Self-care adherence and psychological functioning of older patients with type 2 diabetes: effects of persuasion, social pressure, and self-efficacy

Yang, Fang; Pang, Joyce S.; Cheng, Wendy J. Y.

doi:10.1007/s10880-016-9470-y

Cited by 13Diabetes Management and EducationMedication Adherence and ComplianceNursing care and research

Self-care adherence and psychological functioning of older patients with type 2 diabetes: effects of persuasion, social pressure, and self-efficacy

Yang, Fang, Pang, Joyce S., Cheng, Wendy J. Y.·2016·Journal of Clinical Psychology in Medical Settings

DOI 10.1007/s10880-016-9470-y

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Abstract

This cross-sectional study examined the role of family members' use of persuasion versus pressure as distinct forms of social control by which family members attempt to encourage better diabetes management among older adults with type 2 diabetes mellitus (T2DM). The study also examined how self-efficacy might moderate the relationship between persuasion/pressure, psychological functioning, and self-care adherence. Participants were 96 men and 103 women with T2DM, with a mean age of 63.3 years. Regression results show that neither persuasion nor pressure was significantly related to self-care adherence, but persuasion and pressure were associated in complex ways with diabetes-related emotional distress and depressive symptoms for which significant interaction effects were found. Patients with lower self-efficacy benefited from persuasion, but were adversely affected by pressure. In contrast, patients with higher self-efficacy were adversely affected by persuasion, but were less negatively affected by pressure. Findings highlight the importance of reducing pressure-based social control, considering patients' self-efficacy when family members seek to influence patients' self-care behaviors, and targeting patient-family interactions in future interventions.

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People with diabetes can be exposed to social monitoring, where health-related behaviours are judged or criticised by others, resulting in increased focus on self-management failures.
“Further, people with diabetes can be exposed to social monitoring, where one's health-related behaviours are judged or criticised by others (e.g., Yang et al., 2016) if it is not in line with the recommendations resulting in an increased focus on one's self-management failures.”
From An online acceptance, commitment, and self-compassion based treatment to decrease psychological distress in people with type 2 diabetes: A feasibility randomised-controlled trial (2023) · cites this paper as Yang et al., 2016

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Jiang, R., Ta, X., Xu, M. Q., Luo, Z., Du, Y., Zhong, X., Pan, T., & Cao, X. (2023) · Psychology Research and Behavior Management · doi:10.2147/prbm.s396916 · Cited by 19 · see citing works
The Role Of Family Support And Self-Efficacy On Self-Care Behavior In The Elderly With Type 2 Diabetes
Sari, R. Y., Soleha, U., & Dewi, E. C. (2021) · Journal of Health Sciences · doi:10.33086/jhs.v14i02.1801 · Cited by 2 · see citing works

Authors: Yang, F., Pang, J. S., & Cheng, W. J. Y.
Affiliations: Shanghai University (CN)
Nanyang Technological University (SG)
INSEAD (SG)
Corresponding author: Yang, Fang
ORCID: Yang, Fang
Pang, Joyce S.
Venue: Journal of Clinical Psychology in Medical Settings
Publisher: Springer Science and Business Media LLC
Published: 2016-10-13
Volume: 23
Issue: 4
Pages: 389-401
ISSN: 1068-9583 (ISSN-L)
1573-3572
DOI: 10.1007/s10880-016-9470-y
OpenAlex: W2531120161
Cited by: 12
References: 76
Citations by year: 2026: 2 · 2023: 3 · 2021: 2 · 2020: 2 · 2019: 1 · 2017: 2
FWCI: 1.00
Type: journal article
Language: en
Open access: closed
Licence: www.springer.com/tdm (unspecified)
Locations: Journal of Clinical Psychology in Medical Settings (publishedVersion)
PubMed (publishedVersion)
Funders: Shanghai Municipal Education Commission "Chenguang Scholar Program" (15CG46)
Mitsui Sumitomo Insurance Welfare Foundation (M4060918.100)
Topics: Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
Health Sciences › Medicine › Family Practice › Medication Adherence and Compliance
Health Sciences › Health Professions › Pharmacy › Nursing care and research
Keywords: type 2 diabetes, older adults, self-care adherence, family influence, persuasion, social pressure, social control, self-efficacy, depressive symptoms, patient-family interaction, psychological functioning
MeSH terms: Cross-Sectional Studies, Diabetes Mellitus, Type 2, Female, Humans, Male, Middle Aged, Persuasive Communication, Self Care, Social Support, Self Efficacy

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Self-care adherence and psychological functioning of older patients with type 2 diabetes: effects of persuasion, social pressure, and self-efficacy

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