Self-efficacy, self-care and glycemic control in Saudi Arabian patients with type 2 diabetes mellitus: A cross-sectional survey
Abstract
Aims To determine the prevalence of diabetes self-care activities among type 2 diabetes patients and examine the association between socio-demographic and clinical parameters, diabetes self-care activities, and glycemic control among type 2 diabetes patients. Methods A cross sectional study was conducted among patients with diabetes (n = 123) at the Sultan Bin Abdulaziz Humanitarian City (SBAHC). A regression model was used to examine the variables that predicted glycemic control. Moreover, a regression analysis examining the effect of each self-efficacy subscale on its respective diabetes self -management (DSM) behavior was carried out. Results The most frequently reported DSM behaviors were foot care followed by medication taking self-management behavior. The least frequently reported DSM behaviors were exercise self-management behavior and blood sugar testing behavior. Self-efficacy was associated with higher levels of diet, exercise, blood sugar testing, and medication taking self-management behaviors. Diet self-management behaviors and oral hypoglycemic agents (OHA) use were significantly independent predictors of glycemic control HbA1c Conclusions The findings can serve to help clinicians have a better understanding on the extent to which different self-efficacy parameters have an influence on self-management behaviors, which will in turn lead to better glycemic control and thus improved HbA1c levels.
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Poor self-care activities are linked with poor glycemic control, high risk of complications, frequent hospital admissions, and impaired quality of life.
“Poor selfcare activities have been linked with poor glycemic control, high risk of diversifying complications, frequent hospital admissions, and impaired quality of life (Saad et al., 2018).”
From Effectiveness of acceptance and commitment therapy in people with type 2 diabetes mellitus: A systematic review and meta‐analysis. (2024) · cites this paper as Saad et al., 2018
Cites
Self-efficacy: The exercise of control
Bandura, A., Freeman, W. H., & Lightsey, R. (1999) · Journal of Cognitive Psychotherapy · doi:10.1891/0889-8391.13.2.158 · Cited by 46,835 · see citing works
Self-efficacy: Toward a unifying theory of behavioral change
Bandura, A. (1977) · Psychological Review · doi:10.1037/0033-295x.84.2.191 · Cited by 43,925 · see citing works
Self-efficacy: the exercise of control
(1997) · Choice Reviews Online · doi:10.5860/choice.35-1826 · Cited by 24,409 · see citing works
Wild, S., Roglic, G., Green, A., Sicree, R., & King, H. (2004) · Diabetes Care · doi:10.2337/diacare.27.5.1047 · Cited by 15,297 · see citing works
Diagnosis and Classification of Diabetes Mellitus
American Diabetes Association (2010) · Diabetes Care · doi:10.2337/dc11-s062 · Cited by 14,019 · see citing works
Self-efficacy: Toward a unifying theory of behavioral change
Bandura, A. (1978) · Advances in Behaviour Research and Therapy · doi:10.1016/0146-6402(78)90002-4 · Cited by 10,586 · see citing works
Stratton, I. M. (2000) · BMJ · doi:10.1136/bmj.321.7258.405 · Cited by 9,059 · see citing works
Self-management education: History, definition, outcomes, and mechanisms
Lorig, K. R., & Holman, H. R. (2003) · Annals of Behavioral Medicine · doi:10.1207/s15324796abm2601_01 · Cited by 4,094 · see citing works
The summary of diabetes self-care activities measure: results from 7 studies and a revised scale.
