| Titre : | The Mediating Role of Self-Efficacy in the Association Between Diabetes Education and Support and Self-Care Management (2022) |
| Auteurs : | Lucía D. Juarez, Auteur ; Caroline A. Presley, Auteur ; Carrie R. Howell, Auteur ; April A. Agne, Auteur |
| Type de document : | Article : texte imprimé |
| Dans : | Health Education & Behavior (Vol. 49, n°4, August 2022) |
| Article en page(s) : | pp. 689–696 |
| Langues: | Anglais |
| Catégories : | |
| Résumé : |
"Diabetes self-management education and support enhance self-efficacy and promote self-management behaviors essential for diabetes management. We investigated the mediating effect of self-efficacy on the association between diabetes education or care coordination and self-care activities. We surveyed a population-based sample of adults with type 2 diabetes (19–64 years of age) covered by Alabama Medicaid. We examined whether receipt of diabetes education or care coordination were associated with improvements in diabetes self-care activities. We then examined if improvements were mediated by self-efficacy. Models were adjusted for age, gender, race, education, insulin use, diabetes duration, and depressive symptoms.
Results A total of 1,318 participants were included in the study (mean age = 52.9 years, SD = 9.6; 72.5% female, 56.4% Black, 3.1% Hispanic). Diabetes education was associated with increases in self-care activity scores related to general diet, physical activity, glucose self-monitoring, and foot care; care coordination was associated with glucose self-monitoring. In addition, mediation analysis models confirmed that improvements in self-efficacy led to improved self-care activities scores, mediating the association of diabetes education and self-care activities. Conclusions Diabetes education and self-efficacy were associated with better self-care. Receiving diabetes education led to a higher likelihood of engaging in self-care activities, driven in part by increases in self-efficacy. Future interventions that aim to improve diabetes self-management behaviors can benefit from targeting self-efficacy constructs and from the integration of diabetes education in the care coordination structure." |
| Catalogueur : | RESOdoc |
Exemplaires (1)
| Cote | Code-barres | Support | Localisation | Disponibilité |
|---|---|---|---|---|
| RESO H.08 | RE65682454 | Bulletin | RESOdoc | Consultation sur place Disponible |
