effects of social support on diabetes self-care management. Self-efficacy mediated the effects of self-care agency on diabetes self-care management. Furthermore, the linear combination of diabetes knowledge, social support, self-care agency, and self-efficacy, ta Continue reading >>

Application Of A Theoretical Framework To Foster A Cardiacdiabetes Selfmanagement Programme

Application Of A Theoretical Framework To Foster A Cardiacdiabetes Selfmanagement Programme

Application of a theoretical framework to foster a cardiacdiabetes selfmanagement programme A.M. Chang - Queensland University of Technology AIM: This paper analyses and illustrates the application of Bandura's self-efficacy construct to an innovative self-management programme for patients with both type 2 diabetes and coronary heart disease. BACKGROUND: Using theory as a framework for any health intervention provides a solid and valid foundation for aspects of planning and delivering such an intervention; however, it is reported that many health behaviour intervention programmes are not based upon theory and are consequently limited in their applicability to different populations. The cardiac-diabetes self-management programme has been specifically developed for patients with dual conditions with the strategies for delivering the programme based upon Bandura's self-efficacy theory. This patient group is at greater risk of negative health outcomes than that with a single chronic condition and therefore requires appropriate intervention programmes with solid theoretical foundations that can address the complexity of care required. SOURCES OF EVIDENCE: The cardiac-diabetes self-management programme has been developed incorporating theory, evidence and practical strategies. DISCUSSION: This paper provides explicit knowledge of the theoretical basis and components of a cardiac-diabetes self-management programme. Such detail enhances the ability to replicate or adopt the intervention in similar or differing populations and/or cultural contexts as it provides in-depth understanding of each element within the intervention. CONCLUSION: Knowledge of the concepts alone is not sufficient to deliver a successful health programme. Supporting patients to master skills of self-care i Continue reading >>

Use Of Culturally Focused Theoretical Frameworks For Adapting Diabetes Prevention Programs: A Qualitative Review

Use Of Culturally Focused Theoretical Frameworks For Adapting Diabetes Prevention Programs: A Qualitative Review

Use of Culturally Focused Theoretical Frameworks for Adapting Diabetes Prevention Programs: A Qualitative Review SYSTEMATIC REVIEW Volume 12 May 7, 2015 Vetta L. Sanders Thompson, PhD; Michelle Johnson-Jennings, PhD; Ana A. Baumann, PhD; Enola Proctor, PhD Suggested citation for this article: Sanders Thompson VL, Johnson-Jennings M, Baumann AA, Proctor E. Use of Culturally Focused Theoretical Frameworks for Adapting Diabetes Prevention Programs: A Qualitative Review. [Erratum appears in Prev Chronic Dis 2015;12. .] Prev Chronic Dis 2015;12:140421. DOI: . Diabetes disproportionately affects underserved racial/ethnic groups in the United States. Diabetes prevention interventions positively influence health; however, further evaluation is necessary to determine what role culture plays in effective programming. We report on the status of research that examines cultural adaptations of diabetes prevention programs. We conducted database searches in March and April 2014. We included studies that were conducted in the United States and that focused on diabetes prevention among African Americans, American Indians/Alaska Natives, Asian Americans/Pacific Islanders, and Latinos. A total of 58 studies were identified for review; 29 were excluded from evaluation. Few adaptations referenced or followed recommendations for cultural adaptation nor did they justify the content modifications by providing a rationale or evidence. Cultural elements unique to racial/ethnic populations were not assessed. Future cultural adaptations should use recommended processes to ensure that cultures role in diabetes preventionrelated behavioral changes contributes to research. Almost 29 million US adults have diabetes, and as many as 86 million have prediabetes (1). The high rate of diabetes among US mi Continue reading >>

Barriers And Enablers Of Type 2 Diabetes Self-management In People With Severe Mental Illness

Barriers And Enablers Of Type 2 Diabetes Self-management In People With Severe Mental Illness

Barriers and enablers of type 2 diabetes self-management in people with severe mental illness Mulligan, K. , McBain, H. B. , Lamontagne-Godwin, F. , Chapman, J., Haddad, M. , Jones, J., Flood, C. , Thomas, D. & Simpson, A. (2017). Barriers and enablers of type 2 diabetes self-management in people with severe mental illness. Health Expectations, 20(5), pp. 1020-1030. doi: 10.1111/hex.12543 People with diabetes and severe mental illness (SMI) experience poorer outcomes than those with diabetes alone. To improve outcomes, it is necessary to understand the difficulties that people with SMI experience in managing their diabetes. To identify barriers and enablers to effective diabetes self-management experienced by people with SMI and type 2 diabetes. Qualitative methodology using semi-structured interviews was employed. Development of the interview topic guide and analysis of the transcripts was informed by the Theoretical Domains Framework (TDF) for behaviour change, which consists of fourteen theoretical domains that have been found to influence behaviour. Fourteen people with SMI and type 2 diabetes took part in the study. Participants considered diabetes self-management to be important, were aware of the risks of poor diabetes control but struggled to follow recommended advice, particularly if their mental health was poor. Support from family and health professionals was considered an important enabler of diabetes self-management. New approaches are required to support diabetes self-management in people with SMI. This study identified some of the important domains that may be targeted in new interventions. Continue reading >>

Socioeconomic Position And Health Among Persons With Diabetes Mellitus: A Conceptual Framework And Review Of The Literature

Socioeconomic Position And Health Among Persons With Diabetes Mellitus: A Conceptual Framework And Review Of The Literature

