HEALTH LITERACY, ILLNESS PERCEPTION, AND DIABETES SELF-MANAGEMENT IN KOREAN-SPEAKING IMMIGRANTS WITH DIABETES
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Background: Living with diabetes is challenging, especially for adolescents at risk of poor glycaemic control. Understanding the illness perceptions of this group is important to be able to develop interventions for this growing population in need.Aim: This study explored the illness perception amongst adolescents living with type 1 diabetes (T1D) and how these perceptions interacted with the management of T1D.Setting: This study was conducted at a medical centre providing care for adolescents living with T1D in Parktown, South Africa.Methods: A qualitative, explorative design with semi-structured interviews was followed. A non-random purposive sampling method was utilised. The illness perception amongst eight adolescents, aged 12–18 years, at risk of poor glycaemic control, was analysed through thematic analysis.Results: Two subthemes related to illness perception were generated, namely (1) illness perception of T1D is negative and (2) living with T1D leads to a sense of being different. Furthermore, two subthemes were generated in relation to how illness perceptions interacted with diabetes management, namely (3) management of T1D is challenging and (4) management of T1D is motivated by fear.Conclusion: This group of adolescents with at-risk glycaemic control believed that T1D is difficult to manage, leading to a largely negative perception of the disease. This study contributes to the body of literature on adolescents where illness perception may play a role in adhering to diabetes care plans. This research may give additional insights into the awareness of illness perception in designing successful interventions.
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Self-care practices among persons living with type-2 diabetes are very crucial in diabetes manages as poor self-care results in complications. However, little research exists within the Ghanaian context. This study examined whether type-2 diabetes patients' illness perception and diabetes knowledge significantly predict diabetes self-care practices. A cross-sectional survey design was employed and a total of 160 participants (45 males and 115 females) were sampled from a general hospital in Accra. A self-administered questionnaire measuring illness perception, diabetes knowledge and diabetes self-care practices as well as demographic checklist were used collect data. Results showed that illness perception and diabetes knowledge significantly predicted overall diabetes self-care practices. Analysis of domain specific self-care practices showed that patients' diet was significantly predicted by illness perception and diabetes knowledge. Exercise was significantly predicted by only illness perception while blood sugar testing and diabetes foot-care were significantly predicted by diabetes knowledge. Cognitive and emotional representation of diabetes and diabetes knowledge are key determinants of patients' diabetes self-care practices. It is therefore important that appropriate psychosocial interventions are developed to help patients' adherence to recommended self-care practices.
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Low health literacy is common among adults and is related to adverse health outcomes. It also impacts health management and one’s ability to control his or her chronic illness. The current study examined the association of health literacy and diabetes management self-efficacy with employment among 126 individuals with diabetes. No relationship was found between health literacy and employment. Diabetes-management self-efficacy was not directly related to employment but it was indirectly linked to it through physical health and lack of interference of diabetes with activities of daily living. This research suggests that strategies to improve self-efficacy may contribute to improved health and employment outcomes. Implications for rehabilitation counseling practice and research are discussed.
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Journal Article Determinants of Quality of Life in Primary Care Patients with Diabetes: Implications for Social Workers Get access Liat Ayalon, Liat Ayalon Search for other works by this author on: Oxford Academic PubMed Google Scholar Revital Gross, Revital Gross Search for other works by this author on: Oxford Academic PubMed Google Scholar Hava Tabenkin, Hava Tabenkin Search for other works by this author on: Oxford Academic PubMed Google Scholar Avi Porath, Avi Porath Search for other works by this author on: Oxford Academic PubMed Google Scholar Anthony Heymann, Anthony Heymann Search for other works by this author on: Oxford Academic PubMed Google Scholar Boaz Porter Boaz Porter Search for other works by this author on: Oxford Academic PubMed Google Scholar Health & Social Work, Volume 33, Issue 3, August 2008, Pages 229–236, https://doi.org/10.1093/hsw/33.3.229 Published: 01 August 2008 Article history Received: 15 November 2006 Revision received: 11 December 2007 Accepted: 17 December 2007 Published: 01 August 2008
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