Toobert, D. J., Hampson, S. E., & Glasgow, R. E. (2000) · Diabetes Care · doi:10.2337/diacare.23.7.943 · Cited by 2,561 · see citing works
Effectiveness of Self-Management Training in Type 2 Diabetes
Norris, S. L., Engelgau, M. M., & Venkat Narayan, K. M. (2001) · Diabetes Care · doi:10.2337/diacare.24.3.561 · Cited by 1,846 · see citing works
Steinsbekk, A., Rygg, L., Lisulo, M., Rise, M. B., & Fretheim, A. (2012) · BMC Health Services Research · doi:10.1186/1472-6963-12-213 · Cited by 660 · see citing works
Diagnosis and Classification of Diabetes Mellitus
American Diabetes Association (2006) · Diabetes Care · doi:10.2337/dc07-s042 · Cited by 574 · see citing works
Prevalence of Diabetes Mellitus in a Saudicommunity
Alqurashi, K. A., Aljabri, K. S., & Bokhari, S. (2011) · Annals of Saudi Medicine · doi:10.4103/0256-4947.75773 · Cited by 422 · see citing works
van der Bijl, J., van Poelgeest‐Eeltink, A., & Shortridge‐Baggett, L. M. (1999) · Journal of Advanced Nursing · doi:10.1046/j.1365-2648.1999.01077.x · Cited by 386 · see citing works
Changes in Diabetes Self-Care Behaviors Make a Difference in Glycemic Control
Jones, H., Edwards, L., Vallis, M., Ruggiero, L., Rossi, S. R., Rossi, J. S., Greene, G. W., Prochaska, J. O., & Zinman, B. (2003) · Diabetes Care · doi:10.2337/diacare.26.3.732 · Cited by 311 · see citing works
Self-efficacy, self-management, and glycemic control in adults with type 2 diabetes mellitus
Al-Khawaldeh, O. A., Al-Hassan, M. A., & Froelicher, E. S. (2012) · Journal of Diabetes and its Complications · doi:10.1016/j.jdiacomp.2011.11.002 · Cited by 307 · see citing works
Gao, J., Wang, J., Zheng, P., Haardörfer, R., Kegler, M. C., Zhu, Y., & Fu, H. (2013) · BMC Family Practice · doi:10.1186/1471-2296-14-66 · Cited by 257 · see citing works
Delahanty, L. M., & Halford, B. N. (1993) · Diabetes Care · doi:10.2337/diacare.16.11.1453 · Cited by 246 · see citing works
Grant, R. W., Adams, A. S., Trinacty, C. M., Zhang, F., KLEINMAN, K. P., Soumerai, S. B., Meigs, J. B., & Ross‐Degnan, D. (2007) · Diabetes Care · doi:10.2337/dc06-2170 · Cited by 218 · see citing works
Kassahun, T., Gesesew, H. A., Mwanri, L., & Eshetie, T. C. (2016) · BMC Endocrine Disorders · doi:10.1186/s12902-016-0114-x · Cited by 199 · see citing works
Self-efficacy impacts self-care and HbA1c in young adults with Type I diabetes
Johnston-Brooks, C. H., Lewis, M. A., & Garg, S. (2002) · Psychosomatic Medicine · doi:10.1097/00006842-200201000-00007 · Cited by 196 · see citing works
Heisler, M., Smith, D. M., Hayward, R. A., Krein, S. L., & Kerr, E. A. (2003) · Diabetes Care · doi:10.2337/diacare.26.3.738 · Cited by 180 · see citing works
Relationships among self-care agency, self-efficacy, self-care, and glycemic control
Sousa, V. D., Zauszniewski, J. A., Musil, C. M., Price Lea, P. J., & Davis, S. A. (2005) · Research and theory for nursing practice · doi:10.1891/rtnp.2005.19.3.217 · Cited by 152 · see citing works
Diabetes Empowerment, Medication Adherence and Self-Care Behaviors in Adults with Type 2 Diabetes
Hernandez‐Tejada, M. A., Campbell, J. A., Walker, R. J., Smalls, B. L., Davis, K. S., & Egede, L. E. (2012) · Diabetes Technology & Therapeutics · doi:10.1089/dia.2011.0287 · Cited by 145 · see citing works
(2014) · PubMed · Cited by 120 · see citing works
Factors Influencing Disease Self-Management Among Veterans with Diabetes and Poor Glycemic Control
Nelson, K. M., McFarland, L., & Reiber, G. (2007) · Journal of General Internal Medicine · doi:10.1007/s11606-006-0053-8 · Cited by 112 · see citing works
Preparing nurses to face the pandemic of diabetes mellitus: a literature review
Hjelm, K., Mufunda, E., Nambozi, G., & Kemp, J. (2003) · Journal of Advanced Nursing · doi:10.1046/j.1365-2648.2003.02548.x · Cited by 103 · see citing works
Self‐efficacy, outcome expectations and self‐care behaviour in people with type 2 diabetes in Taiwan
Wu, S. V., Courtney, M. D., Edwards, H. E., McDowell, J., Shortridge‐Baggett, L. M., & Chang, P. (2007) · Journal of Clinical Nursing · doi:10.1111/j.1365-2702.2006.01930.x · Cited by 101 · see citing works
