Peyrot, M. & Rubin, R. R. Behavioral and psychosocial interventions in diabetes: a conceptual review. Diabetes Care 30, 2433-2440

Department of Pediatrics, Johns Hopkins University, Baltimore, Maryland, United States
Diabetes care (Impact Factor: 8.42). 11/2007; 30(10):2433-40. DOI: 10.2337/dc07-1222
Source: PubMed
16 Reads
  • Source
    • "Previous research has suggested that motivational problems are probably one of the most important reasons for poor diabetes management (Ruderfelt & Axelsson 2004, Peyrot & Rubin 2007). As diabetes is a lifelong disease and involves consultations with healthcare practitioners, several researchers have indicated that support from these practitioners is critical for effective diabetes management (Lorig 2001, Thorne & Paterson 2001, Macdonald et al. 2008) and may influence an individual's motivation to self-manage their disease (Williams et al. 2005, Tang et al. 2008). "

    European Diabetes Nursing 08/2014; 11(1):43-48.
  • Source
    • "There is evidence, however, that low adherence rates are problematic among type 2 diabetes patients [3] [4]. As suggested in a previous review, strategies to foster behavioural change can be implemented by physicians during diabetes care visits [5]. Cognitive behavioural therapy (CBT) has also been recommended in chronic diseases to improve selfmanagement [6–8], but the treatment is time-consuming and requires specific psychological training. "
    [Show abstract] [Hide abstract]
    ABSTRACT: Diabetes perceptions, acceptance and treatment motivation are changeable factors of adherence. This study aimed to test the effects of brief psychological interventions based on diabetes threat and mastery perceptions in terms of adherence, acceptance and motivation. Physicians may find such interventions useful during a 15-minute consultation with diabetes patients. This randomized controlled study included 80 patients with type 2 diabetes, recruited from the hospital diabetes department, who were randomly assigned to four intervention groups based on autobiographical recall. Those in the two intervention groups were asked to recall diabetic events based on mastery and threat perceptions, respectively, whereas those in the two control groups recalled non-diabetic events based on positive and negative emotions, respectively. Following this, all participants completed validated self-questionnaires assessing diabetes perceptions, acceptance, treatment motivation and adherence. Patients in the threat group reported less adherence (P<0.01) and less avoidance (P<0.05), and perceived diabetes as less threatening (P<0.05) than those in the mastery group. Similar results were obtained when the threat group was compared with its matched negative-emotion control group (P<0.05, P<0.05 and P=0.087, respectively). Patients in the mastery group reported feeling a stronger sense of mastery (P<0.05) than those in their positive-emotion control group and greater treatment acceptance than those in the threat group (P<0.01). Contrary to conventional medical belief, discussing threatening personal events with patients can yield positive results. Health professionals should take threat and mastery perceptions of diabetes into account during regular consultations with a view to improving treatment acceptance and adherence. With this brief intervention of type 2 diabetes patients, it was also more effective to alleviate their emotional difficulties than to enhance their perception of mastery.
    Diabetes & Metabolism 10/2013; 39(5). DOI:10.1016/j.diabet.2013.05.003 · 3.27 Impact Factor
  • Source
    • "Similar to self-management, self-care management is often used as a term that includes some parts of self-care in relation to the levels of glycaemia, such as Table 1 Personal factors that influence self-management. -Health status (Anderson et al. 1996, Artinian et al. 2002) -Duration of the disease (Tang et al. 2008) -Presence of comorbidity (Nam et al.2011) -Understanding the care plan (Nagelkerk et al. 2006) and the treatment regimen (Rubin 2005) -Complexity of treatment and medications (Rubin 2005, Khunti & Davies 2010) -Belief in treatment effectiveness (Xu et al. 2008) -Diabetes knowledge (Nagelkerk et al. 2006, Xu et al. 