Associated Factors Related to Self-Management Behaviors among People with Type 2 Diabetes in Myanmar
ORCID ID
Aye Nyein Oo : -
Jiraporn Lininger : 0000-0002-4741-7247
Sirirat Leelacharas : 0000-0002-6958-9859
Abstract
Background: Diabetes is a global health concern that affects individuals and the healthcare system. This study aimed to describe the relationships between personal and environmental factors and self-management behaviors in individuals with type 2 diabetes mellitus (T2DM).
Methods: This research included 100 individuals with T2DM who were recruited through convenient sampling from three government hospitals in Myanmar. Data collection was fulfilled using a standardized interviewer-administered questionnaire consisting of demographic information, the Diabetes Management Self-Efficacy Scale, the New Short-Form Health Literacy Instrument, the 24-item version of the Diabetes Knowledge Questionnaire, the Social Support Questionnaire, and the Summary of Diabetes Self-care Activity. Data analysis was conducted using descriptive statistics, Chi-square, Pearson’s correlation, and Spearman’s rho correlation coefficient.
Results: Self-efficacy (r = 0.375, p < 0.01), health literacy (r = 0.43, p < 0.01), diabetes knowledge (r = 0.461, p < 0.01), and social support (r = 0.337, p < 0.01) were significantly related to self-management behavior.
Conclusions: This study indicates the importance of enhancing self-management behaviors, self-efficacy, health literacy, diabetes knowledge, and social support for individuals diagnosed with type 2 diabetes. Future studies should focus on the prediction or interventions to explore the relationship between personal and environmental factors and self-management behaviors among T2DM individuals in Myanmar.
References
- American Diabetes Association. 9. Pharmacologic approaches to glycemic treatment: Standards of medical care in diabetes-2020. Diabetes Care. 2020;43:S98–110.
- International Diabetes Federation. IDF Diabetes Atlas 9th edition. Brussels: International Diabetes Federation, 2019.
- Bhandari P, Kim M. Self-care behaviors of Nepalese adults with type 2 diabetes: A mixed methods analysis. Nurs Res. 2016;65:202–14.
- Caruso R, Magon A, Baroni I, Dellafiore F, Arrigoni C, Pittella F, et al. Health literacy in type 2 diabetes patients: A systematic review of systematic reviews. Acta Diabetol. 2018;55:1–12.
- Bourne RR, Stevens GA, White RA, Smith JL, Flaxman SR, Price H, et al. Causes of vision loss worldwide, 1990-2010: A systematic analysis. Lancet Glob Health. 2013;1:e339–49.
- Aye TT, Aung MW, Oo ES. Diabetes mellitus in Myanmar: Socio-cultural challenges and strength. J Soc Health Diabetes. 2014;2:9–13.
- Chen YC, Chang LC, Liu CY, Ho YF, Weng SC, Tsai TI. The roles of social support and health literacy in self-management among patients with chronic kidney disease. J Nurs Scholarsh. 2018;50:265–75.
- Bohanny W, Wu SF, Liu CY, Yeh SH, Tsay SL, Wang TJ. Health literacy, self-efficacy, and self-care behaviors in patients with type 2 diabetes mellitus. J Am Assoc Nurse Pract. 2013;25:495–502.
- Gagliardino JJ, Chantelot JM, Domenger C, Ramachandran A, Kaddaha G, Mbanya JC, et al. Impact of diabetes education and self-management on the quality of care for people with type 1 diabetes mellitus in the Middle East (the International Diabetes Mellitus Practices Study, IDMPS). Diabetes Res Clin Pract. 2019;147:29–36.
- Cunningham AT, Crittendon DR, White N, Mills GD, Diaz V, LaNoue MD. The effect of diabetes self-management education on HbA1c and quality of life in African-Americans: A systematic review and meta-analysis. BMC Health Serv Res. 2018;18:367.
- Lin K, Park C, Li M, Wang X, Li X, Li W, et al. Effects of depression, diabetes distress, diabetes self-efficacy, and diabetes self-management on glycemic control among Chinese population with type 2 diabetes mellitus. Diabetes Res Clin Pract. 2017;131:179–86.
