AUTHOR=Habibi Soola Aghil , Davari Mahnaz , Rezakhani Moghaddam Hamed 

TITLE=Determining the Predictors of Self-Management Behaviors in Patients With Type 2 Diabetes: An Application of Socio-Ecological Approach

JOURNAL=Frontiers in Public Health

VOLUME=Volume 10 - 2022

YEAR=2022

URL=https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2022.820238

DOI=10.3389/fpubh.2022.820238

ISSN=2296-2565

ABSTRACT=Background: Uncontrolled complications of type 2 diabetes include 2% of hospital emergency visits. One of the most important ways to control type 2 diabetes is through self-management behaviors. The aim of this study was to determine the predictors of self-management behaviors in diabetic patients referred to the emergency department in Ardabil based on an ecological approach in 2020.
Methods: In this cross-sectional study, 273 patients with type 2 diabetes referred to the emergency department of Imam Khomeini Educational and Medical Center in Ardabil were included in the study by available sampling method. Data collection was performed by demographic information questionnaires, Diabetes Distress Screening Tool (DDS2), General Diabetes Knowledge (DKT2), Diabetes Empowerment Questionnaire (DES-SF), Patient Health Questionnaire 9 (PHQ 9), Beliefs to Treatment Effectiveness Scale (BTES), Diabetes Self-Efficacy Scale (DSES), Chronic Illness Resources Survey (CIRS), Situational Effects Questionnaire, and Diabetes self-management support (DSMS). The independent t-test, one-way analysis of variance, Pearson correlation coefficient and multiple regression were used to analyze the data.
Results: The results of the study showed that in the framework of ecological approach, predictors of self-management behaviors at the four levels are as follows: at the individual level; gender, education, duration of diabetes, having a glucometer at home, diabetes empowerment, personal support and self-efficacy, at the interpersonal level; the main health support, membership in social networks, family/friends support, neighborhoods support, at the group and organizational level; organizational support and at the community and policy level; the impact of mass media in health and situational influence.
Conclusion: effect of non-individual levels, including the environment, is critical to the success of a person's decision to manage diabetes. Diabetes management requires a lot of efforts, thus ensuring the health of diabetic patients and the community, and reducing the workload of emergencies.