title: Factors influencing diabetes self-management in Chinese people with type 2 diabetes.
abstract: 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.
authors.affiliation: University of Cincinnati College of Nursing, 3110 Vine Street, Cincinnati, OH 45221-0038, USA.
authors.forename: Yin
authors.initials: Y
authors.lastname: Xu
authors.forename: Deborah
authors.initials: D
authors.lastname: Toobert
authors.forename: Christine
authors.initials: C
authors.lastname: Savage
authors.forename: Wei
authors.initials: W
authors.lastname: Pan
authors.forename: Kyra
authors.initials: K
authors.lastname: Whitmer
mesh_terms: D044466:Asian People / Q000706:statistics & numerical data*; D001294:Attitude to Health; D002391:Catchment Area, Health; D002681:China / Q000453:epidemiology; D003131:Combined Modality Therapy; D003924:Diabetes Mellitus, Type 2 / Q000188:drug therapy / Q000453:epidemiology* / Q000628:therapy*; D004035:Diet Therapy; D015444:Exercise; D005163:Factor Analysis, Statistical; D005260:Female; D015438:Health Behavior; D006801:Humans; D007004:Hypoglycemic Agents / Q000627:therapeutic use*; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance / Q000706:statistics & numerical data; D012307:Risk Factors; D012648:Self Care; D020377:Self Efficacy; D012944:Social Support
chemical_list: D007004:Hypoglycemic Agents