The Effect of Sociostructural and Collaborative Decision-Making on Diabetes Self-Management

Background: Diabetic self-management is important for controlling the diabetes complications and promoting health-related quality of life in these patients. The objective of this study was to examine a hypothetical model regarding influences of sociostructural determinants, collaborative decision-ma...

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Main Authors: Isaac Rahimian Boogar (Author), Mohammad Reza Mohajeri-Tehrani (Author), Mohammad Ali Besharat (Author), Seyavash Talepasand (Author)
Format: Book
Published: Tehran University of Medical Sciences, 2013-03-01T00:00:00Z.
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100 1 0 |a Isaac Rahimian Boogar  |e author 
700 1 0 |a Mohammad Reza Mohajeri-Tehrani  |e author 
700 1 0 |a Mohammad Ali Besharat  |e author 
700 1 0 |a Seyavash Talepasand  |e author 
245 0 0 |a The Effect of Sociostructural and Collaborative Decision-Making on Diabetes Self-Management 
260 |b Tehran University of Medical Sciences,   |c 2013-03-01T00:00:00Z. 
500 |a 2251-6085 
520 |a Background: Diabetic self-management is important for controlling the diabetes complications and promoting health-related quality of life in these patients. The objective of this study was to examine a hypothetical model regarding influences of sociostructural determinants, collaborative decision-making and patient's beliefs system on diabetes self-management.Methods: In a cross-sectional descriptive study from Dec 2010 to Mar 2010, 500 patients of Iranian adult patients with type II diabetes attended the outpatient diabetic clinics of the Shariati Hospital in Tehran were selected by convenience sampling. Data were collected by The Demographical Information, Social- Economical Status and Diabetic History Questionnaire and eleven self-reported scales of this research. Structural equation modeling (SEM) with LIZREL software applied for data analysis.Results: The modified model had a desirable fitness to the observed data. Patient's beliefs system directly influenced the diabetes self-management. Sociostructural determinants influenced diabetes self-management indirectly via collaborative decision-making and Patient's beliefs system. In addition, collaborative decision-making significantly influenced patient's beliefs system that thereby impacted diabetes self-management.Conclusions: Sociostructural determinants, collaborative decision-making and patient's beliefs system are integrated and cooperatively affect on diabetes self-management. Comprehensive intervention schedules required to improve these agents for encouragement the type II diabetes self-management 
546 |a EN 
690 |a Diabetes 
690 |a Self- Management 
690 |a Motivation Beliefs 
690 |a Decision - Making 
690 |a Public aspects of medicine 
690 |a RA1-1270 
655 7 |a article  |2 local 
786 0 |n Iranian Journal of Public Health, Vol 42, Iss 3, Pp 280-292 (2013) 
787 0 |n http://ijph.tums.ac.ir/index.php/IJPH/article/view/2890/2099 
787 0 |n https://doaj.org/toc/2251-6085 
856 4 1 |u https://doaj.org/article/7e1faa110e824b36a9b2960d774d0ec1  |z Connect to this object online.