Abstract:
OBJECTIVE:Suboptimal self-care by individuals with diabetes mellitus (DM) is a significant public health concern. The common-sense model (CSM) proposes that illness representations are associated with coping and health outcomes across various conditions. The present study examined the efficacy of a CSM-based intervention in improving illness representations, self-care, self-care self-efficacy, use of adaptive coping strategies, and glycated hemoglobin among individuals with type 2 DM (T2DM). METHODS:A two-arm randomized controlled trial was used. A total of 455 T2DM patients were recruited from an outpatient DM clinic and randomized to an intervention group that consisted of five weekly group-based education sessions or a control group that received five weekly educational booklets. Evaluation was conducted at baseline and at 1- and 6-month follow-up. RESULTS:The 2 × 3 linear mixed-model analysis using a modified intention to treat revealed a significant time by condition interaction effect on level of self-care (F(2,840) = 7.78, p < .001), self-care self-efficacy (F(1.89,794.57) = 14.40, p < .001), and use of adaptive coping strategies (F(1.94,812.93) = 4.75, p = .010) in which participants in the intervention group reported greater improvement in such aspects compared with those in the control group. A significant time effect was observed in some dimensions of illness representations. No significant effect was found in glycated hemoglobin. Participants reported positive feedback to the intervention and perceived improvement in various domains. CONCLUSIONS:The CSM-based intervention was effective in improving self-care and coping among DM patients. The intervention also demonstrated high feasibility and acceptability. Findings provided important insights in improving health-related outcomes for patients with T2DM using the CSM framework.
journal_name
Psychosom Medjournal_title
Psychosomatic medicineauthors
Chan VWY,Kong APS,Lau JTF,Mak WWS,Cameron LD,Mo PKHdoi
10.1097/PSY.0000000000000883subject
Has Abstractpub_date
2021-01-01 00:00:00pages
71-84issue
1eissn
0033-3174issn
1534-7796pii
00006842-202101000-00009journal_volume
83pub_type
杂志文章abstract:OBJECTIVES:The influence of low socioeconomic status on cardiovascular disease may be mediated in part by sustained activation of stress-related autonomic and neuroendocrine processes. We hypothesized that low socioeconomic status would be associated with heightened ambulatory blood pressure and cortisol output over th...
journal_title:Psychosomatic medicine
pub_type: 杂志文章
doi:10.1097/01.psy.0000035717.78650.a1
更新日期:2003-05-01 00:00:00
abstract:OBJECTIVES:Exposure to child abuse (CA) is associated with an increased risk of developing asthma and allergies; it is unknown if that risk is present across generations. This study investigated if 2-year-old children born to mothers with a history of CA were at an increased risk of receiving a diagnosis of asthma or a...
journal_title:Psychosomatic medicine
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abstract:OBJECTIVE:To examine the relationship between hostility and biological risk factors for coronary heart disease (CHD) in a population of white European and South Asian men and women living in the United Kingdom. METHODS:This cross-sectional study involved a community-based sample of 1,757 healthy white and South Asian ...
journal_title:Psychosomatic medicine
pub_type: 杂志文章
doi:10.1097/PSY.0b013e3181fd944c
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journal_title:Psychosomatic medicine
pub_type: 杂志文章
doi:10.1097/PSY.0000000000000308
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journal_title:Psychosomatic medicine
pub_type: 杂志文章
doi:10.1097/01.psy.0000062530.94551.ea
更新日期:2003-07-01 00:00:00
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journal_title:Psychosomatic medicine
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journal_title:Psychosomatic medicine
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journal_title:Psychosomatic medicine
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doi:10.1097/PSY.0b013e3181e68e94
更新日期:2010-09-01 00:00:00
abstract:OBJECTIVE:Childhood adversity is a vulnerability factor for chronic pain. However, the underlying pain mechanisms influenced by childhood adversity remain unknown. The aim of the current study was to evaluate the impact of childhood adversity on dynamic pain sensitivity in young adults. METHODS:After screening for chi...
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pub_type: 杂志文章
doi:10.1097/PSY.0000000000000399
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journal_title:Psychosomatic medicine
pub_type: 杂志文章,评审
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更新日期:1993-03-01 00:00:00
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journal_title:Psychosomatic medicine
pub_type: 杂志文章
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pub_type: 临床试验,杂志文章,随机对照试验
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pub_type: 杂志文章
doi:10.1097/PSY.0000000000000059
更新日期:2014-05-01 00:00:00
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journal_title:Psychosomatic medicine
pub_type: 杂志文章
doi:10.1097/00006842-198303000-00009
更新日期:1983-03-01 00:00:00
abstract::Previous research has suggested that patients with amyotrophic lateral sclerosis (ALS) demonstrate similar psychological characteristics that distinguish them from the medically ill populations, and that these findings may bear etiologic and prognostic importance. In this report, a larger sample was studied and the pr...
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更新日期:1977-09-01 00:00:00
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pub_type: 杂志文章,多中心研究
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更新日期:2009-02-01 00:00:00
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pub_type: 杂志文章
doi:10.1097/01.psy.0000221252.84351.e2
更新日期:2006-05-01 00:00:00
abstract::Impatience, one major Type A characteristic, alters the performance of tasks requiring anticipation and accurate responding. Beat-by-beat changes in heart rate are also known to occur during anticipatory attention. In college- and middle-aged adult samples, impatience is related to these beat-by-beat heart rate change...
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doi:10.1097/00006842-198411000-00003
更新日期:1984-11-01 00:00:00
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更新日期:2013-07-01 00:00:00
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pub_type: 杂志文章,随机对照试验
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更新日期:2010-05-01 00:00:00
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journal_title:Psychosomatic medicine
pub_type: 杂志文章,随机对照试验
doi:10.1097/PSY.0b013e3182a0b664
更新日期:2013-10-01 00:00:00
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更新日期:1989-05-01 00:00:00
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更新日期:2004-03-01 00:00:00
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更新日期:2020-07-01 00:00:00
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pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:1994-03-01 00:00:00
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pub_type: 杂志文章
doi:10.1097/00006842-199911000-00011
更新日期:1999-11-01 00:00:00
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更新日期:2014-06-01 00:00:00
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更新日期:2008-04-01 00:00:00
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pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1097/00006842-198807000-00005
更新日期:1988-07-01 00:00:00
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更新日期:2017-04-01 00:00:00