Risk Perception and Self-Management in Urban, Diverse Adults with Type 2 Diabetes: The Improving Diabetes Outcomes Study View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2014-02

AUTHORS

Erica Shreck, Jeffrey S. Gonzalez, Hillel W. Cohen, Elizabeth A. Walker

ABSTRACT

PURPOSE AND BACKGROUND: The relationship between risk perceptions and diabetes self-care remains ambiguous. This study aimed to assess baseline, 1-year follow-up, and change score relationships among perceived risk, diabetes self-care, and glycemic control for adult individuals participating in a behavioral intervention that improved glycemic control relative to the active control. METHOD: One-year randomized trial compared a behavioral telephonic intervention with a print only intervention. Participants (N = 526) are members of a union/employer sponsored health benefit plan, with HbA(1c) ≥ 7.5 %, prescribed at least one oral diabetes medication. Participants rated perceived risk of diabetes and its complications and diabetes self-care at baseline and 1 year. Data were collected in a large urban area in the USA. RESULTS: There were no relationships between risk perceptions and glycemic control during the study. Baseline perceived risk predicted follow-up self-care. Additionally, participants assigned to the intervention group showed significant changes in dietary and exercise adherence at high levels of risk knowledge and low levels of optimistic bias. CONCLUSION: Perceived risk relates to dietary, exercise, and medication adherence in diabetes. The perceived risk construct might foster a more coherent conceptualization of the relationship between one's diabetes, possible complications, and diabetes self-care behaviors. More... »

PAGES

88-98

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s12529-013-9291-4

DOI

http://dx.doi.org/10.1007/s12529-013-9291-4

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1047536561

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/23385488


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