Factors influencing diabetes self-management in Chinese people with type 2 diabetes.

Journal Article (Academic article)

Patients with diabetes must incorporate a complicated regimen of self-management into their daily lives (e.g., taking medication, diet, exercise). Diabetes self-management (DSM) is the cornerstone for controlling diabetes and preventing diabetic complications. The purpose of this study was to test a model describing the effects of individual and environmental factors on DSM in a sample of patients with diabetes in Beijing, China. Survey data were gathered from a convenience sample of 201 Chinese adults with type 2 diabetes during outpatient visits. Data were analyzed using structural equation modeling. Model fit indices indicated a good fit to the data. In the final model, belief in treatment effectiveness and diabetes self-efficacy were proximate factors affecting DSM. Knowledge, social support, and provider-patient communication affected self-management indirectly via beliefs and self-efficacy. The findings provide a theoretical basis to direct the development of interventions for improving DSM in Chinese individuals with diabetes.

Full Text

Duke Authors

Cited Authors

  • Xu, Y; Toobert, D; Savage, C; Pan, W; Whitmer, K

Published Date

  • December 2008

Published In

Volume / Issue

  • 31 / 6

Start / End Page

  • 613 - 625

PubMed ID

  • 18613066

International Standard Serial Number (ISSN)

  • 1098-240X

Digital Object Identifier (DOI)

  • 10.1002/nur.20293


  • English