ArticleJournal of diabetes research2019
Identification of Psychological Factors Associated with Adherence to Self-Care Behaviors amongst Patients with Type 1 Diabetes.
Article in Journal of diabetes research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.
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Who cites it
29 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Emotional distress as a therapeutic target against persistent poor glycaemic control in subjects with type 1 diabetes: A systematic review.Diabetes, obesity & metabolism · 2025Pooled it
- Beyond Compliance: The Role of Self-Efficacy in Foot Care and Self-Management Among Patients With Type 1 Diabetes.TheScientificWorldJournal · 2025Trial
- Comparing the effectiveness of acceptance-based emotion regulation therapy and acceptance and commitment therapy on hemoglobin glycosylated and self-care in patients with type II diabetes: A randomized controlled trial.Journal of behavioral medicine · 2024Trial
- Application of the paediatric medical traumatic stress model to the mental health experience of young people living with type 1 diabetes: a qualitative study.BMC psychiatry · 2026Article
- Effects of Continuous Glucose Monitoring on Glycemic Control, Mental Health and Self-Management in Adults with Type 1 Diabetes: A Randomized Controlled Trial.Healthcare (Basel, Switzerland) · 2025Article
- Self-Care behaviors and their association with self-efficacy and health literacy among adolescents with type 1 diabetes mellitus in palestine: a cross-sectional study.BMC psychology · 2025Article
- Lived Experiences of Coping With Type 1 Diabetes Among Palestinian Youth: A Qualitative Study.Pediatric diabetes · 2025Article
- The Interrelationship between Diabetes Mellitus and Emotional Well-Being: Current Concepts and Future Prospects.Healthcare (Basel, Switzerland) · 2024Review
- Health-Care Utilization and Outcomes in Young Adults With Type 1 and Type 2 Diabetes.Journal of the Endocrine Society · 2024Review
- Type 1 Diabetes Mellitus, Psychopathology, Uncertainty and Alexithymia: A Clinical and Differential Exploratory Study.Healthcare (Basel, Switzerland) · 2024Article
- Association Between Pre-Hospital e-Education via QR Code and Hospital Stay in Inguinal Hernia Patients Undergoing General Anaesthesia: A Retrospective Study.Journal of multidisciplinary healthcare · 2024Article
- Adjustment experiences of adolescents living with well-controlled type 1 diabetes using closed-loop technology.Frontiers in clinical diabetes and healthcare · 2024Article
- Investigating the factors affecting the self-care behaviors of patients with type II diabetes and the role of demographic variables: A case study in Iran.Journal of education and health promotion · 2023Article
- Diabetes Management after a Therapeutic Education Program: A Qualitative Study.Healthcare (Basel, Switzerland) · 2022Article
- Impact of anxiety, depression and disease-related distress on long-term glycaemic variability among subjects with Type 1 diabetes mellitus.BMC endocrine disorders · 2022Article
- Determinants of adherence to insulin and blood glucose monitoring among adolescents and young adults with type 1 diabetes in Qatar: a qualitative study.F1000Research · 2022Article
- Self-care practices and correlates among patients with type 2 diabetes in Eastern Ethiopia: A hospital-based cross-sectional study.SAGE open medicine · 2022Article
- Adherence to Diabetes Self-Management and Its Associated Factors Among Adolescents Living with Type 1 Diabetes at Public Hospitals in Addis Ababa, Ethiopia: A Cross-Sectional Study.Diabetes, metabolic syndrome and obesity : targets and therapy · 2022Article
- Glycemic control, depression, diabetes distress among adolescents with type 1 diabetes: effects of sex, race, insurance, and obesity.Acta diabetologica · 2021Article
- Development and Validation of the Depression Inventory for Type 1 Diabetes (DID-1).International journal of environmental research and public health · 2021Article
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo explore the factors involved in adherence to self-care behaviors in patients with type 1 diabetes. MATERIALS AND
methodsPatients with type 1 diabetes (age range: 14-71 years) were invited to participate at seven Spanish hospitals. They completed a dossier which recorded sociodemographic and clinical variables and also measured personality variables, emotional state, beliefs, and concerns regarding the illness, by means of questionnaires.
resultsA total of 428 patients with type 1 diabetes were included (58% women, age 36 (11.8) years, diabetes duration 18.3 (10.2) years, HbA1c 7.9 +/-1.3%). A total of 60.1% of patients found it difficult to follow the treatment recommendations for the care of their disease. The reasons given were mood (25.2%), lack of motivation (13.4%), work (12%), and economic difficulties (3.8%). Other personal reasons were reported by 5.7%. Motivation, training in diabetes management, importance the patient attributed to the disease, and self-efficacy were the variables that predicted adherence to self-care behaviors, together accounting for 32% of its variance. Anxiety and depression were highly prevalent in this study population (57.1% and 23.1%, respectively) and were associated with lower adherence.
conclusionIn the present study assessing patients with type 1 diabetes, motivation, training in diabetes management, beliefs regarding the disease, and self-efficacy were the main contributors to adherence to self-care behaviors. On the other hand, anxiety and depression were highly prevalent and associated with lower adherence. Thus, supplementing therapeutic education with strategies designed to raise levels of motivation, discussion of beliefs about the disease, and encouragement of self-efficacy might be a useful way to increase patient involvement in self-care.
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