Factors influencing diabetes self-management in Chinese people with type 2 diabetes


  • The authors would like to thank the Peking Union Medical College Hospital in Beijing China where the data were collected. A special thanks goes to Dr. Heng Wang for her help and support in data collection. The authors also wish to thank Dr. Marilyn Sommers for her thoughtful review of this manuscript.


Patients with diabetes must incorporate a complicated regimen of self-management into their daily lives (e.g., taking medication, diet, exercise). Diabetes self-management (DSM) is the cornerstone for controlling diabetes and preventing diabetic complications. The purpose of this study was to test a model describing the effects of individual and environmental factors on DSM in a sample of patients with diabetes in Beijing, China. Survey data were gathered from a convenience sample of 201 Chinese adults with type 2 diabetes during outpatient visits. Data were analyzed using structural equation modeling. Model fit indices indicated a good fit to the data. In the final model, belief in treatment effectiveness and diabetes self-efficacy were proximate factors affecting DSM. Knowledge, social support, and provider–patient communication affected self-management indirectly via beliefs and self-efficacy. The findings provide a theoretical basis to direct the development of interventions for improving DSM in Chinese individuals with diabetes. © 2008 Wiley Periodicals, Inc. Res Nurs Health 31:613–625, 2008