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Psychological interventions for behavioral adjustments in diabetes care – a value-based approach to disease control

Authors Chew BH, Fernandez A, Shariff-Ghazali S

Received 28 November 2017

Accepted for publication 12 March 2018

Published 4 May 2018 Volume 2018:11 Pages 145—155

DOI https://doi.org/10.2147/PRBM.S117224

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Andrew Yee

Peer reviewer comments 3

Editor who approved publication: Professor Igor Elman

Boon-How Chew,1 Aaron Fernandez,2 Sazlina Shariff-Ghazali1

1Department of Family Medicine, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Selangor, Malaysia; 2Department of Psychiatry, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Selangor, Malaysia

Abstract: Psychological aspects of a person, such as the personal value and belief systems, cognition and emotion, form the basis of human health behaviors, which, in turn, influence self-management, self-efficacy, quality of life, disease control and clinical outcomes in people with chronic diseases such as diabetes mellitus. However, psychological, psychosocial and behavioral interventions aimed at these groups of patients have yielded inconsistent effects in terms of clinical outcomes in clinical trials. This might have been due to differing conceptualization of health behavioral theories and models in the interventions. Assimilating different theories of human behavior, this narrative review attempts to demonstrate the potential modulatory effects of intrinsic values on cognitive and affective health-directed interventions. Interventions that utilize modification of cognition alone via education or that focuses on both cognitive and emotional levels are hardly adequate to initiate health-seeking behavior and much less to sustain them. People who are aware of their own personal values and purpose in life would be more motivated to practice good health-related behavior and persevere in them.

Keywords: behavioral medicine, psychological theory, long-term care, diabetes care, self-management, self-efficacy, chronic diseases

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