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Cited by 125Diabetes Management and EducationDiabetes Management and ResearchHealth and Wellbeing Research

Comparison of the role of self-efficacy and illness representations in relation to dietary self-care and diabetes distress in adolescents with type 1 diabetes

Nouwen, Arie, Urquhart Law, G., Hussain, Shakir, McGovern, Steven, Napier, Heidi·2009·Psychology & Health
DOI 10.1080/08870440802254597
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Abstract

This cross-sectional study examined the joint effects of self-efficacy and illness representations on dietary self-care and diabetes distress in adolescents with type 1 diabetes by comparing two theoretical models: the Self-regulation Model (Leventhal, H., Meyer, D., & Nerenz, D. (1980). The common-sense representations of illness danger. In S. Rachman (Ed.), Medical Psychology (Vol. 2, pp. 7-30). New York: Pergamon.) and Social Cognitive Theory (Bandura, A. (1997). Self efficacy: The exercise of control. New York: W.H. Freeman.). One hundred and fifty-one adolescents with type 1 diabetes completed self-report measures of dietary self-efficacy, illness representations, dietary self-care and diabetes distress. Data were analysed using structural equation modelling. The model best supported by the data (Leventhal's Self-regulation Model) showed that dietary self-efficacy, perceived consequences and treatment effectiveness had direct and independent effects on both dietary self-care and diabetes distress. Together with dietary self-efficacy, perceived short-term treatment effectiveness was a significant predictor of dietary self-care. Age was found to be a negative predictor of short-term treatment effectiveness beliefs. Diabetes distress was best predicted by self-efficacy and perceived consequences. It can be concluded that to target effectively dietary self-care and distress, clinicians should focus on key illness representation variables (perceived short-term treatment effectiveness and perceived consequences) in conjunction with self-efficacy.

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  • Self-efficacy for diabetes self-management is an important psychosocial factor linked to better self-management and treatment outcomes.

    “Patient perceptions about their own ability, or self-efficacy, to self-manage diabetes are one important psychosocial factor related to improved diabetes self-management and treatment outcomes in diabetes (22–26) and should be a target of ongoing assessment and treatment planning.”

    From Psychosocial care for people with diabetes: a position statement of the American Diabetes Association (2016) · cites this paper as [24]

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Authors
Nouwen, A., Urquhart Law, G., Hussain, S., McGovern, S., & Napier, H.
Affiliations
  • University of Birmingham (GB)
  • University of Birmingham
  • University of Warwick (GB)
Corresponding author
Nouwen, Arie
ORCID
Venue
Psychology & Health
Publisher
Informa UK Limited
Published
2009-10-27
Volume
24
Issue
9
Pages
1071-1084
ISSN
  • 0887-0446 (ISSN-L)
  • 1476-8321
DOI
10.1080/08870440802254597
OpenAlex
W2150970718
Cited by
125
References
59
Citations by year
2026: 1 · 2025: 3 · 2024: 4 · 2023: 6 · 2022: 6 · 2021: 11 · 2020: 5 · 2019: 7 · 2018: 10 · 2017: 11 · 2016: 11 · 2015: 13 · 2014: 9 · 2013: 14 · 2012: 5
FWCI
2.18
Type
journal article
Language
en
Open access
closed
Locations
  • Psychology and Health (publishedVersion)
  • PubMed (publishedVersion)
  • University of Birmingham Research Portal (University of Birmingham) (submittedVersion)
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 1 diabetes, adolescents, self-efficacy, illness representations, dietary self-care, diabetes distress, self-regulation model, social cognitive theory, perceived consequences, perceived treatment effectiveness, age differences
MeSH terms
Adolescent, Child, Cross-Sectional Studies, Diabetes Mellitus, Type 1, Female, United Kingdom, Humans, Male, Surveys and Questionnaires, Self Care, Stress, Psychological, Self Efficacy

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