Kaşıkçı, M., van der Bijl, J. J., Shortridge‐Baggett, L. M., Aştı, T. A., & Ergüney, S. (2005) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2005.07.008 · Cited by 97 · see citing works
Abubakari, A., Cousins, R., Thomas, C., Sharma, D., & Naderali, E. K. (2015) · Journal of Diabetes Research · doi:10.1155/2016/6708164 · Cited by 90 · see citing works
Testing a Conceptual Framework for Diabetes Self-Care Management
Sousa, V. D., Zauszniewski, J. A., Musil, C. M., McDonald, P. E., & Milligan, S. E. (2004) · Research and theory for nursing practice · doi:10.1891/rtnp.18.4.293.64089 · Cited by 73 · see citing works
Nyunt, S. W., Howteerakul, N., Suwannapong, N., & Rajatanun, T. (2010) · PubMed · Cited by 46 · see citing works
Diabetes self‐efficacy and self‐care behaviour of Chinese patients living in Shanghai
Wang, J., & Shiu, A. T. (2004) · Journal of Clinical Nursing · doi:10.1111/j.1365-2702.2004.00918.x · Cited by 38 · see citing works
Self-management in African American Women With Diabetes
Montague, M. C., Nichols, S. A., & Dutta, A. P. (2005) · The Science of Diabetes Self-Management and Care · doi:10.1177/0145721705280414 · Cited by 35 · see citing works
Evaluation of self-care practices and relative components among type 2 diabetic patients
Shojaeezadeh, D., Tol, A., Sharifirad, G., Eslami, A. A., Mohajeritehrani, M., & Baghbanian, A. (2012) · Journal of Education and Health Promotion · doi:10.4103/2277-9531.99219 · Cited by 25 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Diabetes Mellitus in Saudi Arabia
Dawish, M. A. A., & Robert, A. A. (2019) · Springer eBooks · doi:10.1007/978-3-319-74365-3_45-1 · Cited by 447 · see citing works
Diabetes Mellitus in Saudi Arabia
Dawish, M. A. A., & Robert, A. A. (2021) · Springer eBooks · doi:10.1007/978-3-030-36811-1_45 · Cited by 147 · see citing works
Ahmad, H. F., Mukhtar, H., Alaqail, H., Seliaman, M. E., & Alhumam, A. (2021) · Applied Sciences · doi:10.3390/app11031173 · Cited by 105 · see citing works
“Many studies conducted to address the rapid growth of Diabetes Mellitus have either the objective to quantify the status of diabetics in the country [3,5], identifying the most frequently performed self-care behaviors [6], identifying factors related to diabetes control [7], or apply mathematical [8] or machine learni…”
BackgroundSelf-Care in Adults with Type 2 Diabetes Mellitus: A Systematic Review
da Rocha, R. B., da Silva, C. S., & Cardoso, V. S. (2019) · Current Diabetes Reviews · doi:10.2174/1573399815666190702161849 · Cited by 104 · see citing works
Self-Management Behaviors, Glycemic Control, and Metabolic Syndrome in Type 2 Diabetes
Ji, M., Ren, D., Dunbar‐Jacob, J. M., Gary‐Webb, T. L., & Erlen, J. A. (2019) · Nursing Research · doi:10.1097/nnr.0000000000000401 · Cited by 74 · see citing works
Alkhormi, A. H., Mahfouz, M. S., Alshahrani, N. Z., Hummadi, A. A., Hakami, W. A., Alattas, D. H., Alhafaf, H., Kardly, L. E., & Mashhoor, M. A. (2022) · Medicina · doi:10.3390/medicina58050675 · Cited by 51 · see citing works
Bahari, G., Scafide, K. N., Krall, J. R., Mallinson, R. K., & Weinstein, A. A. (2019) · International Journal of Nursing Practice · doi:10.1111/ijn.12785 · Cited by 46 · see citing works
Kong, L., Hu, P. F., Yang, L., & Cui, D. (2018) · Journal of Advanced Nursing · doi:10.1111/jan.13870 · Cited by 40 · see citing works
“…has been found to be associated with better diabetes self-care practices in diet, exercise, medication adherence, blood glucose testing and foot care and improved glycemic control and quality of life (Devarajooh and Chinna, 2017; Lin et al., 2017; Saad et al., 2018; Walker et al., 2014).”
Zeidi, I. M., Morshedi, H., & Otaghvar, H. A. (2020) · PubMed Central · doi:10.15167/2421-4248/jpmh2020.61.4.1504 · Cited by 36 · see citing works
“Previous studies have reported a significant and positive correlation between patients’ level of health literacy and PBC and identified health literacy as the predictor of PBC [48, 49, 56].”
