Regulatory focus and adherence to self-care behaviors among adults with type 2 diabetes
| Autor: | Tzahit Simon-Tuval, Dina Van Dijk, Rinat Avraham |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent media_common.quotation_subject Health Behavior Psychological intervention Alternative medicine 050109 social psychology Intention Type 2 diabetes Young Adult 03 medical and health sciences Promotion (rank) Surveys and Questionnaires Diabetes mellitus medicine Humans 0501 psychology and cognitive sciences Israel Set (psychology) Exercise Life Style Socioeconomic status Applied Psychology Aged media_common Aged 80 and over Medical Audit 030505 public health business.industry 05 social sciences Regulatory focus theory Middle Aged medicine.disease Self Concept Diet Self Care Psychiatry and Mental health Clinical Psychology Cross-Sectional Studies Diabetes Mellitus Type 2 Linear Models Patient Compliance Female 0305 other medical science business Clinical psychology |
| Zdroj: | Psychology, Health & Medicine. 21:696-706 |
| ISSN: | 1465-3966 1354-8506 |
| Popis: | The aims of this study were, first, to test the association between regulatory focus of adults with type 2 diabetes and their adherence to two types of self-care behaviors - lifestyle change (e.g. physical activity and diet) and medical care regimens (blood-glucose monitoring, foot care and medication usage). Second, to explore whether a fit between the message framing and patients' regulatory focus would improve their intentions to adhere specifically when the type of behavior fits the patients' regulatory focus as well. A cross-sectional study was conducted among 130 adults with type 2 diabetes who were hospitalized in an academic medical center. The patients completed a set of questionnaires that included their diabetes self-care activities, regulatory focus, self-esteem and demographic, socioeconomic and clinical data. In addition, participants were exposed to either a gain-framed or a loss-framed message, and were then asked to indicate their intention to improve adherence to self-care behaviors. A multivariable linear regression model revealed that promoters reported higher adherence to lifestyle change behaviors than preventers did (B = .60, p = .028). However, no effect of regulatory focus on adherence to medical care regimens was found (B = .46, p = .114). In addition, preventers reported higher intentions to adhere to medical care behaviors when the message framing was congruent with prevention focus (B = 1.16, p = .023). However, promoters did not report higher intentions to adhere to lifestyle behaviors when the message framing was congruent with promotion focus (B = -.16, p = .765). These findings justify the need to develop tailor-made interventions that are adjusted to both patients' regulatory focus and type of health behavior. |
| Databáze: | OpenAIRE |
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