Differences in Social Support Received and Its Association With Dietary Self‐Care Adherence Among Adults Living With Type 2 Diabetes Mellitus in Ghana: A Cross‐Sectional Study.

Social support is known to have a positive association with dietary adherence among persons living with diabetes (PLWD). However, does social support from healthcare professionals and family members have the same effect on adherence? To address this question, the study examined differences in social...

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Published in:Health & Social Care in the Community Vol. 2026; pp. 1 - 9
Main Authors: Duodu, Precious Adade, Okyere, Joshua, Waring, Gill, Sarfo-Kantanka, Osei, Gillibrand, Warren, Bhardwaj, Parth
Format: equations & formulas questionnaire/scale research tables/charts Journal Article
Published: Wiley-Blackwell 6/22/2026
Online Access:View this record in EBSCOhost
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      dt: 6/22/2026
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        atl: Differences in Social Support Received and Its Association With Dietary Self‐Care Adherence Among Adults Living With Type 2 Diabetes Mellitus in Ghana: A Cross‐Sectional Study.
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          Duodu, Precious Adade
          Okyere, Joshua
          Waring, Gill
          Sarfo-Kantanka, Osei
          Gillibrand, Warren
          Bhardwaj, Parth
        affil: Department of Nursing,, School of Human and Health Sciences,, University of Huddersfield,, Queensgate, Huddersfield, UK, hud.ac.uk
      sug:
        subj:
          Diabetic Patients Psychosocial Factors
          Diabetes Mellitus, Type 2
          Self Care
          Patient Compliance Evaluation
          Diet
          Support, Social Evaluation
          Human
          Male
          Female
          Middle Age
          Aged
          Ghana
          Cross Sectional Studies
          Data Analysis Software
          Multiple Linear Regression
          Confidence Intervals
          Descriptive Statistics
          Support, Psychosocial
          Family Support
          Funding Source
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Social support is known to have a positive association with dietary adherence among persons living with diabetes (PLWD). However, does social support from healthcare professionals and family members have the same effect on adherence? To address this question, the study examined differences in social support received and its association with overall dietary adherence, as well as specific dietary adherence. We analysed the observations of 398 PLWD who participated in a cross‐sectional study conducted in the Ashanti region of Ghana between April and June 2023. Dietary self‐care adherence was computed as a continuous variable based on participants' responses to five indicators (preparing a healthful eating plan, following an eating plan, consuming five or more servings of fruits and vegetables, eating high‐fat foods, and spacing carbohydrates). Multivariate linear regression model was fitted to assess the association between social support and dietary self‐care adherence. Statistical significance was set at p < 0.05. Only 29.7% of PLWD received high social support from family members, while 30.9% received high level of social support from healthcare professionals. Compared with those receiving low support, participants with moderate healthcare professional support had significantly higher scores for having a healthful eating plan (β = 1.52, 95%CI: 0.93, 2.10) and following an eating plan (β = 1.33, 95%CI: 0.78, 1.89). The association was stronger among those with high healthcare professional support, who were more likely to report having a healthful eating plan (β = 2.04, 95%CI: 1.48, 2.61) and following an eating plan (β = 1.95, 95%CI: 1.41, 2.50). Moderate (β = −0.67, 95%CI: −1.14, −0.19) and high family support (β = −0.84, 95% CI: −1.36, −0.32) were associated with both reduced fruit and vegetable consumption scores. PLWD who received moderate healthcare professional support were less likely to practice carbohydrate spacing (β = −0.47, 95%CI: −0.02, −0.93). The study underscores the importance of structured, professional guidance in diabetes management. To optimise outcomes, healthcare systems should prioritise training programmes that equip clinicians with the skills to provide tailored dietary counselling and ongoing support.
      pubtype: Academic Journal
      doctype:
        equations & formulas
        questionnaire/scale
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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