PMID- 35477371 OWN - NLM STAT- MEDLINE DCOM- 20221130 LR - 20221130 IS - 1839-3535 (Electronic) IS - 1037-6178 (Linking) VI - 58 IP - 2-3 DP - 2022 Feb-Apr TI - Common Sense Model program on illness perceptions in patients with impaired awareness of hypoglycemia. PG - 171-191 LID - 10.1080/10376178.2022.2071311 [doi] AB - Background: Illness perceptions are important for patients with insulin-treated type 2 diabetes mellitus (T2DM) and impaired awareness of hypoglycemia (IAH), as they determine health-related behaviors and motivations. Patients with IAH in many countries have poor illness perception, and there is a paucity of research exploring the effectiveness of Common Sense Model (CSM)-based interventions in this population.Objective: To investigate the effects of a CSM-based intervention program on perceptions of illness in patients with insulin-treated T2DM and IAH.Design: Quasi-randomized controlled trial.Methods: 78 patients with IAH receiving routine care were included. The intervention group (n = 39) participated in a CSM-based program, whereas the control group (n = 39) did not. Illness perceptions, coping styles, hypoglycemia fear, and awareness of hypoglycemia at baseline, 1, and 3 months were analyzed and compared between the two groups.Results: The intervention group exhibited significant improvements in consequences (beta = -1.615, P = 0.032); personal control (beta = -1.897, P = 0.006); treatment control (beta = -1.274, P = 0.046); and positive coping style (beta = 4.872, P = 0.002) at the 3-month follow-up, and timeline (beta = 2.769, P = 0.004) at the 1-month follow-up. Hypoglycemia fear and awareness were not significantly improved in the intervention group compared with the control group. No intervention-related adverse events were observed.Conclusions: A CSM-based intervention program can modify illness perceptions to an extent and improve the positive coping style in patients with IAH.Impact statementNurses should conduct a CSM-based intervention program to help patients with IAH improve illness perceptions. FAU - Shen, Zhijia AU - Shen Z AUID- ORCID: 0000-0003-3148-3597 AD - Nursing Department, Changshu Hospital Affiliated to Nanjing University of Chinese Medicine, SuZhou, People's Republic of China. FAU - Xu, Jianou AU - Xu J AD - School of Medicine, Jiangsu University, Zhenjiang, People's Republic of China. FAU - Yin, Wei AU - Yin W AD - Affiliated hospital of Jiangsu University, Jiangsu, People's Republic of China. FAU - Liu, Qiaoyan AU - Liu Q AD - Affiliated hospital of Jiangsu University, Jiangsu, People's Republic of China. FAU - Fan, Minyu AU - Fan M AD - Oncology Department, Changshu Hospital Affiliated to Nanjing University of Chinese Medicine, SuZhou, People's Republic of China. FAU - Luo, Caifeng AU - Luo C AD - School of Medicine, Jiangsu University, Jiangsu, People's Republic of China. LA - eng PT - Journal Article PT - Randomized Controlled Trial DEP - 20220509 PL - United States TA - Contemp Nurse JT - Contemporary nurse JID - 9211867 RN - 0 (Insulins) MH - Humans MH - Awareness MH - Behavior Therapy MH - *Diabetes Mellitus, Type 1 MH - *Diabetes Mellitus, Type 2/drug therapy MH - *Hypoglycemia MH - *Insulins OTO - NOTNLM OT - Common Sense Model OT - Type 2 diabetes mellitus OT - illness perceptions OT - impaired awareness of hypoglycemia EDAT- 2022/04/29 06:00 MHDA- 2022/11/24 06:00 CRDT- 2022/04/28 05:08 PHST- 2022/04/29 06:00 [pubmed] PHST- 2022/11/24 06:00 [medline] PHST- 2022/04/28 05:08 [entrez] AID - 10.1080/10376178.2022.2071311 [doi] PST - ppublish SO - Contemp Nurse. 2022 Feb-Apr;58(2-3):171-191. doi: 10.1080/10376178.2022.2071311. Epub 2022 May 9.