BackgroundInfluentialAlodhayani, A. A., Almutairi, K. M., Vinluan, J. M., Almigbal, T. H., Alonazi, W. B., Batais, M. A., & Alnassar, M. M. (2021) · Saudi Journal of Biological Sciences · doi:10.1016/j.sjbs.2021.01.047 · Cited by 40 · see citing works
Impact of Diabetes-related Self-management on Glycemic Control in Type II Diabetes Mellitus
Sayeed, K. A., Qayyum, A., Jamshed, F., Gill, U., Usama, S. M., Asghar, K., & Tahir, A. (2020) · Cureus · doi:10.7759/cureus.7845 · Cited by 32 · see citing works
Al-ma’aitah, O. H., Demant, D., Jakimowicz, S., & Perry, L. (2022) · Journal of Advanced Nursing · doi:10.1111/jan.15255 · Cited by 27 · see citing works
Alsuliman, M., Al-Otaibi, S. A., Zhang, Q., & Durgampudi, P. K. (2020) · Diabetes/Metabolism Research and Reviews · doi:10.1002/dmrr.3395 · Cited by 25 · see citing works
Association between self-care management and life satisfaction in patients with diabetes mellitus
Tuncay, F. Ö., & Avcı, D. (2020) · European Journal of Integrative Medicine · doi:10.1016/j.eujim.2020.101099 · Cited by 24 · see citing works
RETRACTED ARTICLE: Permutation feature importance-based fusion techniques for diabetes prediction
Nirmalraj, S., Antony, A. S. M., Srideviponmalar, P., Oliver, A. S., Velmurugan, K. J., Elanangai, V., & Nagarajan, G. (2023) · Soft Computing · doi:10.1007/s00500-023-08041-y · Cited by 24 · see citing works
RetractedAlmeida, M., Sousa, M. R., & Loureiro, H. (2019) · Portuguese National Funding Agency for Science, Research and Technology (RCAAP Project by FCT) · Cited by 23 · see citing works
Asheq, A., Ashames, A., Al-Tabakha, M. M., Hassan, N. A. G. M., & Jairoun, A. A. (2021) · F1000Research · doi:10.12688/f1000research.51729.2 · Cited by 23 · see citing works
Alyami, M. M., Serlachius, A. S., Mokhtar, I., & Broadbent, E. (2020) · Health Psychology and Behavioral Medicine · doi:10.1080/21642850.2020.1805322 · Cited by 22 · see citing works
“Non-adherence to self-care behaviours is a major concern in Saudi Arabia given the high prevalence of T2D (Robert & Al Dawish, 2020; Saad et al., 2018).”
BackgroundResultInfluentialFactors Related to Self-care in Patients with Type 2 Diabetes
Kong, S.-Y., & Cho, M. (2020) · The Open Nursing Journal · doi:10.2174/1874434602014010064 · Cited by 21 · see citing works
Esfarjani, S. V., Naghizadeh, E., Albokordi, M., Zakerkish, M., & Araban, M. (2022) · Archives of Public Health · doi:10.1186/s13690-022-00957-5 · Cited by 20 · see citing works
“In another similar study by Ahmad et al. in Saudi Arabia [33], self-efficacy significantly predicted the selfmanagement of some behaviors.”
BackgroundInfluentialA novel multistage ensemble approach for prediction and classification of diabetes
Simaiya, S., Kaur, R., Sandhu, J. K., Alsafyani, M., Alroobaea, R., Alsekait, D. M., Margala, M., & Chakrabarti, P. (2022) · Frontiers in Physiology · doi:10.3389/fphys.2022.1085240 · Cited by 18 · see citing works
Jiang, R., Ta, X., Xu, M. Q., Luo, Z., Du, Y., Zhong, X., Pan, T., & Cao, X. (2023) · Psychology Research and Behavior Management · doi:10.2147/prbm.s396916 · Cited by 19 · see citing works
“Social cognitive theory considered that individual’s belief of self-efficacy determines whether coping behavior will be initiated, how much effort will be expended, and how long it will be sustained in the face of obstacles and aversive experiences.(11) Consistent with this assumption, the participants with higher sel…”
ResultAlmutairi, N., Gopaldasani, V., & Hosseinzadeh, H. (2023) · American Journal of Health Promotion · doi:10.1177/08901171231224889 · Cited by 14 · see citing works
Zhang, Q., Sun, J., Bian, H., Wang, X., Zhang, C., Dong, K., Shen, C., & Liu, T. (2024) · BMC Psychology · doi:10.1186/s40359-024-01939-8 · Cited by 12 · see citing works
“In terms of understanding the disease, the perception of the disease is low, coupled with a negative attitude towards it and a lack of compliance, which results in inappropriate glycemic control and hinders the treatment and recovery of type 2 diabetes mellitus [13].”
BackgroundTEMPO DE CONTATO COM INTERVENÇÕES EDUCATIVAS E AUTOCUIDADO DE PESSOAS COM DIABETES MELLITUS
Silva, Á. L. D. D. A., das Neves, E. L. F., de Lucena, J. G. S., Neta, M. S. D. O., de Azevedo, T. F., Nunes, W. D. B., & de Andrade, L. L. (2021) · Cogitare Enfermagem · doi:10.5380/ce.v26i0.72588 · Cited by 12 · see citing works
“El análisis demostró crecimiento en las puntuaciones de autocuidado entre el momento inicial (4,15) y el momento final (4,81), con significancia estadística (p<0,001).”
