ArticleJournal of behavioral medicine2022
The role of cultural beliefs and distress in adherence to recommended physical activity among patients with type 2 diabetes mellitus.
Article in Journal of behavioral medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Latent profiles of kinesiophobia and their associations with exercise self-efficacy, diabetes distress, and fall risk in older adults with type 2 diabetes: a cross-sectional study.BMC geriatrics · 2026Article
- The Role of Community Organisation, Religion, Spirituality and Cultural Beliefs on Diabetes Social Support and Self-Management in Sub-Saharan Africa: Integrative Literature Review.Journal of religion and health · 2025Review
- Unveiling the Status of Foot Self-Care Among Patients With Type 2 Diabetes in Western India: A Cross-Sectional Study.Cureus · 2025Article
- Cultural Beliefs About Diabetes-Related Social Exclusion and Diabetes Distress Impact Self-Care Behaviors and HbA1c Among Patients with Type 2 Diabetes.International journal of behavioral medicine · 2024Article
- Prevalence and Correlators of Diabetes Distress in Adults with Type 2 Diabetes: A Cross-Sectional Study.Patient preference and adherence · 2024Article
Corrections and comments
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Authors and funding
3 authors.
Funding
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Abstract
The aim of this research was to examine the role of negative cultural beliefs about exercise and their relation to diabetes distress as determinants of exercise treatment adherence among culturally and socio-economically diverse patients with type 2 diabetes mellitus (T2DM). Participants included 193 Latin American (Latino) and non-Latino White patients with T2DM from a region of Southern California, with high rates of T2DM. The research was guided by Betancourt's Integrative Model of Culture, Psychology, and Behavior which specifies the structure of relations among socio-structural, cultural, and psychological factors as determinants of health behavior. As hypothesized, structural equation modeling revealed that negative cultural beliefs about exercise predicted higher levels of diabetes distress (ß = 0.32, p < 0.05), which in turn predicted lower exercise treatment adherence (ß = - 0.34, p < 0.05). Findings suggest a critical need for interventions that target both cultural and psychological factors in order to improve diabetes outcomes.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.