The Effect of Sociostructural and Collaborative Decision-Making on Diabetes Self-Management.

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-ma...

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Publicado en:Iranian Journal of Public Health Vol. 42; no. 3; pp. 280 - 293
Autores principales: Rahimian Boogar, Isaac, Mohajeri-Tehrani, Mohammad Reza, Besharat, Mohammad Ali, Talepasand, Seyavash
Formato: research tables/charts Journal Article
Publicado: Tehran University of Medical Sciences Mar2013
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2013
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      pub: Tehran University of Medical Sciences
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        atl: The Effect of Sociostructural and Collaborative Decision-Making on Diabetes Self-Management.
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        au:
          Rahimian Boogar, Isaac
          Mohajeri-Tehrani, Mohammad Reza
          Besharat, Mohammad Ali
          Talepasand, Seyavash
        affil: Dept. of Clinical Psychology, Faculty of Psychology and Educational Sciences, Semnan University, Semnan, Iran
      sug:
        subj:
          Diabetes Mellitus, Type 2 Therapy
          Self Care
          Disease Management
          Decision Making, Patient
          Human
          Cross Sectional Studies
          Descriptive Research
          Iran
          Structural Equation Modeling
          Convenience Sample
          Questionnaires
          Data Analysis Software
          Health Beliefs
          Academic Medical Centers
          Male
          Female
          Adult
          Middle Age
          Descriptive Statistics
          Chi Square Test
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: 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.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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