2008, Osborn et al. 2010, Zhong et al. 2011) -Self-care agency (Orem 1991, Sousa et al.2004, 2008, Sousa & Zauszniewski 2005) -Self-efficacy (Bandura 1977, Rubin et al. 1993, Corbett 1999, Glasgow et al. 2001, Bodenheimer et al. 2002b, Norris et al. 2002, Krichbaum et al. 2003, Deakin et al. 2005, Sousa et al. 2005, Whittemore et al. 2005, Peyrot & Rubin 2007, Funnell et al. 2008, Lanting et al. 2008, Xu et al. 2008, Zhong et al.2011, Qiu et al. 2012) -Age, educational levels, type of diabetes and duration of diabetes are significantly associated with diabetes knowledge, self-care agency and self-care activities (Sousa et al.2006) -Partner 's influence Martire et al. 2010) -Health literacy (Schillinger et al.2002, Krichbaum et al. 2003, Tang et al. 2008, Osborn et al. 2010), associated with advanced age, lower educational attainment and lower economic status (Paasche-Orlow et al. 2005) -Health beliefs, attitudes, health literacy, influenced in turn by culture and language capabilities (Nam et al. 2011) -Reflective process and decision-making (Rockwell & Riegel 2001). -Patients' adherence, attitudes, beliefs (Nam et al. 2011) -Family habits in Latin ethnic minorities (Weiler & Crist 2009) -Linguistic barriers, some ethnic minorities and lower educational levels (Karter et al.2000) -Social support (Xu et al.2008, Osborn et al.2010, Nam et al. 2011, Zhong et al. 2011) -Helplessness and frustration from lack of glycaemic control (Nagelkerk et al. 2006) -Stress, frustration, social isolation, interpersonal conflicts, depression and fear (Gazmararian et al. 2009) -Fear and hypoglycaemic attacks (Wild et al. 2007) -Depression (Jerant et al. 2005, Egede & Ellis 2008) and psychosocial distress (Chiechanowski et al. 2000) -Gender differences (Fitzgerald et al. 1995, Sousa & Zauszniewski 2005, Whittemore et al. 2005, Tang et al. 2008) -Positive attitudes towards diabetes (Zhong et al. 2011) -Beliefs about illness (Harvey & Lawson 2009) -Self-care skills (Tang et al. 2008) -Problems with weight, difficulty exercising, fatigue, low family support (Jerant et al. 2005) -Personal values, problem-solving skills and ability to accept responsibility (Williams et al. 2008) -Age, motivation, understanding of disease (Dalewitz et al. 2000) "
    [Show abstract] [Hide abstract]
    ABSTRACT: AimTo describe a protocol for a quantitative systematic review, to identify critique and summarize factors that influence self-management education. Background Self-management education enables patients to manage their condition successfully and it is associated with better self-care, good control over lifestyle and leading the best possible quality of life, notwithstanding the presence of a chronic disease. Type II Diabetes is a chronic disease that requires lifestyle adjustments and disease management to keep glycaemia and long-term complications under control. Education has to be customized and based on an assessment that includes factors influencing self-management, such as personal characteristics that can optimize the educational intervention. DesignThe protocol for the systematic review was conducted according to the guidelines of the Centre for Reviews and Dissemination, York (UK). Method The review question was defined in terms of population, interventions, comparators, outcomes and study designs. The protocol included decisions about the review question, inclusion criteria, search strategy, study selection, data extraction, quality assessment, data synthesis and plans for dissemination. Funding for the review was confirmed on January 2011 by the Centre of Excellence for Nursing Scholarship in Rome. DiscussionAn initial summary will be made by tabulating the data; the review will be reported in a narrative style and be developed according to the PRISMA guidelines. The protocol for the systematic review will allow us to identify, among the factors influencing self-management in people with Type II diabetes, the personal characteristics most relevant to the factors of motivation and empowerment. In addition, the systematic review will also identify an appropriate self-management model.
    Journal of Advanced Nursing 06/2013; 70(1). DOI:10.1111/jan.12178 · 1.74 Impact Factor
Show more


16 Reads