- Hashim SA, Barakatun-Nisak MY, Abu Saad H, Ismail S, Hamdy O, Mansour AA. Association of health literacy and nutritional status assessment with glycemic control in adults with type 2 diabetes mellitus. Nutrients. 2020;12:3152.
- Hurst CP, Rakkapao N, Hay K. Impact of diabetes self-management, diabetes management self-efficacy and diabetes knowledge on glycemic control in people with Type 2 Diabetes (T2D): A multi-center study in Thailand. PLoS One. 2020;15:e0244692.
- Wichit N, Mnatzaganian G, Courtney M, Schulz P, Johnson M. Randomized controlled trial of a family-oriented self-management program to improve self-efficacy, glycemic control and quality of life among Thai individuals with Type 2 diabetes. Diabetes Res Clin Pract. 2017;123:37–48.
- Sturt J, Hearnshaw H, Wakelin M. Validity and reliability of the DMSES UK: A measure of self-efficacy for type 2 diabetes self-management. Prim Health Care Res Dev. 2010;11:374–81.
- Berhe KK, Gebru HB, Kahsay HB. Effect of motivational interviewing intervention on HgbA1C and depression in people with type 2 diabetes mellitus (systematic review and meta-analysis). PLoS One. 2020;15):e0240839.
- Duong TV, Aringazina A, Kayupova G, Nurjanah, Pham TV, Pham KM, et al. Development and validation of a new short-form Health Literacy Instrument (HLS-SF12) for the general public in six Asian countries. Health Lit Res Pract. 2019;3:e91–102.
- Garcia AA, Villagomez ET, Brown SA, Kouzekanani K, Hanis CL. The Starr County Diabetes Education Study: Development of the Spanish-language diabetes knowledge questionnaire. Diabetes Care. 2001;24:16–21.
- Kyi-Thant-Swe, Tanasugarm C, Siri S. Care seeking behavior regarding hypertension in Magway Township, Myanmar [dissertation]. Bangkok, Thailand: Mahidol University; 2016.
- Toobert DJ, Hampson SE, Glasgow RE. The summary of diabetes self-care activities measure: Results from 7 studies and a revised scale. Diabetes Care. 2000;23:943–50.
- Wynn Nyunt S, Howteerakul N, Suwannapong N, Rajatanun T. Self-efficacy, self-care behaviors and glycemic control among type-2 diabetes patients attending two private clinics in Yangon, Myanmar. Se Asian J Trop Med. 2010;41:943–51.
- Hla LSP, Pongthavornkamol K, Wattanakitkrileart D, Orathai P. Factors influencing adherence to therapeutic regimens among people with type 2 diabetes mellitus in Yangon, Myanmar. J Popul Soc Stud. 2018;26:262–80.
- Karakurt P, Kasikci M. Validity and reliability of the Turkish version of the Diabetes Self-Care Scale. Int J Diabetes Dev Ctries. 2015;35:148–56.
- Lee EH, Lee YW, Chae D, Lee KW, Hong S, Kim SH, et al. Pathways linking health literacy to self-management in people with type 2 diabetes. Healthcare (Basel). 2021;9:1734.
- Unnikrishnan R, Pradeepa R, Joshi SR, Mohan V. Type 2 diabetes: Demystifying the global epidemic. Diabetes. 2017;66:1432–42.
- Koetsenruijter J, van Eikelenboom N, van Lieshout J, Vassilev I, Lionis C, Todorova E, et al. Social support and self-management capabilities in diabetes patients: An international observational study. Patient Educ Couns. 2016;99:638–43.
- Hilliard ME, Minard CG, Marrero DG, de Wit M, DuBose SN, Verdejo A, et al. Health-related quality of life in parents and partners of people with type 1 diabetes: Development and validation of type 1 diabetes and life (T1DAL) measures. Fam Syst Health. 2021;39:234–47.
- Hourzad A, Pouladi S, Ostovar A, Ravanipour M. The effects of an empowering self-management model on self-efficacy and sense of coherence among retired elderly with chronic diseases: A randomized controlled trial. Clin Interv Aging. 2018;13:2215–24.
