Brown, S. The secondary aim is to identify barriers and facilitating factors, including additional cost via an incremental cost effectiveness analysis, for the implementation of mobile phone technology for supporting self-management in low-to-middle income countries. Research shows that, for people with diabetes, adhering to programs of self-care is often problematic. Methods. All other data were collected by self-administered questionnaires. Specifically, we analyzed the responses of 123 male and female patients diagnosed with uncontrolled T2DM to determine viewer involvement with characters and situations in the telenovela, viewer perceived self-efficacy in following recommendations, as well as viewer satisfaction with the program. Shame plays a major role in the eventual consequences of diabetes self-management.
Patient-caregiver relationship, inadequate knowledge, and high workload were caregiver-related barriers. They are also likely to express concern that they will end up with serious long-term complications and to feel overwhelmed by the demands of living with diabetes. To achieve optimal glucose control, the person with diabetes must be able to access health care providers who have expertise in the field of diabetes.  Jabbar, A., Contractor, Z., Ebrahim, M.A. When modeled together, PCOM remained a significant independent predictor of self-management (standardized : 0.18; P < .001), but PDMstyle became nonsignificant. Adding Understanding to the model diminished the unique effect of PCOM in predicting self-management (standardized : 0.10; P = .004). (2010).
CONCLUSION: For these patients, ratings of providers' communication effectiveness were more important than a participatory decision-making style in predicting diabetes self-management. Reported understanding of self-care behaviors was highly predictive of and attenuated the effect of both PDMstyle and PCOM on self-management, raising the possibility that both provider styles enhance self-management through increased patient understanding or self-confidence.