Validation of an information–motivation–behavioral skills model of self-care among Chinese adults with type 2 diabetes

BMC Public Health

Jinming Yu¹  Yaocheng Zhu²  Jingli Wang²  Junling Gao¹ 

[1] School of Public Health, Fudan University; Key Laboratory of Public Health Safety, Ministry of Education, Shanghai, 200032, China;Dachang Center of Primary Health Care, Shanghai, 200442, China

关键词: Lipid ratios;    Social support;    Self-efficacy;    Self-care;    Type 2 diabetes;   

Others  :  1162579
DOI  :  10.1186/1471-2458-13-100

 received in 2012-07-12, accepted in 2013-01-29,  发布年份 2013

【 摘 要 】

Background

Self-care is a crucial component of diabetes management. But comprehensive behavior change frameworks are needed to provide guidance for the design, implementation, and evaluation of diabetes self-care programs in diverse populations. We tested the Information–Motivation–Behavioral Skills (IMB) model in a sample of Chinese adults with Type 2 diabetes.

Methods

A cross-sectional study of 222 Chinese adults with type 2 diabetes was conducted in a primary care center. We collected information on demographics, provider-patient communication (knowledge), social support (motivation), self-efficacy (behavioral skills), and diabetes self-care (behavior). The values of total cholesterol (TC), low-density lipoprotein cholesterol (LDL-C) and high-density lipoprotein cholesterol (HDL-C) were also obtained. Measured variable path analyses were used to the IMB framework.

Results

Provider-patient communication (β = 0.12, p = .037), and social support (β = 0.19, p = .007) and self-efficacy (β = 0.41, p < .001) were independent, direct predictors of diabetes self-care behavior. Diabetes self-care behaviors had a direct effect on TC/HDL-C (β = −0.31, p < .001) and LDL-C/HDL-C (β = −0.30, p < .001).

Conclusions

Consistent with the IMB model, having better provider-patient communication, having social support, and having higher self-efficacy was associated with performing diabetes self-care behaviors; and these behaviors were directly linked to lipid control. The findings indicate that diabetes education programs should including strategies enhancing patients’ knowledge, motivation and behavioral skills to effect behavior change.

【 授权许可】

   
2013 Gao et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

Figure 2.

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