Psychological and behavioural determinants in type 2 diabetes self-management: A scoping review
DOI: https://doi.org/10.56922/mhc.v4i6.2621
DSMQ-R INDS SDSCA-I Self-Management Scoping Review Type 2 Diabetes Mellitus
Abstract
Background: Type 2 Diabetes Mellitus (T2DM) is a chronic disease with a continuously increasing prevalence both globally and nationally. Successful management of T2DM is highly dependent on patient self-management behaviors. Assessment tools such as the Diabetes Self-Management Questionnaire-Revised (DSMQ-R) and the Summary of Diabetes Self-Care Activities-Indonesia (SDSCA-I) have been widely used to assess independent diabetes management. However, the integration of these tools with the Indonesian Nursing Diagnosis Standards (INDS) in establishing nursing diagnoses is still limited.
Purpose: To map the existing scientific evidence regarding the use of DSMQ-R and SDSCA-I in assessing diabetes self-management and to explore their potential in supporting nursing diagnosis formulation based on INDS.
Method: A scoping review was conducted following the PRISMA-ScR guidelines. Literature searches were performed in Google Scholar, PubMed, and ScienceDirect for articles published between 2018 and 2025. Included studies were primary quantitative and mixed-methods research addressing DSMQ-R, SDSCA, self-management in Type 2 Diabetes Mellitus, and their correlation with clinical outcomes.
Results: Most studies demonstrated that DSMQ-R and SDSCA have good validity and reliability and are significantly correlated with glycemic control (HbA1c). DSMQ-R showed a stronger correlation with HbA1c compared to SDSCA. However, no studies were identified that directly integrated these instruments with INDS in establishing nursing diagnoses.
Conclusion: DSMQ-R and SDSCA-I have the potential to serve as foundational tools for developing INDS-based assessment models in nursing practice.
Keywords: DSMQ-R; INDS; SDSCA-I; Self-Management; Scoping Review; Type 2 Diabetes Mellitus.
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