BackgroundDietary patterns among Saudis with type 2 diabetes mellitus in Riyadh: A cross-sectional study
Aljahdali, A., & Bawazeer, N. M. (2022) · PLoS ONE · doi:10.1371/journal.pone.0267977 · Cited by 13 · see citing works
“Furthermore, it is necessary to involve the patients themselves in the management plan to increase their awareness, as self-efficacy is positively associated with T2DM-related self-care behaviors [38, 39].”
BackgroundWang, M., Liu, Q., Zhu, Z., Guo, X., Hu, X., & Cheng, L. (2024) · Worldviews on Evidence-Based Nursing · doi:10.1111/wvn.12719 · Cited by 12 · see citing works
The psychometric properties of the Diabetes Self‐Efficacy Scale in Saudis with type 2 diabetes
Kerari, A. (2023) · Nursing Open · doi:10.1002/nop2.1890 · Cited by 10 · see citing works
Conhecimento e Autoeficácia em Indivíduos com Diabetes Mellitus tipo 2
Bezerra, K. M. G., Borba, A. K. D. O. T., Marques, A. P. D. O., Carvalho, Q. G. D. S., Santos, A. H. D. S., & Cavalcanti, B. R. V. D. S. (2023) · Enfermería Global · doi:10.6018/eglobal.553591 · Cited by 11 · see citing works
Poor Compliance of Diabetic Patients with AI-Enabled E-Health Self-Care Management in Saudi Arabia
Alanazi, F., Gay, V. C., & Alturki, R. (2022) · Information · doi:10.3390/info13110509 · Cited by 10 · see citing works
Almeida, M., Sousa, M. R., & Loureiro, H. (2019) · Revista de Enfermagem Referência · doi:10.12707/riv19037 · Cited by 26 · see citing works
Chin, Y., Huang, T., Yu, H., Yang, H., & Hsu, B. R. (2021) · International Journal of Nursing Practice · doi:10.1111/ijn.12950 · Cited by 9 · see citing works
Heise, M., Fink, A. M., Baumert, J. J., Heidemann, C., Du, Y., Frese, T., & Carmienke, S. (2021) · PLoS ONE · doi:10.1371/journal.pone.0248992 · Cited by 8 · see citing works
Alshaikhi, S. A., Alfaqih, F. H., Alrashdi, A. K., Alamri, F. A., Alzubaidi, A. S., Alnashri, A. I., Alsharidi, B., Alshreef, S. M., Almantashri, A. S., Alshaikhi, O. A., et al. (2025) · BMC Endocrine Disorders · doi:10.1186/s12902-025-01894-4 · Cited by 9 · see citing works
“Existing studies often had small sample sizes or did not comprehensively assess QoL, well-being, and self-efficacy [19].”
Ayed, M. Y. A., Ababneh, A., Robert, A. A., Ahmed, R., Ghofaili, I. A., Saeed, A. H. A., & Dawish, M. A. (2023) · International Journal of Lower Extremity Wounds · doi:10.1177/15347346221148820 · Cited by 6 · see citing works
Ubaidi, B. A. A., Abdulla, K. J., Jenaidi, N. A. A., Ali, H. A., Marhoon, E. M., Matar, H. M., & Shakeeb, H. (2024) · Clinical Diabetology · doi:10.5603/cd.98550 · Cited by 6 · see citing works
“These findings agree with Saad et al. [13] where most of the participants were married (93.5%), obese (43.1%), and studied up to secondary level (32.5%).”
InfluentialAssessment of Hypertension Self-Care Behaviors and Self-Efficacy Among Men in Saudi Arabia
Bahari, G., Scafide, K. N., Weinstein, A. A., Krall, J. R., & Han, H. (2020) · Journal of Nursing Measurement · doi:10.1891/jnm-d-18-00112 · Cited by 6 · see citing works
“Self-efficacy is a person’s belief about one’s ability to exert control over one’s own motivation and behavior (Bandura, 1977); a concept which has been found to be significantly associated with health-promoting self-care behaviors (Saad et al., 2017).”
