Total views : 299

The Mediation Role of Unmet Need in Healthcare Providers’ Support for Diabetes

Affiliations

  • College of Nursing, Chungnam National University, 266 Munwha-ro Jung-gu, Daejeon, 301-747, Korea, Republic of

Abstract


Objectives: The present study examined the role of unmet social support needs on the relationship between health care providers’ communication efforts and self-efficacy among patients with diabetes. Methods/Statistical Analysis: Patients with diabetes, who were outpatients from an endocrinology department at C University Hospital, participated in a cross-sectional survey. A total 303 patients were enrolled and assessed. Descriptive statistics, Pearson’s correlations, and Structural Equation Modeling (SEM) analyses were performed. Findings: Results showed that interpersonal care processes with health care providers was significantly correlated with diabetes self-efficacy. Unmet needs in terms of health care providers’ support was also significantly and negatively correlated with interpersonal care processes and diabetes self-efficacy. SEM results revealed that unmet needs regarding health care providers’ support mediated the relationship between interpersonal care processes and diabetes self-efficacy. Improvements/ Applications: Therefore, diabetes self-efficacy is likely enhanced when interpersonal care processes include adequate communication between providers and patients, which in turn boosts support for patients with diabetes.

Keywords

Health Care Provider, Interpersonal Process, Mediation Analysis, Self-efficacy, Support.

Full Text:

 |  (PDF views: 185)

References


  • Funnell MM, Brown TL, Childs BP, Haas LB, Hosey GM, Jensen B. National standards for diabetes self-management education. Diabetes Care. 2010 Jan; 32(S1):S87–94.
  • Relationships among self-efficacy, social support, social problem-solving, and self-management behaviors of people living with type 2 diabetes in rural Alabama [Internet]. [Cited 2011]. Available from: http://www.mhsl.uab.edu/dt/2011p/hunt.pdf.
  • Gensichen J, Von Korff M, Rutter CM, Seelig MD, Ludman EJ, Lin EH. Physician support for diabetes patients and clinical outcomes. Bio Medical Centre Public Health. 2009 Sep; 9(367):1–8.
  • Stewart AL, Nápoles‐Springer AM, Gregorich SE, Santoyo‐Olsson J. Interpersonal processes of care survey: Patient‐reported measures for diverse groups. Health services research. 2007 Jun; 42(3pt1):1235–56.
  • Piette JD, Bibbins-Domingo K, Schillinger D. Health care discrimination, processes of care, and diabetes patients’ health status. Patient Education and Counseling. 2006 Jan; 60(1):41–8.
  • Harrison JD, Young JM, Price MA, Butow PN, Solomon MJ. What are the unmet supportive care needs of people with cancer? A systematic review. Support Care Cancer. 2009 Aug; 17(8):1117–28.
  • Sanson-Fisher R, Girgis A, Boyes A, Bonevski B, Burton L, Cook P. The unmet supportive care needs of patients with cancer. Cancer. 2000 Jan; 88(1):226–37.
  • Song Y, Song HJ, Han HR, Park SY, Nam S, Kim MT. Unmet needs for social support and effects on diabetes self-care activities in Korean Americans with type 2 diabetes. Diabetes Education. 2012 Jan–Feb; 38(1):77–85.
  • Rapley P, Passmore A, Phillips M. Review of the psychometric properties of the diabetes self-efficacy scale: Australian longitudinal study. Nursery Health Science. 2003 Dec; 5(4):289–97.
  • Hu LT, Bentler PM, Kano Y. Can test statistics in covariance structure analysis be trusted? Psychological Bulletin. 1992 Sep; 112(2):351–62.
  • Schaufeli WB, Salanova M, González-romá V, Bakker AB. The measurement of engagement and burnout: A two sample confirmatory factor analytic approach. Journal of Happiness Studies. 2002 Mar; 3(1):71–92.
  • Gao J, Wang J, Zhu Y, Yu J. Validation of an information-motivation-behavioral skills model of self-care among Chinese adults with type 2 diabetes. Bio Medical Centre Public Health. 2013 Feb; 13(100):1–6.
  • Chrisman SK. Relational communication, interpersonal communication satisfaction, and diabetes self-efficacy in nurse-client interaction. University of Kansas, Nursing; 1995.
  • Nam S, Chesla C, Stotts NA, Kroon L, Janson SL. Barriers to diabetes management: Patient and provider factors. Diabetes Research and Clinical Practice. 2011 Jul; 93(1):1–9.
  • Hunt CW, Grant JS, Pritchard DA. An empirical study of self-efficacy and social support in diabetes self-management: implications for home healthcare nurses. Home Health Care Nurse. 2012 Apr; 30(4):255–62.
  • Choi KM, Lee CS, Hwang YK. The structural relationship among self-efficacy, social networks, adaptation to korean society and hope among foreign workers. Indian Journal of Science and Technology. 2015 Apr; 8(S7):488–93.
  • Chlebowy D O, Garvin BJ. Social support, self-efficacy, and outcome expectations: impact on self-care behaviors ad glycemic control in Caucasian and African American adults with type 2 diabetes. Diabetes Education. 2006 Sep–Oct; 32(5):777–86.
  • Akohoue SA, Patel K, Adkerson LL, Rothman RL. Patients', caregivers', and providers' perceived strategies for diabetes care. American Journal of Health Behavior. 2015 May; 39(3):433–40.
  • Kim HS. The effects of elderly diabetic patients’ self-care agency on their self-care behavior. Indian Journal of Science and Technology. 2016 May; 9(20):1–10.

Refbacks

  • There are currently no refbacks.


Creative Commons License
This work is licensed under a Creative Commons Attribution 3.0 License.