Using the common-sense model to explicate the role of illness representation in self-care behaviours and anxiety symptoms among patients with Type 2 diabetes

Meiqi Xin, Virginia W.Y. Chan, Alice P.S. Kong, Joseph T.F. Lau, Linda D. Cameron, Winnie W.S. Mak, Phoenix K.H. Mo (Corresponding Author)

Research output: Journal article publicationJournal articleAcademic researchpeer-review

2 Citations (Scopus)

Abstract

Objectives: Based on the common-sense model of self-regulation, this study aimed to explicate the mechanism underlying the effect of illness representations on self-care behaviours and anxiety symptoms among patients with type 2 diabetes. Methods: A telephone survey was administered to 473 patients in Hong Kong. Structural equation modelling was used to test if threat and control perceptions regarding diabetes would be associated with self-reported self-care behaviours and anxiety symptoms through adoption of adaptive/maladaptive coping strategies and diabetes-related self-efficacy. Results: Control perceptions but not threat perceptions were positively associated with self-care behaviours. Control perceptions had a positive indirect association with self-care behaviours through more problem-focused coping and diabetes-related self-efficacy. Threat perceptions simultaneously had a positive indirect association through more problem-focused coping and a negative indirect association through more avoidant coping and lower diabetes-related self-efficacy. In contrast, threat and control perceptions were positively and negatively, respectively, associated with anxiety symptoms. Problem-focused and avoidant coping consistently mediated the indirect association between threat perceptions and anxiety symptoms. Conclusion: Threat and control perceptions were associated with diabetes self-care behaviours and anxiety symptoms through different self-regulation pathways. Practice implications: Our findings inform possible targets for self-management interventions to simultaneously enhance self-care behaviours and alleviate diabetes-associated anxiety.

Original languageEnglish
Article number107581
JournalPatient Education and Counseling
Volume107
DOIs
Publication statusPublished - Feb 2023

Keywords

  • Anxiety
  • Common-sense model
  • Illness representation
  • Illness self-regulation
  • Self-care behaviours
  • Type 2 diabetes

ASJC Scopus subject areas

  • General Medicine

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