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Original Articles
- Structural Equation Modeling on Self-Care Behavior and Quality of Life in Older Adults with Diabetes Using Citizen Health Promotion Centers
- Songheun Lee, Hyunli Kim
- J Korean Acad Nurs 2017;47(4):514-525. Published online January 15, 2017
- DOI: https://doi.org/10.4040/jkan.2017.47.4.514
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Abstract
PDF Abstract Purpose The purpose of this study was to construct and test a structural equation model for Diabetes self-management (DSM) behavior and Quality of life (QoL) in older adults with diabetes who use Citizen Health Promotion Centers. The theory used this study was a combination of the Information-Motivation-Behavioral Model (IMB) and Self-Determination Theory (SDT) to reflect autonomous characteristics of participants.
Methods Data were collected from April 20 to August 31, 2015 using a self-report questionnaire. The sample was 205 patients with type 2 Diabetes who regularly visited a Citizen Health Promotion Center. SPSS 22.0 and AMOS 22.0 programs were used to analyze the efficiency of the hypothesized model and calculate the direct and indirect effects of factor affecting the participants’ DSM behavior and QoL.
Results The supported hypotheses were as follows; 1) The variable that had a direct effect on QoL was health behavior adherence (γ=.55,
p =.007). 2) The variables that had a direct effect on DSM behavior were DSM information (γ=.15,p =.023), DSM confidence (γ=.25,p <.001), and autonomous motivation (γ=.13,p =.048). 3) The variable that had a direct effect on DSM confidence was autonomy support (γ=.33,p <.001).Conclusion The major findings of this study are that supporting patient's autonomous motivation is an influential predictor for adherence to DSM behavior, and integrative intervention strategies which include knowledge, experience and psychosocial support are essential for older adults with diabetes to continue DSM behavior and improve QoL.
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Citations
Citations to this article as recorded by
- Effects of mHealth Practice Patterns on Improving Metabolic Syndrome Using the Information–Motivation–Behavioral Skills Model
Na-Young Park, Sarang Jang
Nutrients.2024; 16(13): 2099. CrossRef - Health-related quality of life in female patients with reumatoid arthritis: a structural equation model
Bukyung Kim, Mi-Hae Sung
Korean Journal of Women Health Nursing.2023; 29(2): 91. CrossRef - Understanding health‐related quality of life trajectories among older adults with diabetes mellitus: Mixed methods research
Sunhee Park, Taewha Lee
Nursing Open.2023; 10(10): 6945. CrossRef - Factors affecting quality of life in low‐income overweight and obese women: The mediating effects of health‐promoting behaviors
Ju‐Hee Nho, Hye Young Kim, Eun Jin Kim
Worldviews on Evidence-Based Nursing.2022; 19(3): 201. CrossRef - Systematic review of frequency of felt and enacted stigma in epilepsy and determining factors and attitudes toward persons living with epilepsy—Report from the International League Against Epilepsy Task Force on Stigma in Epilepsy
Churl‐Su Kwon, Ann Jacoby, Amza Ali, Joan Austin, Gretchen L. Birbeck, Patricia Braga, J. Helen Cross, Hanneke de Boer, Tarun Dua, Paula T. Fernandes, Kirsten M. Fiest, Jonathan Goldstein, Sheryl Haut, Diane Lorenzetti, Janet Mifsud, Solomon Moshe, Karen
Epilepsia.2022; 63(3): 573. CrossRef - Factors affecting the health status of patients with type 2 diabetes mellitus receiving insulin treatments: A multi‐mediation path analysis
Kang Sun Lee, Hye Young Kim, Heung Young Jin
Journal of Clinical Nursing.2022; 31(9-10): 1285. CrossRef - Psychometric Evaluation of the Korean Version of PROMIS Self-Efficacy for Managing Symptoms Item Bank: Item Response Theory
Mona Choi, Chang Gi Park, Soomin Hong
Asian Nursing Research.2022; 16(4): 187. CrossRef - Health-Related Quality of Life Trajectories Among Older Adults With Diabetes Mellitus: A Group-Based Modeling Approach
Sunhee PARK, Chang Gi PARK, Taewha LEE
Journal of Nursing Research.2022; 30(2): e199. CrossRef - Association of Resilience and Depression with Self-care Competence in Adult Patients with Diabetes Mellitus
Youngrye Park, Eun Hee Jang, Ji Ok Kim
Korean Journal of Adult Nursing.2018; 30(5): 555. CrossRef - The Effect of Basic Psychological Needs and Wisdom on Successful Aging in the Elderly
Min-Jeong Nam, Young-Mun Cho
Korean Journal of Adult Nursing.2018; 30(1): 70. CrossRef - Patient reported barriers are associated with low physical and mental well-being in patients with co-morbid diabetes and chronic kidney disease
Edward Zimbudzi, Clement Lo, Sanjeeva Ranasinha, Gregory Fulcher, Martin Gallagher, Stephen Jan, Peter G. Kerr, Helena J. Teede, Kevan R. Polkinghorne, Grant Russell, Rowan G. Walker, Sophia Zoungas
Health and Quality of Life Outcomes.2018;[Epub] CrossRef
- Effects of mHealth Practice Patterns on Improving Metabolic Syndrome Using the Information–Motivation–Behavioral Skills Model
- 157 View
- 4 Download
- 11 Crossref
- Factors Influencing Physical Activity among Community-dwelling Older Adults with Type 2 Diabetes: A Path Analysis
- Sun Joo Jang, Hyunju Park, Hyunjung Kim, Sun Ju Chang
- J Korean Acad Nurs 2015;45(3):329-336. Published online June 30, 2015
- DOI: https://doi.org/10.4040/jkan.2015.45.3.329
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Abstract
PDF
Purpose The purpose of the study was to identify factors influencing physical activity among community-dwelling older adults with type 2 diabetes. The study design was based on the Theory of Triadic Influence.
