1. Common sense model of self-regulation for understanding adherence and quality of life in type 2 diabetes with structural equation modeling
- Author
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Marie Izaute, Estelle Fall, Igor Tauveron, Salwan Maqdasy, Nadia Chakroun-Baggioni, Philip Böhme, Maladies chroniques, santé perçue, et processus d'adaptation (APEMAC), Université de Lorraine (UL), Laboratoire de Psychologie Sociale et Cognitive (LAPSCO), Université Clermont Auvergne [2017-2020] (UCA [2017-2020])-Centre National de la Recherche Scientifique (CNRS), Service d'Endocrinologie - Diabète - Nutrition [CHRU Nancy], Centre Hospitalier Régional Universitaire de Nancy (CHRU Nancy), Génétique, Reproduction et Développement (GReD), Centre National de la Recherche Scientifique (CNRS)-Université Clermont Auvergne [2017-2020] (UCA [2017-2020])-Institut National de la Santé et de la Recherche Médicale (INSERM), CHU Clermont-Ferrand, Laboratoire de Psychologie Sociale et Cognitive - Clermont Auvergne (LAPSCO), Université Clermont Auvergne (UCA)-Centre National de la Recherche Scientifique (CNRS), Génétique, Reproduction et Développement - Clermont Auvergne (GReD), Centre National de la Recherche Scientifique (CNRS)-Université Clermont Auvergne (UCA)-Institut National de la Santé et de la Recherche Médicale (INSERM), Centre Hospitalier Universitaire Clermont-Ferrand, Clermont-Ferrand, France., Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Clermont Auvergne [2017-2020] (UCA [2017-2020])-Centre National de la Recherche Scientifique (CNRS), and LAPSCO, HAL
- Subjects
Quality of life ,Coping (psychology) ,media_common.quotation_subject ,Type 2 diabetes ,Disease ,Acceptance and commitment therapy ,Structural equation modeling ,Self-Control ,03 medical and health sciences ,0302 clinical medicine ,Perception ,Diabetes mellitus ,Surveys and Questionnaires ,Adaptation, Psychological ,medicine ,Humans ,030212 general & internal medicine ,Acceptance and Commitment Therapy ,media_common ,Autobiographical memory ,030503 health policy & services ,General Medicine ,medicine.disease ,3. Good health ,Diabetes Mellitus, Type 2 ,Latent Class Analysis ,Adherence ,[SCCO.PSYC] Cognitive science/Psychology ,[SCCO.PSYC]Cognitive science/Psychology ,Treatment perceptions ,Coping ,0305 other medical science ,Psychology ,Illness perceptions ,Clinical psychology - Abstract
International audience; Objectives The objective of the present study was to test the Common Sense Model of self-regulation (CSM) for its relevance for improving adherence and quality of life in type 2 diabetes. Methods A sample of 253 patients with type 2 diabetes was recruited. They completed questionnaires about their perceptions regarding diabetes, coping strategies, therapeutic adherence and quality of life. Their HbA1c levels were also collected. Structural equation modeling (SEM) was used to check the adequacy of our theoretical model (CSM) with the patient data. Results The final model indicated that perceptions were directly and indirectly related to health outcomes through coping strategies and adequately matched the data (χ2 / df = 561/ 220 = 2.55; RMSEA = 0.08; PCFI = 0.66; PGFI = 0.70). Moreover, the model appeared to be identical for both types of treatment (oral and injectable). Conclusions Illness perceptions and coping strategies, or, more specifically, how patients accept disease and think they are able to manage it, significantly affect therapeutic adherence and quality of life in type 2 diabetes. Practice implications These results pave the way for developing psychological treatments aimed at improving patient acceptance and internal resources (e.g. use of autobiographical memory, Acceptance and Commitment Therapy).
- Published
- 2021