BackgroundSaltar, L., Sahar, J., & Rekawati, E. (2023) · International Journal of Current Science Research and Review · doi:10.47191/ijcsrr/v6-i2-36 · Cited by 5 · see citing works
Llera-Fábregas, A., Pérez-Ríos, N., Camacho-Monclova, D. M., Ramírez‐Vick, M., & Andriankaja, O. M. (2022) · Journal of Public Health Research · doi:10.1177/22799036221125337 · Cited by 5 · see citing works
Effect of Education and Monitoring on Level of Diabetic Patients' Self-efficacy and Health Beliefs
Arslan, S., Kılıç, M., & Toğan, M. (2021) · Kocaeli Medical Journal · doi:10.5505/ktd.2021.58672 · Cited by 5 · see citing works
“Diyabete öz-etkililik düzeyi ilişkili yapılan çalışmaların sonuçlarına bakıldığında öz-etkililik düzeyinin HbA1c yi olumlu yönde etkilediği (6,7), yüksek öz-etkililik düzeyine sahip olan bireylerin öz-bakım davranışlarını gerçekleştirmede aktif rol oynadığı, dolayısıyla glisemik kontrolü sağlamada etkin olduğu (8), ya…”
Zhao, R., Zhao, N., Wang, S., Zhang, X., Ding, B., Li, Y., Miao, W., Pan, L., & Fan, H. (2023) · Frontiers in Public Health · doi:10.3389/fpubh.2022.1084946 · Cited by 5 · see citing works
“This is in line with previous studies reporting that maintaining a healthy diet and high adherence to drug use are the most common behaviors among T2DM patients (29, 30).”
ResultChen, M., Liu, M., Pu, Y. D., Wu, J., Zhang, M., Tang, H., Kong, L., Guo, M., Zhu, K., Xie, Y., et al. (2024) · Frontiers in Public Health · doi:10.3389/fpubh.2024.1295531 · Cited by 4 · see citing works
Xu, Y.-Q., Gallagher, P., Tan, C. W. Y., Tsou, K. Y. K., Tan, D. H. Y., Ramaya, H., & Lee, J. Y.-C. (2021) · JACCP JOURNAL OF THE AMERICAN COLLEGE OF CLINICAL PHARMACY · doi:10.1002/jac5.1425 · Cited by 4 · see citing works
Hart, K. J., Kubilius, A., & Clark, M. (2023) · PLoS ONE · doi:10.1371/journal.pone.0294344 · Cited by 7 · see citing works
Mukhopadhyay, P., Biswas, A., & Biswas, G. (2023) · National Journal of Community Medicine · doi:10.55489/njcm.141220233338 · Cited by 3 · see citing works
“16 Self-management education is not given much priority in patient care in hospitals due to huge patient load and lack of physician time.”
BackgroundClinical efficacy of nutritional diet therapy on gestational diabetes mellitus.
Xu, S., Yu, Q., Mi, J., & Li, H. (2022) · PubMed Central · Cited by 3 · see citing works
Ribeiro, V. S. S., Magalhães, L. V. B., Cardoso, S. A., Rocha, K. O., Teixeira, R. B., & Lima, L. M. (2021) · Arquivos Catarinenses de Medicina · doi:10.63845/wmnsx511 · Cited by 3 · see citing works
“Isso corrobora com a hipótese levantada por outros estudos semelhantes, indicando que o autocuidado no paciente com DM2 não é necessariamente estimulado apenas através de conhecimentos básicos sobre a fisiopatologia, farmacologia e nutrição (5-9,23-26) .”
HUBUNGAN SELF-EFFICACY DENGAN TINGKAT KEPATUHAN MINUM OBAT PADA PENDERITA HIPERTENSI
Qodir, A. (2021) · Media Husada Journal Of Nursing Science · doi:10.33475/mhjns.v1i2.26 · Cited by 3 · see citing works
Mortalidade por Diabetes Mellitus no estado do Piauí entre 2009 a 2019
da Silva, F. K. S., Ibiapina, A. B., Holanda, É. C., Batista, C. L., da Silva, J. S., & de Oliveira, E. H. (2022) · Research Society and Development · doi:10.33448/rsd-v11i7.29133 · Cited by 3 · see citing works
Najjar, Y. W., Finlayson, K. J., Aljarrah, Q. M., Moosa, S., ALBashtawy, M., Alkouri, O. A., & Ababneh, A. (2024) · Current Diabetes Reviews · doi:10.2174/0115733998328984240923115409 · Cited by 2 · see citing works
Marlina, T. T., Haryani, H., & Widyawati, W. (2024) · Journal of research in nursing · doi:10.1177/17449871241276816 · Cited by 7 · see citing works
“In Saudi Arabia, self-efficacy was linked to excellent self-management behaviour regarding food, blood sugar testing, exercise and medication use (Saad et al., 2018).”
