Illness perceptions and perceived barriers to self-care in patients with type 2 diabetes mellitus: an exploratory study from India
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The aim of the present study was to examine the relationship between perceived barriers to self-care, illness perceptions, metabolic control and quality of life. Sixty patients with type 2 diabetes mellitus, aged 30–60 years, were recruited from the endocrinology department of a general hospital in Bangalore. They were assessed on the Barriers to Self-Care scale, Illness Perceptions Questionnaire (Revised), Summary of Diabetes-Specific Self-Care Activities. The outcomes were assessed by the brief Diabetes Quality of Life scale and the current glycosylated haemoglobin (HbA1c) level. Results were analysed using descriptive statistics, correlation coefficients and regression analysis. Perceived barriers to self-care were significantly associated with identity, consequence, timeline cyclical, and emotional representation, personal control, treatment control and illness coherence dimensions of illness perceptions. Self-care was associated with personal and treatment control and illness coherence dimensions of illness perceptions. Self-care was positively associated with metabolic control. Barriers to self-care were associated with self-care and were an important predictor of self-care and quality of life. The findings of this study emphasize the importance of social cognitive variables such as illness perceptions, self-efficacy beliefs and perceived barriers in impacting self-care and quality of life in patients with type 2 diabetes mellitus.
KeywordsBarriers to self-care Illness perceptions Adherence Self-care Quality of life
- 5.Hayes L, White M, Unwin N, Bhopal R, Fischbacher C, Harland J, et al. Patterns of physical activity and relationship with risk markers for cardiovascular disease and diabetes in Indian, Pakistani, Bangladeshi and European adults in a UK population. J Public Health Med. 2002;24(3):170–8.CrossRefPubMedGoogle Scholar
- 9.Levensky ER, O’Donohue WPO. Patient adherence and nonadherence to treatment. In: Levensky ER, O’Donohue WPO, editors. Promoting treatment adherence: a practical handbook for healthcare providers. 1st ed. Thousand Oaks: Sage Publications; 2006. p. 6.Google Scholar
- 12.Glasgow RE. Perceived barriers to self management and preventive behaviours. National Cancer Institute. 2003. Available from: http://cancercontrol.cancer.gov/brp/constructs/barriers/barriers.pdf. Accessed 05 July 2011.
- 17.Leventhal H, Meyer D, Nerenz D. The common sense representation of illness danger. In: Rachman S, editor. Contributions to medical psychology. 2nd ed. New York: Pergamon; 1980.Google Scholar
- 25.U.K. Prospective Diabetes Study Group: Diabetes Study Group: Quality of life in type 2 diabetic patients is affected by complications but not by intensive policies to improve blood glucose or blood pressure control (UKPDS 37). Diabetes Care. 1999;22(7):1125–36Google Scholar
- 27.Glasgow RE. Social-environmental factors in diabetes: barriers to diabetes self care. In: Bradley C, editor. Handbook of psychology and diabetes. Newark: Harwood Academic; 1994. p. 335–50.Google Scholar
- 29.Toobert DJ, Glasgow RE. Assessing diabetes self-management: the summary of diabetes self-care activities questionnaire. In: Bradley C, editor. Handbook of psychology and diabetes. Newark: Harwood Academic; 1994. p. 351–78.Google Scholar
- 30.Leventhal H, Benyamini Y, Brownlee S, Diefenbach M, Leventhal EA, Patrick-Miller L, et al. Illness representations: theoretical foundations. In: Petrie KJ, Weinman J, editors. Perceptions of health and illness. 2nd ed. Amsterdam: Harwood Academic; 1997. p. 19–46.Google Scholar
- 32.Deepa M, Deepa R, Shanthirani CS, Manjula D, Unwin NC, Kapur A, et al. Awareness and knowledge of diabetes in Chennai—the Chennai Urban Rural Epidemiology Study (Cures—9). J Assoc Physicians India. 2005;53:283–7.Google Scholar