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Validation of an Information-Motivation-Behavioral Skills model of diabetes self-care (IMB-DSC). Patient Educ Couns 2010 Apr;79(1):49-54 PMID: 19699601 PMCID: PMC3042801

Pubmed ID





OBJECTIVE: Comprehensive behavior change frameworks are needed to provide guidance for the design, implementation, and evaluation of diabetes self-care programs in diverse populations. We applied the Information-Motivation-Behavioral Skills (IMB) model, a well-validated, comprehensive health behavior change framework, to diabetes self-care.

METHODS: Patients with diabetes were recruited from an outpatient clinic. Information gathered pertained to demographics, diabetes knowledge (information); diabetes fatalism (personal motivation); social support (social motivation); and diabetes self-care (behavior). Hemoglobin A1C values were extracted from the patient medical record. Structural equation models tested the IMB framework.

RESULTS: More diabetes knowledge (r=0.22 p<0.05), less fatalistic attitudes (r=-0.20, p<0.05), and more social support (r=0.27, p<0.01) were independent, direct predictors of diabetes self-care behavior; and through behavior, were related to glycemic control (r=-0.20, p<0.05).

CONCLUSIONS: Consistent with the IMB model, having more information (more diabetes knowledge), personal motivation (less fatalistic attitudes), and social motivation (more social support) was associated with behavior; and behavior was the sole predictor of glycemic control.

PRACTICE IMPLICATIONS: The IMB model is an appropriate, comprehensive health behavior change framework for diabetes self-care. The findings indicate that in addition to knowledge, diabetes education programs should target personal and social motivation to effect behavior change.

Author List

Osborn CY, Egede LE


Leonard E. Egede MD Center Director, Chief, Professor in the Medicine department at Medical College of Wisconsin


2-s2.0-77649272656   71 Citations

MESH terms used to index this publication - Major topics in bold

Blood Glucose
Confidence Intervals
Diabetes Mellitus, Type 2
Glycated Hemoglobin A
Health Behavior
Health Education
Health Knowledge, Attitudes, Practice
Middle Aged
Models, Educational
Models, Psychological
Patient Education as Topic
Qualitative Research
Self Care
Social Support
Statistics as Topic
Surveys and Questionnaires
United States
Young Adult
jenkins-FCD Prod-353 9ccd8489072cb19f5b9f808bb23ed672c582f41e