The association of patient trust and self-care among patients with diabetes mellitus

BACKGROUND: Diabetes requires significant alterations to lifestyle and completion of self management tasks to obtain good control of disease. The objective of this study was to determine if patient trust is associated with reduced difficulty and hassles in altering lifestyle and completing self care tasks. METHODS: A cross-sectional telephone survey and medical record review was performed to measure patient trust and difficulty in completing diabetes tasks among 320 medically underserved patients attending diabetes programs in rural North Carolina, USA. Diabetes tasks were measured three ways: perceived hassles of diabetic care activities, difficulty in completing diabetes-related care activities, and a global assessment of overall ability to complete diabetes care activities. The association of patient trust with self-management was examined after controlling for patient demographics, physical functioning, mental health and co-morbidities. RESULTS: Level of patient trust was high (median 22, possible max 25). Higher trust levels were associated with lower levels of hassles (p = 0.006) and lower difficulty in completing care activities (p = 0.001). Patients with higher trust had better global assessments of overall ability to complete diabetes care activities (p < 0.0001). CONCLUSION: Higher patient trust in physicians is associated with reduced difficulty in completing disease specific tasks by patients. Further studies are needed to determine the causal relationship of this association, the effect of trust on other outcomes, and the potential modifiability of trus

Self-efficacy beliefs amongst parents of young children : validation of a self-report measure

The self-efficacy belief (SEB) concept is discussed in the context of parenting. A questionnaire, the Echelle Globale du Sentiment de Competence Parentale (EGSCP), assessing several domain-specific SEBs and three related cognitive constructs, was developed with 705 French-speaking parents of 3- to 7-year-old children. The EGSCP displayed good psychometric properties. Age-related differences and differences between mothers and fathers illustrated the questionnaire's discriminative properties. Relations were also found between EGSCP and several criterion variables: support, satisfaction, self-esteem and stress, childrearing behavior, and children's social competence and behavior. The refinement of the SEB concept in the parenting context provides a more comprehensive view of both mothers' and fathers' cognition. The empirical and clinical implications of this are discussed

Bone Health and Type 2 Diabetes Mellitus: A Systematic Review

Purpose: To systematically review the literature related to bone health in older adults with type 2 diabetes mellitus (T2DM)