Predictors of diabetes self-management among type 2 diabetics in Indonesia: Application theory of the health promotion model.
Anggraini Dwi Kurnia, Anchaleeporn Amatayakul, Sirikul Karuncharernpanit
PMID 31406750WHAT IT FOUND
Treatment type, self-efficacy, and situational influences predicted diabetes self-management in 127 Indonesian adults, explaining 20.8% of the variation.
Knowledge, social support, and distress did not significantly predict self-management behaviors.
Key findings
01Only treatment type, perceived self-efficacy, and situational influences were significant predictors of diabetes self-management.
02These three factors combined accounted for 20.8% of the variation in diabetes self-management.
03Diabetes knowledge, perceived benefits, and social support did not significantly predict diabetes self-management in this population.
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 cannot prove that these factors cause better self-management. The model explained only 20.8% of the variance, meaning most factors influencing self-management were not captured. Participants were recruited from Public Health Centers, so the results may not apply to people who have difficulty accessing care. Self-management was measured by self-report, which can be inaccurate due to recall bias or social desirability.
Declared interests
The authors declare that there is no duality of interest associated with this manuscript.
The easy way to misread this
Do not assume that increasing diabetes knowledge will improve self-management. This study found that knowledge was not a significant predictor of self-management behaviors, whereas treatment type, self-efficacy, and situational factors were.