Schinckus, Louise
[UCL]
Dangoisse, Florence
[UCL]
Van den Broucke, Stephan
[UCL]
Mikolajczak, Moïra
[UCL]
OBJECTIVES: Adequate self-management activities are important predictors of diabetes outcomes. As diabetes literacy and self-efficacy are strong predictors of diabetes self-care, self-management education programs focus essentially on these factors. This study investigated whether emotional distress or depression moderates the relation between health literacy, self-efficacy and diabetes self-care behaviors. METHODS: 128 people with type 2 diabetes were recruited in hospitals, through general practitioners and via a diabetes website, and completed a questionnaire assessing health literacy, self-efficacy, diabetes-related distress, depression and self-care behaviors. RESULTS: Multiple regression analysis confirms that health literacy and self-efficacy significantly predict reported self-care behaviors. Additional regression analyses reveal that distress or depression do not predict self-care behaviors directly, but moderate the effect of health literacy, which has a weaker impact in patients experiencing distress or depression. In contrast, distress and depression do not moderate the effect of self-efficacy on diabetes self-care behaviors. CONCLUSION: Emotional distress, whether related to diabetes or not, prevents patients from acting on their competence to perform adequate self-management behaviors. PRACTICE IMPLICATIONS: Diabetes Professionals should pay more attention to the patients' affective state and its influence on self-care. Psychological support should be integrated in the care for people suffering from type 2 diabetes.
Bibliographic reference |
Schinckus, Louise ; Dangoisse, Florence ; Van den Broucke, Stephan ; Mikolajczak, Moïra. When knowing is not enough: Emotional distress and depression reduce the positive effects of health literacy on diabetes self-management. In: Patient Education and Counseling, Vol. 101, no. 2, p. 324-330 (2018) |
Permanent URL |
http://hdl.handle.net/2078.1/188063 |