Factors that affect health outcomes in adults with type 2 diabetes : a cross-sectional study

Huang, Min-Feng, Courtney, Mary D., Edwards, Helen E., & McDowell, Jan K. (2010) Factors that affect health outcomes in adults with type 2 diabetes : a cross-sectional study. International Journal of Nursing Studies, 47(5), pp. 542-549.

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Background: Factors that individually influence blood sugar control, health-related quality of life, and diabetes self-care behaviors have been widely investigated; however, most previous diabetes studies have not tested an integrated association between a series of factors and multiple health outcomes. ---------- Objectives: The purposes of this study are to identify risk factors and protective factors and to examine the impact of risk factors and protective factors on adaptive outcomes in people with type 2 diabetes.---------- Design: A descriptive correlational design was used to examine a theoretical model of risk factors, protective factors, and adaptive outcomes.---------- Settings: This study was conducted at the endocrine outpatient departments of three hospitals in Taiwan. Participants A convenience sample of 334 adults with type 2 diabetes aged 40 and over.---------- Methods: Data were collected by a self-reported questionnaire and physiological examination. Using the structural equation modeling technique, measurement and structural regression models were tested.---------- Results: Age and life events reflected the construct of risk factors. The construct of protective factors was explained by diabetes symptoms, coping strategy, and social support. The construct of adaptive outcomes comprised HbA1c, health-related quality of life, and self-care behaviors. Protective factors had a significant direct effect on adaptive outcomes (β = 0.68, p < 0.001); however, risk factors did not predict adaptive outcomes (β = − 0.48, p = 0.118).---------- Conclusions: Identifying and managing risk factors and protective factors are an integral part of diabetes care. This theoretical model provides a better understanding of how risk factors and protective factors work together to influence multiple adaptive outcomes in people living with type 2 diabetes.

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15 citations in Scopus
12 citations in Web of Science®
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ID Code: 38560
Item Type: Journal Article
Refereed: Yes
Keywords: protective factors, Risk factors, Strutural equation modeling, Type 2 Diabetes
DOI: 10.1016/j.ijnurstu.2009.10.012
ISSN: 0020-7489
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Nursing
Copyright Owner: Copyright 2009 Elsevier Ltd. All rights reserved.
Deposited On: 17 Nov 2010 23:41
Last Modified: 29 Feb 2012 14:23

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