Challenges in the management of Type 2 Diabetes among native women in the United Arab Emirates
Abuelmagd, W., Afandi, B. O., Håkonsen, H., Khmidi, S., & Toverud, E. (2018) · Diabetes Research and Clinical Practice · doi:10.1016/j.diabres.2018.04.018 · Cited by 2 · see citing works
Akoit, E. E. (2023) · Gaceta Médica de Caracas · doi:10.47307/gmc.2023.131.s4.20 · Cited by 2 · see citing works
Factors related to negative self-care adherence in individuals with diabetes mellitus
Silva, Á. L. D. D. A., Santos, C. M. D. S., de Oliveira, M. V. G., Nunes, W. D. B., Nogueira, M. F., Costa, M. M. L., & de Andrade, L. L. (2021) · Rev Rene · doi:10.15253/2175-6783.20212270902 · Cited by 2 · see citing works
Saudi Consensus on Medical Nutrition Therapy for Type 2 Diabetes Mellitus
Alsheikh, A., Abulmeaty, M. M. A., Al-Othman, A. M., Bawazeer, N. M., Hamdy, O., Alsifri, S. N., & Issak, E. R. (2023) · Saudi Journal of Medicine · doi:10.36348/sjm.2023.v08i12.001 · Cited by 1 · see citing works
Alshahrani, S. A., Salem, F., harbi, S. A., Alshahrani, A. S., & AlAhmari, Y. (2024) · Journal of Family Medicine and Primary Care · doi:10.4103/jfmpc.jfmpc_1786_23 · Cited by 1 · see citing works
“However, patients’ mean perceived dietary control (DC) score was significantly associated negatively with poor glycemic control ( P = 0.005) [Table 6].”
BackgroundMethodInfluentialWei, Y., Zhang, J., Tai, X., Weng, S., Wang, Y., & Zhu, G. (2025) · Diabetes Metabolic Syndrome and Obesity · doi:10.2147/dmso.s530882 · Cited by 1 · see citing works
Health Literacy Association With Diabetes Self-care Behaviour and Glycemic Control: A Scoping Review
Ibrahim, R., & Rawi, S. B. M. (2024) · Malaysian Journal of Medicine and Health Sciences · doi:10.47836/mjmhs20.6.41 · Cited by 1 · see citing works
Shareef, O., Ramzi, Z. S., & Abdulla, R. M. (2021) · Journal of Zankoy Sulaimani - Part A · doi:10.17656/jzs.10862 · Cited by 1 · see citing works
Köbling, T., Katona, Ë., Maroda, L., Váradi, Z., Somodi, S., Páll, D., & Zrínyi, M. (2022) · Patient Preference and Adherence · doi:10.2147/ppa.s361413 · Cited by 1 · see citing works
“efficacy and eating self-efficacy was responsible for improved hemoglobin A1c (HbA1c) outcomes.(5,7,9) Oluma et al also confirmed that keeping a long-term special diet was strongly associated with increased self-efficacy beliefs.”
BackgroundDiabetes Self Management Dengan Kadar Hba1c Dan Kualitas Hidup Pasien Diabetes Melitus Tipe 2
Widiyati, R., Subiyanto, P., & Rahayu, M. H. (2023) · Cendekia Medika Jurnal Stikes Al-Ma`arif Baturaja · doi:10.52235/cendekiamedika.v8i1.207 · Cited by 1 · see citing works
Zhao, R., Zhang, X., Wang, S., Zhao, N., Li, D., & Fan, H. D. (2023) · International Journal for Equity in Health · doi:10.1186/s12939-023-02028-9 · Cited by 5 · see citing works
Magaji, H. Y., Olawumi, A. L., Ogunyele, T. T., Umar, A. I., Michael, G. C., & Grema, B. A. (2024) · Nigerian Journal of Basic and Clinical Sciences. · doi:10.4103/njbcs.njbcs_3_24 · Cited by 1 · see citing works
The Role of Diabetes-Related Self-Management in Type II Diabetes Mellitus and Impact on HbA1c
Rakhshanderou, S., Abdollahi, B., Ghaffari, M., Dorosteh, A. P., & Rakhshanderou, S. (2022) · Journal of Diabetes Metabolism and its Complications · doi:10.31487/j.jdmc.2022.01.01 · Cited by 2 · see citing works
Gender-wise Analysis of Diseases and Risk Factors in Saudi Population
Mukhtar, H., Ali, K. F., & Ahmad, H. F. (2021) · 2021 International Conference of Women in Data Science at Taif University (WiDSTaif ) · doi:10.1109/widstaif52235.2021.9430228
“[10] have identified factors in self-efficacy and self-control in diabetes mellitus in Saudi Arabia.”
BackgroundIs a Bilingual Vocal Education Program Effective on Diabetes Patients’ Self-Efficacy?