Abbreviation: SEP, socioeconomic position. There has been a resurgence of interest in the relation between health and socioeconomic position (SEP). SEP encompasses two important notions: the influence of the structural location of individuals and groups in a society and the cumulative effects of time. It addresses the context in which health-damaging exposures and health-protective resources act at different stages of the life course to influence adult health ( 1 , 2 ). Such an approach provides a broad framework in which to think about and understand how both recent and remote socioeconomic factors interact to affect adult health. A substantial body of literature demonstrates that in the general population, material and social deprivation are directly related to disease incidence and prevalence and inversely related to health status ( 1 , 3 8 ). Various studies have addressed the relation between lower SEP and mortality ( 9 ) or the development of chronic conditions ( 10 13 ) such as diabetes mellitus, cardiovascular disease, and cancer. Although some compelling evidence exists for an association between low SEP and adverse health outcomes for persons with diabetes and other chronic conditions, the pathways through which SEP and health are related in persons with chronic illness are poorly understood. Because type 2 diabetes is common in all populations in industrialized nations but disproportionately affects socially and materially disadvantaged adults ( 14 24 ), it may serve as a model condition for evaluating the associations between SEP and health among persons with chronic disease ( 25 , 26 ). Although effective therapies are available for managing diabetes and preventing or treating its complications, these therapies are underutilized, particularly among persons Continue reading >>

Conceptual Model Of Diabetes Self-management For Middle-aged Population Of Rural Area Of Pakistan

Conceptual Model Of Diabetes Self-management For Middle-aged Population Of Rural Area Of Pakistan

Conceptual Model of Diabetes Self-Management for Middle-Aged Population of Rural Area of Pakistan Rashid M. Ansari, Hassan Hosseinzadeh, Mark Harris, Nicholas Zwar School of Public Health and Community Medicine, UNSW, Sydney, Australia Correspondence to: RashidM. Ansari, School of Public Health and Community Medicine, UNSW, Sydney, Australia. Copyright 2017 Scientific & Academic Publishing. All Rights Reserved. This work is licensed under the Creative Commons Attribution International License (CC BY). Background: The high prevalence of type 2 diabetes in Pakistan has been attributed to high-risk factors such as lack of physical activity, unhealthy food and eating habits among the Pakistani population. Aims: The main aim of this study is to explore the factors that may influence diabetes self-management in the middle-aged population of rural area of Pakistan and to present the potential outcomes. Materials and Methods: The study was guided by the results of systematic reviews of self-management of type 2 diabetes and highlighted five factors which are most important to influence the diabetes self-management. Of particular mention are the factors such as socio-demographic characteristics, behavioural and psychological characteristics, social support, self-management barriers and cultural characteristics in that population. Results: The potential outcomes derived from improved diabetes self-management in the middle-aged population include quality of life, reduction in HbA1c values and overall improvements in blood pressure and other cardiovascular risk factors. Conclusion: This study will help to improve the diabetes self-management approach in middle-aged population in rural area of Pakistan. The conceptual modeldeveloped in this study will provide a platform for future Continue reading >>

A Holistic Conceptual Framework Model To Describe Medication Adherence In And Guide Interventions In Diabetes Mellitus

A Holistic Conceptual Framework Model To Describe Medication Adherence In And Guide Interventions In Diabetes Mellitus

Volume 14, Issue 4 , April 2018, Pages 391-397 A holistic conceptual framework model to describe medication adherence in and guide interventions in diabetes mellitus Nonadherence to medications in patients with diabetes, which results in poor treatment outcomes and increased healthcare costs, is commonly reported globally. Factors associated with medication adherence have also been widely studied. However, a clear and comprehensive, disease-specific conceptual framework model that captures all possible factors has not been established. This study aimed to develop a conceptual framework that addresses the complex network of barriers to medication adherence in patients with diabetes. Fourteen databases and grey literature sources were systematically searched for systematic reviews reporting barriers to medication adherence in patients with diabetes. A thematic approach was used to categorize all identified barriers from the reviews and to create a matrix representing the complex network and relations of the different barriers. Eighteen systematic reviews were identified and used for the development of the conceptual framework. Overall, six major themes emerged: patient, medication, disease, provider, system, and societalrelated factors. Each of these themes was further classified into different sub-categories. It was noted that most interactions were identified to be within the patient-related factors, which not only interact with other themes but also within the same theme. Patient's demographics as well as cultural beliefs were the most notable factors in terms of interactions with other categories and themes. The intricate network and interaction of factors identified between different themes and within individual themes indicate the complexity of the problem of adher Continue reading >>

Help! Theoretical Framework For Paper

Help! Theoretical Framework For Paper

Hey guys. I'm in NP school. Right now doing a paper for my research paper. I have to use a theoretical framework for my paper, and I'm not sure which one I should use. My paper is over diabetes in rural areas. What do you all think? Thanks ahead of time. Specialty:5 year(s) of experienceinNurse Practitioner-Emergency Room What aspect of nursing care are you focusing on? You don't choose a nursing theory based on a medical diagnosis -- you choose a theory to use based on what you hope to accomplish as a nurse. Also, the theory should be guiding your development of the project. Which theories address apects of nursing that interest you most? Which theories address aspects of nursing that relate to what you want to accomplish with that patient population? For example: If you want to address the issue of patient compliance with dietary and exercise recommendations, you might want to look at the work of Nola Pender. That's what her topic is about -- the adoption of positive health behaviors -- not just in diabetes, but for all different aspects of health. If you want to focus on the cultural practices of a specific population, you might want to look at Madeline Leininger's theory. If you want a broad, over-arching theory of nursing to address multiple aspects of nursing care, I would suggest Kristen Swanson's Theory of Caring. It provides a practical way to look at caring. The Synergy Model from the ACCN is also a very practical general theory to use in most situations. etc. etc. etc. The list goes on. Browse through all of the theories in your theory textbook and see which one appeals to you -- and is consistent with your beliefs about nursing and with your goals for working with this patient population. Thank you so much. I had a theory class last semester, but honestly I Continue reading >>

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