Perspectives in Nursing Science
- Volume 7 Issue 1
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- Pages.1-9
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- 2010
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- 2288-2898(pISSN)
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- 2288-7687(eISSN)
Behavior Change Theories in Diabetes Self-management: A Conceptual Review
당뇨 자기관리를 위한 행위변화 이론: 개념적 고찰
- Choi, Su-Young (College of Nursing, Seoul National University) ;
- Song, Mi-Soon (College of Nursing, The Research Institute of Nursing Science, Seoul National University)
- Received : 2010.12.10
- Accepted : 2010.12.17
- Published : 2010.12.31
Abstract
Purpose: The purpose of this study was to review behavior change theories in terms of important variables, concept definitions, and applicability to diabetes self-management behavior. Methods: Six behavior change theories (the Transtheoretical Model, the Health Belief Model, the Theory of Reasoned Action, the Theory of Planned Behavior, Social cognitive theory, and Information-Motivation-Behavioral skills Model) were reviewed which were applied in diabetes self-management interventions. Results: The five key concepts from the five non-stage behavior change theories were delineated. Based on the key concepts, a theoretical framework was formulated as the explanatory model of diabetes self-management behaviors. The four major concepts in Information-Motivation- Behavioral skills Model were included. The cognitive arm of the proposed theoretical framework included constructs related to diabetes knowledge, motivation (beliefs, attitude, social norm), self-efficacy, and intention. Conclusion: The theoretical framework described here includes the key factors of successful diabetes self- management intervention. However, the concept of motivation needs further exploration and clarification for operationalization.