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01-12-2014 | Original Article

Social Support and Lifestyle vs. Medical Diabetes Self-Management in the Diabetes Study of Northern California (DISTANCE)

Authors: Ann Marie Rosland, MD MS, John D. Piette, PhD, Courtney R. Lyles, PhD, Melissa M. Parker, MS, Howard H. Moffet, MPH, Nancy E. Adler, PhD, Dean Schillinger, MD, Andrew J. Karter, PhD

Published in: Annals of Behavioral Medicine | Issue 3/2014

Abstract

Background

In chronic illness self-care, social support may influence some health behaviors more than others.

Purpose

Examine social support’s association with seven individual chronic illness self-management behaviors: two healthy “lifestyle” behaviors (physical activity, diet) and five more highly skilled and diabetes-specific (medical) behaviors (checking feet, oral medication adherence, insulin adherence, self-monitored blood glucose, primary care appointment attendance).

Methods

Using cross-sectional administrative and survey data from 13,366 patients with type 2 diabetes, Poisson regression models estimated the adjusted relative risks (ARR) of practicing each behavior at higher vs lower levels of social support.

Results

Higher emotional support and social network scores were significantly associated with increased ARR of both lifestyle behaviors. Both social support measures were also associated with increased ARR for checking feet. Neither measure was significantly associated with other medical behaviors.

Conclusions

Findings suggest that social support diminished in importance as self-care progresses from lifestyle to more skilled “medical” behaviors.

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Title: Social Support and Lifestyle vs. Medical Diabetes Self-Management in the Diabetes Study of Northern California (DISTANCE)
Authors: Ann Marie Rosland, MD MS
John D. Piette, PhD
Courtney R. Lyles, PhD
Melissa M. Parker, MS
Howard H. Moffet, MPH
Nancy E. Adler, PhD
Dean Schillinger, MD
Andrew J. Karter, PhD
Publication date: 01-12-2014
Publisher: Springer US
Published in: Annals of Behavioral Medicine / Issue 3/2014
Print ISSN: 0883-6612
Electronic ISSN: 1532-4796
DOI: https://doi.org/10.1007/s12160-014-9623-x

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Social Support and Lifestyle vs. Medical Diabetes Self-Management in the Diabetes Study of Northern California (DISTANCE)

Abstract

Background

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Purpose

Methods

Results

Conclusions

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