- Kurnia AD, Amatayakul A, Karuncharernpanit S. Factors related to diabetes self-management among adults with type 2 diabetes mellitus in Malang city, East Java, Indonesia. Proceedings of the 3rd ANPOR Annual Conference; 2015 Nov 25-28; Bangkok, Thailand; 2015. p.193–202.
- Li Y, Lv X, Liang J, Dong H, Chen C. The development and progress of health literacy in China. Front Public Health. 2022;10:1034907.
- Maleki Chollou K, Gaffari-Fam S, Babazadeh T, Daemi A, Bahadori A, Heidari S. The association of health literacy level with self-care behaviors and glycemic control in a low education population with type 2 diabetes mellitus: A cross-sectional study in Iran. Diabetes Metab Syndr Obes. 2020;13:1685–93.
- Mashi AH, Aleid D, Almutairi S, Khattab F, AlMuqawed AN, Khan S, et al. The association of health literacy with glycemic control in Saudi patients with type 2 diabetes. Saudi Med J. 2019;40:675–80.
- Kononenko IV, Smirnova OM, Mayorov AY, Shestakova MV. Classification of diabetes. World Health Organization 2019. What’s new? Diabetes Mellit. 2020;23:329–39. In Russian.
- Kurnia AD, Amatayakul A, Karuncharernpanit S. Predictors of diabetes self-management among type 2 diabetics in Indonesia: Application theory of the health promotion model. Int J Nurs Sci. 2017;4:260–5.
- Masoompour M, Tirgari B, Ghazanfari Z. The relationship between health literacy, self-efficacy, and self-care behaviors in diabetic patients. Evid Based Care J. 2017;7:17–25.
- Ogbole FA, Harold BA. Association of undiagnosed pre-diabetes and type-2 diabetes mellitus with interleukin-2 mRNA expression among adults in Bayelsa State, Nigeria. Int J Res Rev. 2023;10:210–5.
- Yao J, Wang H, Yin X, Yin J, Guo X, Sun Q. The association between self-efficacy and self-management behaviors among Chinese patients with type 2 diabetes. PLoS One. 2019;14:e0224869.
- Rafferty AP, Winterbauer NL, Luo H, Bell RA, Little NRG. Diabetes self-care and clinical care among adults with low health literacy. J Public Health Man. 2021;27:144–53.
- Reisi M, Javadzade H, Sharifirad G, Mostafavi F, Tavassoli E, Imanzad M. Effects of an educational intervention on self-care and metabolic control in patients with type II diabetes. J Client-Centered Nurs Care. 2017;3:205–14.
- Moeini B, Haji Maghsodi S, Kangavari M, Afshari M, Tagh JZC. Factors associated with health literacy and self-care behaviors among Iranian diabetic patients: A cross-sectional study. J Commun Health. 2016;9:279–87.
- Saad AMJ, Younes ZMH, Ahmed H, Brown JA, Al Owesie RM, Hassoun AAK. Self-efficacy, self-care and glycemic control in Saudi Arabian patients with type 2 diabetes mellitus: A cross-sectional survey. Diabetes Res Clin Pract. 2018;137:28–36.
- Visagie E, van Rensburg E, Deacon E. Social support effects on diabetes management by South African emerging adults: A replication and extension study. J Psychol Afr. 2018;28:504–9.
- Weinger K, Beverly EA, Smaldone A. Diabetes self-care and the older adult. West J Nurs Res. 2014;36:1272–98.
- Wen CP, Chang CH, Tsai MK, Lee JH, Lu PJ, Tsai SP, et al. Diabetes with early kidney involvement may shorten life expectancy by 16 years. Kidney Int. 2017;92:388–96.
- Wu FL, Tai HC, Sun JC. Self-management experience of middle-aged and older adults with type 2 diabetes: A qualitative study. Asian Nurs Res (Korean Soc Nurs Sci). 2019;13:209–15.
Recommended Citation
Oo A, Lininger J, Leelacharas S. Associated Factors Related to Self-Management Behaviors among People with Type 2 Diabetes in Myanmar. Makara J Health Res. 2023;27.
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