Article

Social Support, Quality of Life, and Self-Care Behaviours Among African Americans With Type 2 Diabetes

University of Michigan, Department of Medical Education, University of Michigan Medical School and Michigan Diabetes Research and Training Center, USA.
The Diabetes Educator (Impact Factor: 1.92). 03/2008; 34(2):266-76. DOI: 10.1177/0145721708315680
Source: PubMed

ABSTRACT The purpose of this study was to examine social support and its relationship to diabetes-specific quality of life and self-care behaviors in African Americans with type 2 diabetes.
The study followed a cross-sectional, observational design and recruited 89 African American adults, age 40 and older (mean = 60, SD = 10.5), diagnosed with type 2 diabetes. Participants completed measures assessing diabetes-specific quality of life, self-care behaviors (healthy eating, physical activity, self-monitoring of blood glucose, foot care, medication and/or insulin use), demographic background, and diabetes-related social support. Diabetes-related social support variables included amount of social support received, satisfaction with support, positive support behavior, negative support behavior, and primary source of support.
Stepwise regressions, controlling for demographic variables, were conducted to identify predictors of diabetes-specific quality of life and self-care behaviors from the diabetes-related social support variables. Satisfaction with support was a predictor for improved diabetes-specific quality of life (r = -.579, P < .001) and blood glucose monitoring (r = .258, P < .05). Positive support behavior was a predictor for following a healthy eating plan (r = .280, P < .05), spacing out carbohydrates evenly throughout the day (r = .367, P < .01), and performing physical activity at least 30 minutes per day (r = .296, P < .05). Negative support behavior was a predictor for not taking medication as recommended (r = -.348, P < .01).
Findings indicate that social support plays a role in diabetes-specific quality of life and self-management practices. Social support encompasses multiple dimensions that differentially influence specific diabetes health-related outcomes and behaviors.

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    • "Recent research has discussed healthcare practitioners' support of diabetes self-management in terms of social support (Gleeson-Kreig et al. 2002, Miller & Davis 2005, Gleeson-Kreig 2008, Rosland et al. 2008, Tang et al. 2008). For instance, Tang et al. (2008) found that more than 40% of participants identified their physician as the person who provided the greatest social support in managing their diabetes. According to Stewart (2000), a social support theorist, social support offered by healthcare practitioners includes emotional, affirmational, informational and tangible attributes. "
    European Diabetes Nursing 08/2014; 11(1):43-48.
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    • "African American women are embedded in social networks that influence health decisions and help-seeking behaviour, and there is evidence that their networks are typically large, highly supportive and consist of extended kin (Brown 2008). While past research has already found social support to be an important resource for African American women with severe medical needs, considerably less is known about the effect of African American women's extended kinship networks on their usage of preventative care services (Tang et al. 2008). Utilisation models have highlighted the role of social networks and support more broadly. "
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    • "In the context of this paper, social support refers to the nature of interactions occurring in social relationships and how the person evaluates these interactions in terms of their supportiveness (Lazarus and Folkman, 1984). A growing body of literature has documented positive relationships between social support and diabetes-related health (Tang et al., 2008). Since type 2 diabetes involves complex daily efforts, it is suggested that people with diabetes need to be supported to maintain and sustain self-management activities in order to live well with the disease. "
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