|
Sign In to gain access to subscriptions and/or personal tools.
|
The Impact of Barriers and Self-Efficacy on Self-Care Behaviors in Type 2 Diabetes
Layla I. Aljasem, MD, DrPH
Health Education Division, Ministry of Health, Kuwait, and the Faculty of Medicine, Department of Community Medicine, Kuwait University, Baltimore, Maryland; Health Education Department, Ministry of Health, PO Box 33437, Rawda (73455), Kuwait wlcox{at}qualitynet.net
Mark Peyrot, PhD
Center for Social and Community Research, Loyola College, Baltimore, Maryland; School of Medicine, Department of Medicine, Baltimore, Maryland
Larry Wissow, MD, MPH
Department of Pediatrics, Johns Hopkins University, Baltimore, Maryland
Richard R. Rubin, PhD
School of Medicine, Department of Medicine, Baltimore, Maryland; Department of Pediatrics, Johns Hopkins University, Baltimore, Maryland
PURPOSE
this cross-sectional, correlational study examined the relationships of diabetes-specific treatment barriers and self-efficacy with self-care behaviors.
METHODS
A total of 309 people with type 2 diabetes participated in this study. All of the factors were assessed by selfreport questionnaires. Self-care behaviors included exercise, diet, skipping medication, testing blood for glucose, adjusting insulin to avoid or correct hyperglycemia, and adjusting diet to avoid or correct hypoglycemia.
RESULTS
Perceived barriers to carrying out self-care behaviors were associated with worse diet and exercise behavior. Greater selfefficacy predicted more frequent blood glucose testing, less frequent skipping of medication and binge eating, and closer adherence to an ideal diet. Nontraditional dimensions of selfefficacy were associated with worse self-care. Self-efficacy explained 4% to 10% of the variance in diabetes self-care behaviors beyond that accounted for by patient characteristics and health beliefs about barriers.
CONCLUSIONS
The findings of this study provided support for Rosenstock's proposal that a person's self-perceived capability to carry out a behavior should be incorporated into an expanded health belief model.
The Diabetes Educator, Vol. 27, No. 3,
393-404 (2001)
DOI: 10.1177/014572170102700309
 CiteULike  Connotea  Del.icio.us  Digg  Reddit  Technorati What's this?
This article has been cited by other articles:
|
|
|
|
 
P. M. Trief, J. A. Teresi, J. P. Eimicke, S. Shea, and R. S. Weinstock
Improvement in diabetes self-efficacy and glycaemic control using telemedicine in a sample of older, ethnically diverse individuals who have diabetes: the IDEATel project
Age Ageing,
March 1, 2009;
38(2):
219 - 225.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
J. Gleeson-Kreig
Social Support and Physical Activity in Type 2 Diabetes: A Social-Ecologic Approach
The Diabetes Educator,
November 1, 2008;
34(6):
1037 - 1044.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
V. D. Sousa, J. A. Zauszniewski, R. A. Zeller, and J. B. Neese
Factor Analysis of the Appraisal of Self-care Agency Scale in American Adults With Diabetes Mellitus
The Diabetes Educator,
January 1, 2008;
34(1):
98 - 108.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
M. Peyrot and R. R. Rubin
Behavioral and Psychosocial Interventions in Diabetes: A conceptual review
Diabetes Care,
October 1, 2007;
30(10):
2433 - 2440.
[Full Text]
[PDF]
|
|
|
|
|
|
|
U. Sarkar, S. Ali, and M. A. Whooley
Self-Efficacy and Health Status in Patients With Coronary Heart Disease: Findings From the Heart and Soul Study
Psychosom Med,
May 1, 2007;
69(4):
306 - 312.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
S. A. Brown, S. A. Blozis, K. Kouzekanani, A. A. Garcia, M. Winchell, and C. L. Hanis
Health Beliefs of Mexican Americans With Type 2 Diabetes: The Starr County Border Health Initiative
The Diabetes Educator,
March 1, 2007;
33(2):
300 - 308.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
D. O. Chlebowy and B. J. Garvin
Social Support, Self-efficacy, and Outcome Expectations: Impact on Self-care Behaviors and Glycemic Control in Caucasian and African American Adults With Type 2 Diabetes.
The Diabetes Educator,
September 1, 2006;
32(5):
777 - 786.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
U. Sarkar, L. Fisher, and D. Schillinger
Is Self-Efficacy Associated With Diabetes Self-Management Across Race/Ethnicity and Health Literacy?
Diabetes Care,
April 1, 2006;
29(4):
823 - 829.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
R. Marks and J. P. Allegrante
A Review and Synthesis of Research Evidence for Self-Efficacy-Enhancing Interventions for Reducing Chronic Disability: Implications for Health Education Practice (Part II)
Health Promot Pract,
April 1, 2005;
6(2):
148 - 156.
[Abstract]
[PDF]
|
|
|
|
|
|
|
R. Marks, J. P. Allegrante, and K. Lorig
A Review and Synthesis of Research Evidence for Self-Efficacy-Enhancing Interventions for Reducing Chronic Disability: Implications for Health Education Practice (Part I)
Health Promot Pract,
January 1, 2005;
6(1):
37 - 43.
[Abstract]
[PDF]
|
|
|
|
|
|
|
L. K. Wen, M. D. Shepherd, and M. L. Parchman
Family Support, Diet, and Exercise Among Older Mexican Americans With Type 2 Diabetes
The Diabetes Educator,
November 1, 2004;
30(6):
980 - 993.
[PDF]
|
|
|
|
|
|
|
N Thomas, E Alder, and G P Leese
Barriers to physical activity in patients with diabetes
Postgrad. Med. J.,
May 1, 2004;
80(943):
287 - 291.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
K. Mulcahy, M. Maryniuk, M. Peeples, M. Peyrot, D. Tomky, T. Weaver, and P. Yarborough
Diabetes Self-Management Education Core Outcomes Measures
The Diabetes Educator,
September 1, 2003;
29(5):
768 - 803.
[PDF]
|
|
|
|
|
