Influence of Belief System on Adherence to Diabetes Self-Care Management: Pilot study
AL Gannass, Abdulaziz
Kelber, Sheryl T.
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<p><strong>Background: </strong>The prevalence of Type 2 Diabetes Mellitus (T2DM) has increased among the adult population in Saudi Arabia, as well as the development of secondary health problems. A major concern is that Saudis with T2DM fail to perform their diabetes self-care management. A person’s belief system influences their health behaviors; however, no studies were found that examined the association between the belief system of Saudi adults with T2DM, and their diabetic self-care management.</p> <p><strong>Purpose: </strong>To examine the association between the health beliefs of adults in Saudi Arabia with T2DM and their adherence to diabetes self-care management.</p> <p><strong>Theoretical Framework: </strong>Modified Social Learning Theory.</p> <p><strong>Description of the sample: </strong>Descriptive correlational design using self-reported questionnaires; a convenience sample of 30 participants.</p> <p><strong>Setting:</strong> Participants were recruited from King Abdulaziz Medical City in Riyadh for this pilot study.</p> <p><strong>Results: </strong>Participants belief about their Health Locus of Control (HLOC) moderated the relationship between outcome expectancy and adherence to blood glucose testing was due to chance (p = 0.023), their doctor (p = 0.045), or God (p = 0.013). The relationship between participants belief regarding their self-efficacy and adherence to medication was moderated by their belief that God controlled their health; the stronger the participants belief that God was in control of their health resulted in greater adherence to medication for those with higher self-efficacy (p = 0.035). Participants who expected better health outcomes, yet reported a low internal HLOC, were more likely to follow a specific diet (p = 0.015). Additionally internal HLOC moderated the relationship between self-efficacy and adherence to foot care (p = 0.038).</p> <p><strong>Conclusions and Implication: </strong>Participants belief system was found to influence their level of adherence to diabetes self-care management; however, additional studies are needed using a larger sample.</p>