Relationships among self-care agency, self-efficacy, self-care, and glycemic control
Abstract
Costly complications of diabetes often arise from poor glycemic control. Appropriate diabetes self-care management may improve control. This study examined whether self-care management affects glycemic control and mediates relationships between self-efficacy and self-care agency with glycemic control. In a cross-sectional correlational design, data from a prior study of 141 insulin-requiring adults with type 1 or type 2 diabetes were examined using descriptive statistics, Pearson's correlation, and multiple hierarchical regression. Findings indicated that greater self-care agency and self-efficacy lead to greater self-care management, in turn leading to better glycemic control. Self-care management did not mediate between self-efficacy or self-care agency and glycemic control. Thus, beliefs or capabilities for self-care are insufficient to improve glycemic control; doing so requires self-care management.
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Among people with diabetes, positive psychological attributes like optimism and positive affect correlate with better medical results, such as improved glucose control and reduced mortality.
“In patients with diabetes, psychological well-being constructs (e.g., optimism, positive affect) have been associated with superior medical outcomes, including better glucose control and lower mortality rates.”
From Well-being interventions for individuals with diabetes: A systematic review (2019) · cites this paper as [22]
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- Authors
- Sousa, V. D., Zauszniewski, J. A., Musil, C. M., Price Lea, P. J., & Davis, S. A.
- Affiliations
- North Carolina Agricultural and Technical State University (US)
- Venue
- Research and theory for nursing practice
- Publisher
- Springer Publishing Company
- Published
- 2005-09
- Volume
- 19
- Issue
- 3
- Pages
- 217-230
- ISSN
- 0889-7182 (ISSN-L)
- 1541-6577
- 1945-7286
- OpenAlex
- W1976935855
- Cited by
- 152
- References
- 34
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 2 · 2023: 6 · 2022: 4 · 2021: 6 · 2020: 7 · 2019: 4 · 2018: 10 · 2017: 10 · 2016: 10 · 2015: 6 · 2014: 8 · 2013: 16 · 2012: 11
- FWCI
- 2.28
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Research and theory for nursing 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
- diabetes self-care, self-care agency, self-efficacy, glycemic control, insulin-treated diabetes, type 1 diabetes, type 2 diabetes, mediation, diabetes complications
- MeSH terms
- Adult, Cross-Sectional Studies, Diabetes Mellitus, Female, Glycated Hemoglobin, Humans, Internal-External Control, Male, Middle Aged, Regression Analysis, Self Care, Multivariate Analysis, Self Efficacy
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