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

BMC Public Health

Research Article

Jingli Wang¹  Yaocheng Zhu¹  Jinming Yu²  Junling Gao² 

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

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

DOI  :  10.1186/1471-2458-13-100

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

来源: Springer

【 摘 要 】

BackgroundSelf-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.MethodsA 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.ResultsProvider-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).ConclusionsConsistent 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】

Unknown   
© Gao et al.; licensee BioMed Central Ltd. 2013. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.