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Self-management behaviors impact health-related quality of life (HRQoL) among adults
with diabetes. Al Gamal et al. (2024) utilize a cross-sectional, correlational design to
determine if better self-management practices predict improved HRQoL outcomes. They
recruited a convenience sample of 87 adults with diabetes from one clinical setting. They
collected data using validated self-report questionnaires, and the analysis included
descriptive statistics, Pearson correlations, and t-tests. Results showed that high self-
management scores were positively correlated with better HRQoL, especially in the
physical and social functioning domains. This article is appropriate because it addresses
diabetes, uses a correlational design, provides full text in open access, and is recent,
making it highly relevant.
The study was robust due to its clear focus, use of validated instruments, and appropriate
statistical methods. However, small sample size, single-site recruitment, and reliance on
self-report could risk recall bias (Al Gamal et al., 2024). Additionally, a cross-sectional
design prevents causal inference. The correlational article is a Level III study and can be
appraised as Quality B due to its clarity, rigor, and appropriate analysis. I searched for
quantitative correlational or descriptive studies published within the last five years on
National Practice Problems. Additionally, I prioritized articles with full-text available that
one can download the study and appraise it directly. I used search terms such as
“diabetes,” “self-management,” “quality of life,” “cross-sectional,” and “correlational
study”.
Diabetes develops when the pancreas cannot produce adequate insulin, causing high
blood sugar. It is known to negatively impact quality of life. However, there is limited
research on how self-management behaviors specifically correlate with diXerent domains
of health-related quality of life. Al Gamal et al. (2024) emphasize that self-management is
critical to diabetes outcomes. The gap in literature is the strength and nature of the
association between self-management and quality of life in diverse patient populations.
This study is methodologically acceptable and useful for practice insights. It states its aims
and contributes substantially to the body of research. Its limitations, such as small
convenience sample, cross-sectional design, and self-report bias, can reduce its strength.
On the other hand, they analyzed physical and social domains and used standardized
instruments, which improve the evidence rating.

References
Al Gamal, E., Alnaser, Z., Mohammed, I., Kaliyaperumal, L., AL Qudah, A., Hyarat, S.,
Alawas, H., Alrashed, J., Alhamad, A., & Long, T. (2024). Relationship between self-
management and quality of life among patients with diabetes mellitus: A cross-sectional,
correlational study. The Open Nursing
Journal, 18(1). to an
external site.

INSTRCUTIONS-

A scholarly source is (a) evidence-based, (b) peer-reviewed, and (c) published in the last
five (5) years.
· Response post(s) may require a scholarly citation and reference.
Reference list in correct APA style/formatting
· Standard English usage and mechanics
Engagement in Meaningful Dialogue

a. Respond BY furthering dialogue by providing more information and clarification,
thereby adding more depth to the discussion.

b. Incorporate TWO (2) diXerent sources: Should be scholarly.

Professionalism in Communication
a. References are consistent with APA style/formatting with no error patterns; the hanging
indent is not required.
b. Presents information in an organized manner.
c. Uses clear and concise language.
d. Communicates with no error patterns in English grammar, spelling, syntax, and
punctuation.

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