Faculty Collaboration Database

Effect of diabetes self-efficacy on glycemic control, medication adherence, self-care behaviors, and quality of life in a predominantly low-income, minority population. Ethn Dis 2014;24(3):349-55

Date

07/30/2014

Pubmed ID

25065078

Pubmed Central ID

PMC7394238

Scopus ID

2-s2.0-84904025267 (requires institutional sign-in at Scopus site)   90 Citations

Abstract

OBJECTIVE: This study examined the effect of self-efficacy on glycemic control, self-care behaviors, and quality of life in low-income, minority adults with diabetes.

METHODS: Data on 378 participants were examined. Multiple linear regression assessed associations between self-efficacy, hemoglobin A1c, medication adherence, diabetes knowledge, self-care behaviors and quality of life.

RESULTS: Self-efficacy had modest correlations with glycemic control (r = -.250, P < .001), medication adherence (r = -.352, P < .001), diabetes knowledge (r = .118, P = .039), diet (r = .420, P < .001), exercise (r = .220, P < .001), blood sugar testing (r = .213, P < .001), foot care (r = .121, P = .032), and mental health related quality of life (r = .137, P = .017). In the regression model, self-efficacy was significantly associated with glycemic control (3 = -.104, 95% CI: -.157, -.051), medication adherence (3 = -.067, 95% CI: -.090, -.044), diet (3 = .150, 95% CI: .108, .191), exercise (-3 = 113, 95% CI: .065, .161), blood sugar testing (3 = .107, 95% CI: .049, .164) and mental health related quality of life (3 = .112, 95% CI: .051, .173).

CONCLUSION: Higher self-efficacy was associated with improved glycemic control, medication adherence, self-care behavior and mental health related quality of life.

PRACTICE IMPLICATIONS: Emphasis on self-efficacy is relevant for educational interventions developed for low-income, minority populations.

Author List

Walker RJ, Smalls BL, Hernandez-Tejada MA, Campbell JA, Egede LE

Authors

Jennifer Annette Campbell PhD, MPH Assistant Professor in the Medicine department at Medical College of Wisconsin
Leonard E. Egede MD Center Director, Chief, Professor in the Medicine department at Medical College of Wisconsin
Rebekah Walker PhD Associate Professor in the Medicine department at Medical College of Wisconsin

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

Adolescent
Adult
Aged
Diabetes Mellitus, Type 2
Female
Health Knowledge, Attitudes, Practice
Humans
Male
Medication Adherence
Middle Aged
Minority Groups
Poverty
Quality of Life
Self Care
Self Efficacy
Young Adult