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
DOI: 10.1080/13548506.2015.1112413
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