Problem Solving and Diabetes Self-Management

  title={Problem Solving and Diabetes Self-Management},
  author={Russell E. Glasgow and Lawrence Fisher and Marilyn McKean Skaff and Joseph T. Mullan and Deborah J. Toobert},
  journal={Diabetes Care},
  pages={33 - 37}
OBJECTIVE—Problem solving is a core aspect of effective diabetes and chronic illness self-management, yet there are relatively few objective evaluations of problem-solving skills, especially in large, multiracial samples. RESEARCH DESIGN AND METHODS—A multiracial sample of 506 adults who have type 2 diabetes were assessed on a variety of patient characteristics, self-management behaviors, and biological and psychosocial measures. They also completed the Diabetes Problem-Solving Interview (DPSI… 
Problem Solving in Diabetes Self-management and Control
Methodological limitations need to be addressed in future research to clarify the effect of problem solving on diabetes outcomes, identify characteristics of effective interventions, and determine the utility across age and racial/ethnic groups.
Effect of Problem-Solving-Based Diabetes Self-Management Training on Diabetes Control in a Low Income Patient Sample
A literacy-adapted, intensive, problem-solving-based diabetes self-management training adapted for low literacy and accessibility was effective for key clinical and behavioral outcomes in a lower income patient sample.
Patients’ overall glycemic control and self-management behaviors were suboptimal and a large proportion were at risk for developing cardiovascular disease and gender differences should be considered when targeting strategies to improve health outcomes.
Person-centred, occupation-based intervention program supported with problem-solving therapy for type 2 diabetes: a randomized controlled trial
Occupation-based problem-solving therapy encourages participation in meaningful occupations and improves psychosocial self-efficacy, effective coping styles, and well-being in patients with type 2 diabetes mellitus.
Self-Care and Health Outcomes of Diabetes Mellitus
Evidence is provided that both elements of self-care maintenance and management are needed in the education of patients about DM, and both elements influence health outcomes but in different ways.
A continuous glucose monitoring and problem-solving intervention to change physical activity behavior in women with type 2 diabetes: a pilot study.
A continuous glucose monitoring plus problem-solving intervention to change physical activity (PA) behavior in women with type 2 diabetes was feasible and acceptable, and participants had greater problem-Solving skills than continuous glucose Monitoring plus education group participants.
Psychosocial and Behavioral Correlates of A1C and Quality of Life Among Young Adults With Diabetes
The data suggest that when tailoring interventions, depressive symptoms and satisfaction with daily activities may be particularly fruitful intervention targets, as they represent modifiable risk factors that are associated with both A1C and DQoL.


Assessment of Problem-Solving: A Key to Successful Diabetes Self-Management
The 9-item Diabetes Problem-Solving Inventory was used to assess how patients cope with challenges to diabetes self-care and support the reliability, predictive ability, and sensitivity to change of the DPSI.
Problem solving and diabetes self-care
A Diabetes Problem Solving Interview for adults was developed and evaluated with 126 non-insulin-dependent outpatients, revealing that problem-solving measures were significant and independent predictors of levels of dietary and exercise self-care at a 6-month follow-up.
Problem solving in diabetes self-management: A model of chronic illness self-management behavior
  • F. Hill-Briggs
  • Medicine
    Annals of behavioral medicine : a publication of the Society of Behavioral Medicine
  • 2003
A problem-solving model of chronic disease self-management is proposed, derived from theories of problem solving in cognitive psychology, educational al/tearning theory, and social problem solving, and has utility in driving testable hypotheses regarding the relation of disease-specific problem solving to chronic illness management.
Profiles in Problem Solving: Psychological Well-Being and Distress Among Persons with Diabetes Mellitus
Although social problem-solving abilities have been consistently associated with indicators of behavioral health, this work has been largely confined to tests of specific theoretical issues. Research
A Practical Model of Diabetes Management and Education
An evolving conceptual model of diabetes self-management and patient education is discussed, which it is hoped can help reduce victim blaming and accelerate the development, evaluation, and dissemination of programs that facilitate both patient and health care team adherence to recommended guidelines for diabetes care.
Assessing psychosocial distress in diabetes: development of the diabetes distress scale.
The Diabetes Distress Scale has a consistent, generalizable factor structure and good internal reliability and validity across four different clinical sites, and may serve as a valuable measure of diabetes-related emotional distress for use in research and clinical practice.
Association of Social Problem Solving With Glycemic Control in a Sample of Urban African Americans With Type 2 Diabetes
Ineffective problem-solving styles may prove to be important targets for intervention to improve glycemic control and avoidant problem solving with type 2 diabetes.
Effect of a self-management program on patients with chronic disease.
At 1 year, participants in the Chronic Disease Self-Management Program experienced statistically significant improvements in health behaviors, self-efficacy, and health status and had fewer visits to the emergency department and had less ED visits.
Patient self-management of chronic disease in primary care.
Self-management education complements traditional patient education in supporting patients to live the best possible quality of life with their chronic condition, and may soon become an integral part of high-quality primary care.