Research article

Self-care adherence and affective disorders in Barbadian adults with type 2 diabetes

  • Received: 06 September 2021 Accepted: 09 November 2021 Published: 17 November 2021
  • Purpose 

    Diabetes management requires adherence to complicated self-care behaviors. Therefore, the emotional state of the individual living with diabetes, is likely to affect their ability to comply with recommendations. This study explored the relationship of self-care adherence to diabetes distress and depression in Barbadian adults with type 2 diabetes.

    Methods 

    Adults aged 20 to 80 years, with type 2 diabetes, completed self-report questionnaires comprised of a profile section consisting of demographic and clinical characteristics; and standardized questionnaires comprising, The Diabetes Distress Scale (DDS), The Patient Health Questionnaire (PQH-9), and the Summary of Diabetes Self-care Activities Scale (SDSCA). Additionally biological measures (BP and HbA1c) were collected.

    Results 

    For the 509 participants there were no differences in adherence for males (30.8%) and females (69.2%), high diabetes distress and depression were associated with low adherence. General diet was negatively associated with BP and HbA1c; while HbA1c was positively correlated with blood glucose testing.

    Conclusion 

    Self-care non-adherence is more than a behavioral problem; it is a multidimensional phenomenon inclusive of demographic factors, condition or disease factors, psychological and social factors.

    Citation: Allison DaSantos, Carlisle Goddard, Dalip Ragoobirsingh. Self-care adherence and affective disorders in Barbadian adults with type 2 diabetes[J]. AIMS Public Health, 2022, 9(1): 62-72. doi: 10.3934/publichealth.2022006

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  • Purpose 

    Diabetes management requires adherence to complicated self-care behaviors. Therefore, the emotional state of the individual living with diabetes, is likely to affect their ability to comply with recommendations. This study explored the relationship of self-care adherence to diabetes distress and depression in Barbadian adults with type 2 diabetes.

    Methods 

    Adults aged 20 to 80 years, with type 2 diabetes, completed self-report questionnaires comprised of a profile section consisting of demographic and clinical characteristics; and standardized questionnaires comprising, The Diabetes Distress Scale (DDS), The Patient Health Questionnaire (PQH-9), and the Summary of Diabetes Self-care Activities Scale (SDSCA). Additionally biological measures (BP and HbA1c) were collected.

    Results 

    For the 509 participants there were no differences in adherence for males (30.8%) and females (69.2%), high diabetes distress and depression were associated with low adherence. General diet was negatively associated with BP and HbA1c; while HbA1c was positively correlated with blood glucose testing.

    Conclusion 

    Self-care non-adherence is more than a behavioral problem; it is a multidimensional phenomenon inclusive of demographic factors, condition or disease factors, psychological and social factors.



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    Acknowledgments



    Professor Donna Marie Maynard; Professor Ian Hambleton; Professor Nigel Unwin.