Mona, A. K. A. D., SOCOLOV, R., COVALI, R., Catalina Daniela, S. T. A. N., CRAUCIUC, E., POPOVICI, D., Cristinel Ionel, S. T. A. N., Fawzy, A. K. A. D., & SOCOLOV, D. (2023) · MAEDICA – a Journal of Clinical Medicine · doi:10.26574/maedica.2023.18.1.96
Saltar, L., Sahar, J., & Rekawati, E. (2023) · International conference on public health and well-being · doi:10.32789/publichealth.2022.1001
Self-Care Management Interventions for Type 2 Diabetes Mellitus in Saudi Arabia: A Systematic Review
Albarqi, H., Aqeli, A., Alsaadawi, M., Basubrain, M. S., Elessawi, L. R., Almutairy, F., & Alzahrani, A. (2023) · International Journal of Medical Science and Clinical Research Studies · doi:10.47191/ijmscrs/v3-i12-52
Associated Factors Related to Self-Management Behaviors among People with Type 2 Diabetes in Myanmar
Oo, A., Lininger, J., & Leelacharas, S. (2023) · Makara Journal of Health Research · doi:10.7454/msk.v27i3.1459
Ramos, E. J., Pereira, L. S. D. S., Guilarducci, M. J., Gomes, A. L., Guimarães, N. S., Cândido, F. G., Coelho, O. G. L., & Gomes, J. M. G. (2024) · HU Revista · doi:10.34019/1982-8047.2023.v49.43099
Lin, Y., Wang, L., Gao, R., Deng, Y., Xu, Y., Zheng, X. M., Zhang, J., Yao, Z., & Liu, L. (2025) · Research Square · doi:10.21203/rs.3.rs-6334182/v1
Padilla, T. V., Gaytán-Núñez, F. K., Hernández, F. V., Martínez, M. G. S., Cortes, L. R. G., Jalpa, O. J., Cortés, E. G., Calderón, J. A. T., Aguirre, E. V., Franco, E. L. G., et al. (2025) · Open Journal of Epidemiology · doi:10.4236/ojepi.2025.154055
Esferjani, S. V., Naghizadeh, E., Albokordi, M., Zakerkish, M., & Araban, M. (2022) · Figshare · doi:10.6084/m9.figshare.20887347
Zhao, R., Zhang, X., Wang, S., Zhao, N., Li, D., & Fan, H. (2024) · Figshare · doi:10.6084/m9.figshare.26629177
Kes, D., Şahin, F., & Sevencan, N. Ö. (2026) · International Journal of Diabetes in Developing Countries · doi:10.1007/s13410-026-01627-w
Almutairi, A. S., & Jahan, S. (2026) · Cureus · doi:10.7759/cureus.110932
“Exercise self-management and blood sugar testing were the two least frequently mentioned practices [15].”
Ajele, K. W., & Idemudia, E. S. (2026) · BMJ Public Health · doi:10.1136/bmjph-2024-002504 · Cited by 1 · see citing works
Wu, Y., Zhong, Y.-W., Huang, Q.-Y., Chen, W.-Z., Chen, Y., & Liu, X. (2026) · Frontiers in Endocrinology · doi:10.3389/fendo.2026.1942380
- Authors
- Saad, A. M. J., Younes, Z. M. H., Ahmed, H., Brown, J. A., Al Owesie, R. M., & Hassoun, A. A. K.
- Affiliations
- Dubai Health Authority (AE)
- Dubai Medical College (AE)
- Corresponding author
- Saad, Ahmad M.J.
- Venue
- Diabetes Research and Clinical Practice
- Publisher
- Elsevier BV
- Published
- 2018-03
- Volume
- 137
- Pages
- 28-36
- ISSN
- 0168-8227 (ISSN-L)
- OpenAlex
- W2776372788
- Cited by
- 78
- References
- 35
- Citations by year
- 2026: 4 · 2025: 4 · 2024: 11 · 2023: 18 · 2022: 12 · 2021: 14 · 2020: 7 · 2019: 6 · 2018: 2
- FWCI
- 3.24
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Diabetes Research and Clinical Practice (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Health Sciences › Health Professions › General Health Professions › Health and Wellbeing Research
- Keywords
- type 2 diabetes, diabetes self-care, self-efficacy, glycemic control, HbA1c, diabetes self-management behavior, foot care, medication adherence, blood glucose monitoring, oral antidiabetic drugs, Saudi patients
- MeSH terms
- Blood Glucose, Cross-Sectional Studies, Diabetes Mellitus, Type 2, Female, Humans, Male, Middle Aged, Surveys and Questionnaires, Saudi Arabia, Self Care, Self Efficacy
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