Factors associated with self-management among Vietnamese adults with type 2 diabetes.
Tiet-Hanh Dao-Tran, Debra Anderson, Anne Chang and 2 others
PMID 30338096WHAT IT FOUND
Vietnamese adults with type 2 diabetes who felt more confident about managing diabetes also reported better self-management, but many rarely checked blood glucose and had limited provider support.
Key findings
01Confidence in managing diabetes had the strongest association with diabetes self-management among the factors studied.
02Many participants rarely checked blood glucose and reported limited interaction with healthcare professionals and other significant people.
03104 of 198 participants (52.5%) could not answer 50% of the diabetes knowledge items correctly, and 118 of 198 (59.6%) had diabetes management self-efficacy below 106.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study was cross-sectional, so it can show associations but cannot prove that increasing confidence, knowledge or support causes better self-management. The participants came from one diabetes outpatient clinic in southern Vietnam and were not randomly drawn from the Vietnamese population, so the results may not apply to other settings. Data were collected by face-to-face interview self-report, which may have introduced reporting bias. Of 297 invited people, 198 completed the survey, so the 66.7% response rate leaves open how non-responders differed. The model did not include other possible factors such as education level, work characteristics and health status.
Declared interests
The authors declared no conflict of interest. The supplied text does not report a funding source.
The easy way to misread this
Do not read the strong association between self-efficacy and diabetes self-management as proof that improving confidence will improve outcomes. The study was cross-sectional and self-reported, so it cannot show cause or effect.