    Conflict of interest



    The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

    [1] Pawa M (2003) Cultural influences and diabetes health care. Pract Diabetes Int 20: 200-201. doi: 10.1002/pdi.500
    [2] Dulmen SV, Sluijs E, Dijk LV, et al. (2007) Patient adherence to medical treatment: a review of reviews. BMC Health Serv Res 7: 55. doi: 10.1186/1472-6963-7-55
    [3] Kripalani S, Yao X, Haynes RB (2007) Interventions to enhance medication adherence in chronic medical conditions: a systematic review. Arch Intern Med 167: 540-550. doi: 10.1001/archinte.167.6.540
    [4] Touchette DR, Shapiro NL (2008) Medication compliance, adherence, and persistence: current status of behavioral and educational interventions to improve outcomes. JMCP 14: S2-S10.
    [5] Bosworth HB (2010) Medication Adherence. Improving Patient Treatment Adherence New York, NY: Springer, Available from: http://link.springer.com/chapter/10.1007/978-1-4419-5866-2_4. doi: 10.1007/978-1-4419-5866-2
    [6] Huang Y, Karuranga S, Boyko EJ, et al. (2018)  Diabetes prevalence in North America and Caribbean Region in 2017 and 2045 Diabetes American Diabetes Association, Available from: https://diabetes.diabetesjournals.org/content/67/Supplement_1/1676-P.
    [7] Del PD, Basdeo D, Fyzool K, et al. (2015) Adherence to chronic disease management among diabetic and hypertensive patients in Trinidad. West Indian Med J Suppl Available from: https://pesquisa.bvsalud.org/portal/resource/pt/med-18017.
    [8] Babwah F, Baksh S, Blake L, et al. (2006) The role of gender in compliance and attendance at an outpatient clinic for type 2 diabetes mellitus in Trinidad. Rev Panam Salud Publica 19: 79-84. doi: 10.1590/S1020-49892006000200002
    [9] Duff EM, O'Connor A, McFarlane-Anderson N, et al. (2006) Self-care, compliance and glycaemic control in Jamaican adults with diabetes mellitus. West Indian Med J 55: 232-236.
    [10] Leichter SB (2005) Making Outpatient Care of Diabetes More Efficient: Analyzing Noncompliance. Clin Diabetes 23: 187-190. doi: 10.2337/diaclin.23.4.187
    [11] Abelson B, Rupel A, Pincus T (2008) Limitations of a biomedical model to explain socioeconomic disparities in mortality of rheumatic and cardiovascular diseases. Clin Exp Rheumatol 26: S25-S34.
    [12] Wade DT, Halligan PW (2004) Do biomedical models of illness make for good healthcare systems? BMJ 329: 1398. doi: 10.1136/bmj.329.7479.1398
    [13] Petrie KJ (1997)  Perceptions of Health and Illness: Current Research and Applications Amsterdam, Netherlands: Harwood Academic Publishers, 501.
    [14] Prochaska JO, DiClemente CC (1983) Stages and processes of self-change of smoking: toward an integrative model of change. J Consult Clin Psychol 51: 390-395. doi: 10.1037/0022-006X.51.3.390
    [15] Suls J, Rothman A (2004) Evolution of the biopsychosocial model: prospects and challenges for health psychology. Health Psychol 23: 119-125. doi: 10.1037/0278-6133.23.2.119
    [16] Kreider KE (2017) Diabetes distress or major depressive disorder? A practical approach to diagnosing and treating psychological comorbidities of diabetes. Diabetes Ther 8: 1-7. doi: 10.1007/s13300-017-0231-1
    [17] Hambleton IR, Jonnalagadda R, Davis CR, et al. (2009) All-cause mortality after diabetes-related amputation in Barbados. Diabetes Care 32: 306-307. doi: 10.2337/dc08-1504
    [18] Howitt C, Hambleton IR, Rose AMC, et al. (2015) Social distribution of diabetes, hypertension and related risk factors in Barbados: a cross-sectional study. BMJ Open 5: e008869. doi: 10.1136/bmjopen-2015-008869
    [19] Taylor CG, Krimholtz M, Belgrave KC, et al. (2014) The extensive inpatient burden of diabetes and diabetes-related foot disease in Barbados. Clin Med 14: 367-370. doi: 10.7861/clinmedicine.14-4-367
    [20] Peter AO, Carter AO (2011) Knowledge, attitudes, practices, and barriers reported by patients receiving diabetes and hypertension primary health care in Barbados: a focus group study. BMC Fam Pract 12: 1-7. doi: 10.1186/1471-2296-12-1
    [21] Glasgow RE, Osteen VL (1992) Evaluating diabetes education: are we measuring the most important outcomes? Diabetes Care 15: 1423-1432. doi: 10.2337/diacare.15.10.1423
    [22] Rosenthal MJ, Fajardo M, Gilmore S, et al. (1998) Hospitalization and mortality of diabetes in older adults: a 3-year prospective study. Diabetes Care 21: 231-235. doi: 10.2337/diacare.21.2.231
    [23] Blumenthal JA, Williams RS, Wallace AG, et al. (1982) Physiological and psychological variables predict compliance to prescribed exercise therapy in patients recovering from myocardial infarction. Psychosom Med 44: 519-527. doi: 10.1097/00006842-198212000-00003
    [24] Ann B (2005) Mode of questionnaire administration can have serious effects on data quality. J Public Health 3: 281-291.
    [25] Polonsky WH, Fisher L, Earles J, et al. (2005) Assessing psychosocial distress in diabetes development of the diabetes distress scale. Diabetes Care 28: 626-631. doi: 10.2337/diacare.28.3.626
    [26] Kroenke K, Spitzer RL, Williams JBW (2001) The PHQ-9. J Gen Intern Med 16: 606-613. doi: 10.1046/j.1525-1497.2001.016009606.x
    [27] Toobert DJ, Hampson SE, Glasgow RE (2000) The summary of diabetes self-care activities measure: results from 7 studies and a revised scale. Diabetes Care 23: 943-950. doi: 10.2337/diacare.23.7.943
    [28] Halepian L, Saleh MB, Hallit S, et al. (2018) Adherence to insulin, emotional distress, and trust in physician among patients with diabetes: a cross-sectional study. Diabetes Ther 9: 713-726. doi: 10.1007/s13300-018-0389-1
    [29] Jannoo Z, Wah YB, Lazim AM, et al. (2017) Examining diabetes distress, medication adherence, diabetes self-care activities, diabetes-specific quality of life and health-related quality of life among type 2 diabetes mellitus patients. J Clin Transl Endocrinol 9: 48-54.
    [30] Raj GD, Hashemi Z, Contreras DCS, et al. (2018) Adherence to diabetes dietary guidelines assessed using a validated questionnaire predicts glucose control in adults with type 2 diabetes. Can J Diabetes 42: 78-87. doi: 10.1016/j.jcjd.2017.04.006
    [31] Ley SH, Hamdy O, Mohan V, et al. (2014) Prevention and management of type 2 diabetes: dietary components and nutritional strategies. Lancet Lond Engl 383: 1999-2007. doi: 10.1016/S0140-6736(14)60613-9
    [32] Mozaffarian D (2016) Dietary and policy priorities for cardiovascular disease, diabetes, and obesity: a comprehensive review. Circulation 133: 187-225. doi: 10.1161/CIRCULATIONAHA.115.018585
    [33] Marinho FS, Moram CBM, Rodrigues PC, et al. (2018) Treatment adherence and its associated factors in patients with type 2 diabetes: results from the Rio de Janeiro type 2 diabetes cohort study. J Diabetes Res 2018: 1-8. doi: 10.1155/2018/8970196
    [34] Burkhart PV, Sabate E (2003) Adherence to long-term therapies: evidence for action. J Nurs Scholarsh 35: 207. doi: 10.1111/j.1547-5069.2003.tb00001.x
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