Longitudinal testing of the Information-Motivation-Behavioral Skills model of self-care among adults with type 2 diabetes. Issue 11 (November 2016)

• Record Type: Journal Article
• Authors: Meunier, Sophie; Coulombe, Simon; Beaulieu, Marie-Dominique; Côté, José; Lespérance, François; Chiasson, Jean-Louis; Bherer, Louis; Lambert, Jean; Houle, Janie
• Is Part Of: Patient education and counseling. Volume 99:Issue 11(2016)
• Page Start: 1830
• Page End: 1836
• Publication Date: 2016-11
• Subjects: Diabetes -- Self-care -- Information -- Motivation -- Behavioral skills -- Self-efficacy; Patient education -- Periodicals; Health counseling -- Periodicals; Health education -- Periodicals; Counseling -- Periodicals; Patient Education -- Periodicals; Éducation des patients -- Périodiques; Counseling -- Périodiques; Éducation sanitaire -- Périodiques; 615.5071
• DOI: 10.1016/j.pec.2016.06.011
• Languages: English
• ISSNs: 0738-3991

Abstract

Highlights: IMB model variables influence different self-care behaviors in different ways. There is a feedback loop between blood-glucose testing and information. Controlled motivation is positively related to exercise in the short term. Autonomous motivation promoted more sustainable exercise behavior. There is a bidirectional relationship between behavioral skills and general diet. Abstract: Objective: The study's aim was to test prospective associations between information, motivation, and behavioral skills (IMB model) and self-care behaviors (diet, exercise, and blood glucose testing) among patients with type 2 diabetes. Methods: 295 participants were surveyed one (T1), six (T2), and 12 (T3) months after a diabetes course. Cross-lagged panel analyses were performed to test unidirectional and bidirectional relationships between IMB model variables and self-care behaviors. Results: Blood-glucose testing at T1 was positively related to information at T2, which in turn was positively related to blood-glucose testing at T3. Controlled motivation at T1 was positively related to exercise at T2. Autonomous motivation at T2 was positively associated with exercise at T3. There was a positive bidirectional relationship across time between behavioral skills and general diet. Conclusion: Patterns of prospective associations between IMB model variables and diabetes self-care depend on the self-care behavior considered. This model offers an interesting framework for examining how diabetes self-care behaviors evolve. Practice implications: Diabetes education programs should provide information about current health status and promote experiential learning to help patients realize the impact of their behaviors on glycemic control; should foster autonomous motivation for long-term change; and should build on patients' strengths and skills.