Background. Available self-care theories and qualitative research has identified values as an important influence on self-care in type 2 diabetes (T2DM) patients. However, values have never been quantitatively described in the T2DM population and the association between values and self-care has not been assessed. Aims. To investigate the association between values and self-care in adults with T2DM. Methods. A cross-sectional multicentre study was conducted in 6 outpatient diabetes services in a sample of 390 Italian T2DM patients. The Portrait Values Questionnaire (PVQ) was used to assess patients’ values, according to the Schwartz’s Theory of Basic Human Values. The PVQ measures 4 value dimensions in opposition: Self-Enhancement Vs Self-Transcendence, and Openness to Change Vs Conservation. A centred score is used to estimate individual priority between these dimensions; a positive score in one dimension means that this dimension is prioritized by the individual over the opposite one. The Self-care of Diabetes Inventory was used to measure self-care maintenance, self-care monitoring, self-care management and self-care confidence, according to the middle-range theory of self-care of chronic illness. Multiple quantile regression models were used to assess the associations between the 4 value dimensions and the 4 self-care dimensions, adjusting for clinical and sociodemographic variables. Results. The higher value dimensions were Self-Transcendence (centred score= 0.4) and Conservation (centred score= 0.3) while the lower were Self-Enhancement (centred score= -1.1) and Openness to Change (centred score= -0.1). Self-Enhancement was negatively associated with self-care maintenance (beta=-2.4; p=0.0085) and self-care monitoring (beta= -5.4; p=0.0005). Openness to Change was (borderline) negatively associated with self-care management (beta=-3.9; p=0.06). Conclusions. T2DM patients who value self-enhancement and openness to change may be less likely to adopt self-care behaviours then those who value conservation and self-transcendence. Interventions designed to maximize the values of conservation and self-transcendence may improve the self-care of T2DM patients

Ausili, D., Rebora, P., Rossi, E., Luciani, M., Tonoli, M., Ballerini, E., et al. (2017). How do values affect self-care of type 2 diabetes patients? Results from a multi-centre observational study. In Annual FEND Conference 2017 Abstract Book.

How do values affect self-care of type 2 diabetes patients? Results from a multi-centre observational study

AUSILI, DAVIDE LUIGI
Primo
;
REBORA, PAOLA
Secondo
;
ROSSI, EMANUELA;Luciani, M;DI MAURO, STEFANIA
Ultimo
2017

Abstract

Background. Available self-care theories and qualitative research has identified values as an important influence on self-care in type 2 diabetes (T2DM) patients. However, values have never been quantitatively described in the T2DM population and the association between values and self-care has not been assessed. Aims. To investigate the association between values and self-care in adults with T2DM. Methods. A cross-sectional multicentre study was conducted in 6 outpatient diabetes services in a sample of 390 Italian T2DM patients. The Portrait Values Questionnaire (PVQ) was used to assess patients’ values, according to the Schwartz’s Theory of Basic Human Values. The PVQ measures 4 value dimensions in opposition: Self-Enhancement Vs Self-Transcendence, and Openness to Change Vs Conservation. A centred score is used to estimate individual priority between these dimensions; a positive score in one dimension means that this dimension is prioritized by the individual over the opposite one. The Self-care of Diabetes Inventory was used to measure self-care maintenance, self-care monitoring, self-care management and self-care confidence, according to the middle-range theory of self-care of chronic illness. Multiple quantile regression models were used to assess the associations between the 4 value dimensions and the 4 self-care dimensions, adjusting for clinical and sociodemographic variables. Results. The higher value dimensions were Self-Transcendence (centred score= 0.4) and Conservation (centred score= 0.3) while the lower were Self-Enhancement (centred score= -1.1) and Openness to Change (centred score= -0.1). Self-Enhancement was negatively associated with self-care maintenance (beta=-2.4; p=0.0085) and self-care monitoring (beta= -5.4; p=0.0005). Openness to Change was (borderline) negatively associated with self-care management (beta=-3.9; p=0.06). Conclusions. T2DM patients who value self-enhancement and openness to change may be less likely to adopt self-care behaviours then those who value conservation and self-transcendence. Interventions designed to maximize the values of conservation and self-transcendence may improve the self-care of T2DM patients
abstract + poster
self-care; self-management; type 2 diabetes mellitus; basic human values;
English
22nd Annual Conference Lisbon Portugal 8-9 September 2017
2017
Annual FEND Conference 2017 Abstract Book
2017
none
Ausili, D., Rebora, P., Rossi, E., Luciani, M., Tonoli, M., Ballerini, E., et al. (2017). How do values affect self-care of type 2 diabetes patients? Results from a multi-centre observational study. In Annual FEND Conference 2017 Abstract Book.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10281/169177
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