Psychological interventions for behavioral adjustments in diabetes care – a value-based approach to disease control
Open accessAbstract
Psychological aspects of a person, such as the personal value and belief systems, cognition and emotion, form the basis of human health behaviors, which, in turn, influence self-management, self-efficacy, quality of life, disease control and clinical outcomes in people with chronic diseases such as diabetes mellitus. However, psychological, psychosocial and behavioral interventions aimed at these groups of patients have yielded inconsistent effects in terms of clinical outcomes in clinical trials. This might have been due to differing conceptualization of health behavioral theories and models in the interventions. Assimilating different theories of human behavior, this narrative review attempts to demonstrate the potential modulatory effects of intrinsic values on cognitive and affective health-directed interventions. Interventions that utilize modification of cognition alone via education or that focuses on both cognitive and emotional levels are hardly adequate to initiate health-seeking behavior and much less to sustain them. People who are aware of their own personal values and purpose in life would be more motivated to practice good health-related behavior and persevere in them.
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People who realise their values and life goals have greater motivation to engage in health-related behaviour.
“People who realise their own values and life goals would have greater motivation to engage in good health-related behaviour and adhere to them (Chew, Fernandez, & Shariff-Ghazali, 2018).”
From Online Self-Help Acceptance and Commitment Therapy Module for College Students with Higher Gaming Disorder During COVID-19: A Pilot Study (2023) · cites this paper as Chew, Fernandez, & Shariff-Ghazali, 2018
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Flagged first, then by citations
Research works printed but not linked: 2
- [60]Brierley S Eiser C Johnson B Young V Heller S Psychological interventions for young people with type 1 diabetes: a metaanalysis Diabet Med 2013 30 177 178 22698387
- [95]de Ridder Denise de Wit John Self-Regulation in Health Behavior West Sussex, England John Wiley & Sons 2006
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“To promote selfmanagement behaviors in people with diabetes, interventions that comprehensively consider cognitive, emotional, and behavioral factors should be provided (Chew et al., 2018).”
BackgroundMiddle-Range Theory for the Nursing Diagnosis of Low Self-Efficacy in Health
Barreiro, R. G., Lopes, M. V. D. O., & Cavalcante, L. D. P. (2020) · Revista Brasileira de Enfermagem · doi:10.1590/0034-7167-2019-0370 · Cited by 20 · see citing works
“Consequently, levels of self-efficacy in health behaviors are correlated with people’s knowledge of their ability and motivation to adopt the necessary behaviors for attaining an adequate level of well-being(8).”
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Associations for Sense of Purpose with Smoking and Health Outcomes Among Adults with Diabetes
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“However, at the clinical level, it may be challenging to implement psychological, psychosocial, and behavioral interventions due to staff facilities or limitations (Chew et al., 2018).”
BackgroundChew, B., Lai, P. S. M., Sivaratnam, D., Basri, N. I., Appannah, G., Yusof, B. N. M., Thambiah, S. C., Hanipah, Z. N., Wong, P. F., & Chang, L.-C. (2025) · Health Systems & Reform · doi:10.1080/23288604.2024.2417788 · Cited by 4 · see citing works
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Self-citationLiving with type 2 diabetes: A social cognitive perspective on adherence
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“Al-Rifai et al. have conducted a systematic review of 102 articles including 279,202 pregnant women from 16 countries in the MENA region: Algeria (1 included article), Bahrain (2), Egypt (4), Iraq (3), Iran (37), Jordan (4), Lebanon (2), Libya (1), Morocco (1), Oman (5), Qatar (6), Saudi Arabia (22), Sudan (3), Tunisi…”
BackgroundInfluentialSelf-citationSaltar, L., Sahar, J., & Rekawati, E. (2023) · International conference on public health and well-being · doi:10.32789/publichealth.2022.1001
- Authors
- Chew, B.-H., Fernandez, A., & Sazlina, S.-G.
- Affiliations
- Universiti Putra Malaysia (MY)
- Corresponding author
- Chew, Boon-How
- Venue
- Psychology Research and Behavior Management
- Publisher
- Informa UK Limited
- Published
- 2018-05
- Volume
- Volume 11
- Pages
- 145-155
- ISSN
- 1179-1578 (ISSN-L)
- PMC
- PMC5942173
- OpenAlex
- W2801806897
- Cited by
- 14
- References
- 133
- Citations by year
- 2025: 1 · 2024: 1 · 2023: 4 · 2022: 2 · 2021: 2 · 2020: 1 · 2019: 3
- FWCI
- 0.23
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Psychology Research and Behavior Management (publishedVersion, cc-by-nc)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Universiti Putra Malaysia Institutional Repository (Universiti Putra Malaysia) (acceptedVersion)
- Funders
- Universiti Putra Malaysia
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Social Sciences › Psychology › Applied Psychology › Optimism, Hope, and Well-being
- Keywords
- diabetes mellitus, psychological intervention, behavioral interventions, value-based approach, intrinsic value, health behavior, self-management, self-efficacy, disease control, health behavior theory, motivation, psychosocial interventions
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