The association between self-efficacy and self-management behaviors among Chinese patients with type 2 diabetes
Open accessAbstract
BACKGROUND: Self-management is the cornerstone of diabetes care, however, despite the numerous recommendations available for self-management, type-2 diabetes mellitus (T2DM) patients' performance is suboptimal in China. This study aimed to explore the association between self-efficacy and self-management behaviors among Chinese T2DM patients, which might provide evidence to inform effective self-management interventions for these patients. METHODS: A cross-sectional survey was conducted using a multi-stage stratified randomized sampling in Shandong Province, China. The Diabetes Empowerment Scale-Short Form (DES-SF) was used to measure patients' self-efficacy to manage diabetes. Latent class analysis (LCA) was used to explore the observed classes of self-management behaviors (dietary control, physical exercise, regular medication and self-monitoring of blood glucose). A two-class solution for self-management behaviors was tested to be the fittest based on LCA; we labelled active and inactive self-management groups. Univariate and multivariate logistic regression analysis were used to examine the associations between self-efficacy and self-management behaviors. RESULTS: A total of 2166 T2DM patients were included in the analysis. The mean DES-SF score was 31.9 (standard deviation: 5.2). The estimated proportions of T2DM in the active and inactive groups were 54.8% and 45.2%, respectively. The multivariate logistic regression showed that higher DES-SF score was significantly associated with higher possibility of active self-management behaviors (odds ratio = 1.06; 95% confidence interval: 1.04-1.08). CONCLUSIONS: Self-efficacy in managing diabetes is associated with self-management behaviors among Chinese T2DM patients. To improve self-management behaviors, multiple strategies should be conducted to improve patients' self-efficacy.
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In Chinese T2DM patients, self-efficacy can be improved by increasing self-management knowledge through training and education.
“a study involving people with T2DM in China showed that their self-efficacy could be improved by increasing their self-management knowledge through training and education [46].”
From Self-Monitoring of Blood Glucose as an Integral Part in the Management of People with Type 2 Diabetes Mellitus (2022) · cites this paper as [46]
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- Authors
- Yao, J., Wang, H., Yin, X., Yin, J., Guo, X., & Sun, Q.
- Affiliations
- Shandong University (CN)
- Jinan Central Hospital (CN)
- Shandong Center for Disease Control and Prevention (CN)
- Corresponding author
- Sun, Qiang
- Venue
- PLOS ONE
- Publisher
- Public Library of Science (PLoS)
- Published
- 2019-11-11
- Volume
- 14
- Issue
- 11
- Pages
- e0224869
- ISSN
- 1932-6203 (ISSN-L)
- PMC
- PMC6844544
- OpenAlex
- W2986521442
- Cited by
- 84
- References
- 44
- Citations by year
- 2026: 5 · 2025: 13 · 2024: 14 · 2023: 21 · 2022: 15 · 2021: 13 · 2020: 3
- FWCI
- 6.29
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- PLoS ONE (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Figshare (submittedVersion, cc-by)
- Funders
- the Natural Science Foundation of Shandong Province of China (ZR2016GQ02)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Health Professions › General Health Professions › Health and Wellbeing Research
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Keywords
- type 2 diabetes, self-efficacy, diabetes self-management, Chinese patients, dietary management, physical activity, medication adherence, self-monitoring of blood glucose
- MeSH terms
- Self-Management, Latent Class Analysis, Adult, Aged, Diabetes Mellitus, Type 2, Female, Humans, Male, Middle Aged, Probability, Logistic Models, Self Efficacy, Asian People
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