Self-efficacy, problem solving, and social-environmental support are associated with diabetes self-management behaviors
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OBJECTIVE: To evaluate associations between psychosocial and social-environmental variables and diabetes self-management, and diabetes control. RESEARCH DESIGN AND METHODS: Baseline data from a type 2 diabetes self-management randomized trial with 463 adults having elevated BMI (M = 34.8 kg/m2) were used to investigate relations among demographic, psychosocial, and social-environmental variables; dietary, exercise, and medication-taking behaviors; and biologic outcomes. RESULTS: Self-efficacy, problem solving, and social-environmental support were independently associated with diet and exercise, increasing the variance accounted for by 23 and 19%, respectively. Only diet contributed to explained variance in BMI (β = −0.17, P = 0.0003) and self-rated health status (β = 0.25, P < 0.0001); and only medication-taking behaviors contributed to lipid ratio (total–to–HDL) (β = −0.20, P = 0.0001) and A1C (β = −0.21, P < 0.0001). CONCLUSIONS: Interventions should focus on enhancing self-efficacy, problem solving, and social-environmental support to improve self-management of diabetes.
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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 [23]
Suboptimal self-management can result from functional limitations, insufficient diabetes education, forgetting and disrupted routines, or psychosocial barriers such as inadequate social support, misinformation, emotional distress, or poor problem-solving and coping skills.
“Suboptimal self-management may be due to functional limitations (e.g., blindness, problems with dexterity, low health literacy and numeracy), lack of appropriate diabetes education, forgetting and disruption in routines,”
From Psychosocial care for people with diabetes: a position statement of the American Diabetes Association (2016) · cites this paper as [23]
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What patients want: relevant health information technology for diabetes self-management
King, D. K., Toobert, D. J., Portz, J. D., Strycker, L. A., Doty, A. T., Martín, C. F., Boggs, J. M., Faber, A. J., Geno, C. R., & Glasgow, R. E. (2012) · Health and Technology · doi:10.1007/s12553-012-0022-7 · Cited by 39 · see citing works
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- Authors
- King, D. K., Glasgow, R. E., Toobert, D. J., Strycker, L. A., Estabrooks, P. A., Osuna, D., & Faber, A. J.
- Affiliations
- Kaiser Permanente (US)
- Oregon Research Institute (US)
- Virginia Tech (US)
- Corresponding author
- King, Diane K.
- Venue
- Diabetes Care
- Publisher
- American Diabetes Association
- Published
- 2010-04-01
- Volume
- 33
- Issue
- 4
- Pages
- 751-753
- ISSN
- 0149-5992 (ISSN-L)
- 1935-5548
- PMC
- PMC2845021
- OpenAlex
- W2164335245
- Cited by
- 369
- References
- 14
- Citations by year
- 2026: 9 · 2025: 12 · 2024: 13 · 2023: 17 · 2022: 26 · 2021: 29 · 2020: 28 · 2019: 29 · 2018: 32 · 2017: 27 · 2016: 28 · 2015: 27 · 2014: 22 · 2013: 27 · 2012: 24
- FWCI
- 16.80
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Diabetes Care (publishedVersion, cc-by-nc-nd)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Funders
- National Institute of Diabetes and Digestive and Kidney Diseases (R01DK035524)
- 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, diabetes self-management, self-efficacy, problem solving, psychosocial factors, dietary behavior, physical activity, medication adherence, glycemic control, HbA1c, body mass index, self-rated health, lipid ratios
- MeSH terms
- Diabetes Mellitus, Female, Humans, Male, Middle Aged, Problem Solving, Self Care, Social Support, Health Behavior, Exercise, Self Efficacy
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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