Background: Diabetes mellitus (DM) has become a serious chronic disease.Self-management strategies help persons with DM make choices which will develop skills needed to reach their goal of blood glucose control and al...Background: Diabetes mellitus (DM) has become a serious chronic disease.Self-management strategies help persons with DM make choices which will develop skills needed to reach their goal of blood glucose control and allow them to be successful in reaching goals.Objective: To examine the impact of self-management activities on HbA1c for persons with DM and to examine the impact of social support,self-efficacy and Buddhist values as moderators on the relationship between the self-management activities and HbA1c.Method: This study is a cross-sectional design.The sample included 401 Thai adults diagnosed with type 2 diabetes,aged 20-65 years old who had at least one HbA1c test in the last three months were recruited.Participants completed four questionnaires to measure self-management activities,as well as self-efficacy,Buddhist values and social support as moderating factors on self-management activities and HbA1 c,Results: The self-management activities were negatively associated (β =-2.05,p ≤ 0.001) with HbA1c.The Social support,self-efficacy and Buddhist values had a significant interaction effect between selfmanagement activities and HbA1c (β =-0.97,p ≤ 0.05,β =-0.18,p ≤ 0.05 and β =-2.76,p ≤ 0.001).Conclusion: The diabetes self-management activities were more strongly associated with HbA1c under conditions of high social support,self-efficacy and health beliefs with Buddhist values.Future interventions for T2DM self-management programs should incorporate mechanisms to measure and support these factors.展开更多
Objectives:To explore the content validity and the internal consistency of the diabetes Self-management Questionnaire(DSMQ)for persons with T2DM in Thailand.Methods:Diabetes Self-management Questionnaire(DSMQ)was deve...Objectives:To explore the content validity and the internal consistency of the diabetes Self-management Questionnaire(DSMQ)for persons with T2DM in Thailand.Methods:Diabetes Self-management Questionnaire(DSMQ)was developed in English.The translation of DSMQ into Thai language was performed by native Thai translators.A panel of five experts in Thailand evaluated the translation.Content validity was quantified by the content validity index(CVI).A crosssectional design was used to test internal consistency by calculating Cronbach's alpha.Results:The DSMQ contains 16 items.There are eleven items(69%)which showed excellent CVI;two items(12.5%)showed good CVI and three items showed acceptable CVI.The average scale of CVI was 0.90.The internal consistency of the DSMQ was 0.73.Conclusion:The Thai version of DSMQ showed excellent content validity;good internal consistency.The instruments can be used among Thai adults with DM in future research studies.展开更多
文摘Background: Diabetes mellitus (DM) has become a serious chronic disease.Self-management strategies help persons with DM make choices which will develop skills needed to reach their goal of blood glucose control and allow them to be successful in reaching goals.Objective: To examine the impact of self-management activities on HbA1c for persons with DM and to examine the impact of social support,self-efficacy and Buddhist values as moderators on the relationship between the self-management activities and HbA1c.Method: This study is a cross-sectional design.The sample included 401 Thai adults diagnosed with type 2 diabetes,aged 20-65 years old who had at least one HbA1c test in the last three months were recruited.Participants completed four questionnaires to measure self-management activities,as well as self-efficacy,Buddhist values and social support as moderating factors on self-management activities and HbA1 c,Results: The self-management activities were negatively associated (β =-2.05,p ≤ 0.001) with HbA1c.The Social support,self-efficacy and Buddhist values had a significant interaction effect between selfmanagement activities and HbA1c (β =-0.97,p ≤ 0.05,β =-0.18,p ≤ 0.05 and β =-2.76,p ≤ 0.001).Conclusion: The diabetes self-management activities were more strongly associated with HbA1c under conditions of high social support,self-efficacy and health beliefs with Buddhist values.Future interventions for T2DM self-management programs should incorporate mechanisms to measure and support these factors.
文摘Objectives:To explore the content validity and the internal consistency of the diabetes Self-management Questionnaire(DSMQ)for persons with T2DM in Thailand.Methods:Diabetes Self-management Questionnaire(DSMQ)was developed in English.The translation of DSMQ into Thai language was performed by native Thai translators.A panel of five experts in Thailand evaluated the translation.Content validity was quantified by the content validity index(CVI).A crosssectional design was used to test internal consistency by calculating Cronbach's alpha.Results:The DSMQ contains 16 items.There are eleven items(69%)which showed excellent CVI;two items(12.5%)showed good CVI and three items showed acceptable CVI.The average scale of CVI was 0.90.The internal consistency of the DSMQ was 0.73.Conclusion:The Thai version of DSMQ showed excellent content validity;good internal consistency.The instruments can be used among Thai adults with DM in future research studies.