The importance of measuring self-efficacy in patients with diabetes
Abstract
OBJECTIVES: Self-efficacy is an important factor influencing diabetes self-management behaviours. Previous studies have examined self-efficacy as a general measure in diabetes care for all self-care treatment recommendations together. This current study was designed to examine if low self-efficacy in each of the measured self-care treatment recommendations is related to decreased adherence for each specific recommendation. METHODS: The self-efficacy was measured in 119 patients for four different treatment recommendations: blood glucose self-monitoring, exercise, diet and oral medication intake and correlated with The Resistance to Treatment Questionnaire. RESULTS: Significant and positive Pearson's correlations were found between the frequency of adherence to treatment recommendations and the self-efficacy regarding different recommendations. The correlation between self-efficacy and diet and physical activity was 0.5 and 0.67, respectively. The higher the resistance to treatment score, the less confident the patient is in his or her ability to adhere with treatment recommendations. This pattern was not present in adherence to medication intake. CONCLUSIONS: Self-efficacy impacts adherence to treatment and therefore plays a role in the clinical outcome. The practical implication is that assessment of self-efficacy in people with diabetes may be a first step in the development of individually tailored interventions.
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Confidence in one's ability to pursue goals affects how well people adhere to medication across many long-term illnesses.
“Self-efficacy or confidence in one’s ability to successfully engage in goal-directed behavior has been shown to influence medication adherence across many chronic illnesses.”
From Reliability and validity of a self‐efficacy instrument for hepatitis C antiviral treatment regimens (2012) · cites this paper as [24]
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- Authors
- Mishali, M., Omer, H., & Heymann, A. D.
- Affiliations
- Tel Aviv University (IL)
- Corresponding author
- Heymann, A. D.
- Venue
- Family Practice
- Publisher
- Oxford University Press (OUP)
- Published
- 2010-11-03
- Volume
- 28
- Issue
- 1
- Pages
- 82-87
- ISSN
- 0263-2136 (ISSN-L)
- 1460-2229
- OpenAlex
- W2118119249
- Cited by
- 133
- References
- 28
- Citations by year
- 2026: 2 · 2025: 6 · 2024: 6 · 2023: 5 · 2022: 10 · 2021: 10 · 2020: 7 · 2019: 8 · 2018: 10 · 2017: 15 · 2016: 11 · 2015: 8 · 2014: 14 · 2013: 11 · 2012: 5
- FWCI
- 5.07
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Family Practice (publishedVersion)
- PubMed (publishedVersion)
- HighWire Press Open Archive (submittedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Medicine › Family Practice › Medication Adherence and Compliance
- Health Sciences › Health Professions › General Health Professions › Health and Wellbeing Research
- Keywords
- self-efficacy, diabetes mellitus, medication adherence, diabetes self-management, self-monitoring of blood glucose, physical activity, diet, treatment resistance, personalized interventions
- MeSH terms
- Diabetes Mellitus, Diet, Diabetic, Female, Humans, Israel, Male, Middle Aged, Patient Compliance, Self Care, Blood Glucose Self-Monitoring, Exercise, Self Efficacy
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