Methods A total of 242 older adults with type 2 diabetes participated in this study. Six variables related to physical activity in older adults, including self-efficacy, social normative belief, attitudes, intention, experience, and level of physical activity, were measured using reliable instruments. Data were analyzed using descriptive statistics, Pearson's correlation analyses, and a path analysis.
Results The mean physical activity score was 104.2, range from zero to 381.21. The path analysis showed that self-efficacy had the greatest total effect on physical activity. Also, experience had direct and total effects on physical activity as well as mediated the paths of social normative beliefs to attitudes and intention to physical activity. These factors accounted for 10% of the total variance, and the fit indices of the model satisfied the criteria of fitness.
Conclusion The findings of the study reveal the important role of self-efficacy and past experience in physical activity in older adults with type 2 diabetes.
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Citations
Citations to this article as recorded by- The Effect of Neighborhood Characteristics and Friends' Smoking Status on the Habitual Smoking Onset in Adolescents
You-Jung Choi, Gwang Suk Kim
Journal of Korean Academy of Nursing.2021; 51(1): 54. CrossRef - Factors influencing disordered eating behavior based on the theory of triadic influence
Jee Hee Han, Sun Ah Kim, Sue Kim, Jin Young Park
Perspectives in Psychiatric Care.2019; 55(3): 366. CrossRef - Effect of a Comprehensive Health Care Program on Blood Pressure, Blood Glucose, Body Composition, and Depression in Older Adults Living Alone: A Quasi-Experimental Pretest–Posttest Study
Eun Jeong Hwang, In Ok Sim
International Journal of Environmental Research and Public Health.2019; 17(1): 220. CrossRef - Factors Affecting Self-Care Behavior Levels among Elderly Patients with Type 2 Diabetes: A Quantile Regression Approach
Min Young Kim, Eun Ju Lee
Medicina.2019; 55(7): 340. CrossRef - Development of a scale to measure diabetes self‐management behaviors among older Koreans with type 2 diabetes, based on the seven domains identified by the American Association of Diabetes Educators
Kyoungsan Seo, Misoon Song, Suyoung Choi, Se‐an Kim, Sun Ju Chang
Japan Journal of Nursing Science.2017; 14(2): 161. CrossRef - Factors Affecting the Physical Activity of Older Adults in the Community
Young Mi Kim, Soon Rim Suh
Journal of Korean Gerontological Nursing.2017; 19(2): 154. CrossRef - Regional Differences in Fall-Related Physical Fitness of the Elderly between Seoul, Korea and Gifu, Japan
Sohee Shin, Hyun-soo Kim, Soon-chang Sung, Tamotsu Yabumoto, Kosyo Kasuga, Kijeong Kim, Toshio Matsuoka
The Tohoku Journal of Experimental Medicine.2016; 238(3): 247. CrossRef - The Comparative Analysis of Health Risk Factor according to HbA1c Level of Elderly Women Dwelling in Jeonla Province - Blood Health Status, Food Habit and Nutrient Intake -
Se In Oh, Chung Shil Kwak, Mee Sook Lee
The Korean Journal of Food And Nutrition.2016; 29(3): 392. CrossRef
- The Effect of Neighborhood Characteristics and Friends' Smoking Status on the Habitual Smoking Onset in Adolescents
- 135 View
- 4 Download
- 8 Crossref
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