title: The effect of sociostructural and collaborative decision-making on diabetes self-management.
abstract: BACKGROUND
  Diabetic self-management is important for controlling the diabetes complications and promoting health-related quality of life in these patients. The objective of this study was to examine a hypothetical model regarding influences of sociostructural determinants, collaborative decision-making and patient's beliefs system on diabetes self-management.
  
  
  METHODS
  In a cross-sectional descriptive study from Dec 2010 to Mar 2010, 500 patients of Iranian adult patients with type II diabetes attended the outpatient diabetic clinics of the Shariati Hospital in Tehran were selected by convenience sampling. Data were collected by The Demographical Information, Social- Economical Status and Diabetic History Questionnaire and eleven self-reported scales of this research. Structural equation modeling (SEM) with LIZREL software applied for data analysis.
  
  
  RESULTS
  The modified model had a desirable fitness to the observed data. Patient's beliefs system directly influenced the diabetes self-management. Sociostructural determinants influenced diabetes self-management indirectly via collaborative decision-making and Patient's beliefs system. In addition, collaborative decision-making significantly influenced patient's beliefs system that thereby impacted diabetes self-management.
  
  
  CONCLUSIONS
  Sociostructural determinants, collaborative decision-making and patient's beliefs system are integrated and cooperatively affect on diabetes self-management. Comprehensive intervention schedules required to improve these agents for encouragement the type II diabetes self-management.
authors: Dept. of Clinical Psychology, Faculty of Psychology and Educational Sciences, Semnan University, Semnan, Iran.
authors: Isaac
authors: I
authors: Rahimian Boogar
authors: Mohammad Reza
authors: MR
authors: Mohajeri-Tehrani
authors: Mohammad Ali
authors: MA
authors: Besharat
authors: Seyavash
authors: S
authors: Talepasand
keywords: Beliefs; Decision-making; Diabetes; Motivation; Self-management
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