Association of self-efficacy and self-care with glycemic control in diabetes
Abstract
Successful daily self-management of diabetes is essential to the achievement of positive health outcomes. Basic to successful self-management of any disease is a sense of self-efficacy, or the feeling of confidence in one's self-management abilities. This study examined the association of these variables on the achievement of glycemic control, specifically A1C levels. This study used a retrospective cohort design to evaluate the predictive relationship of self-efficacy and self-care behaviors on A1C level. After Institutional Review Board approval was obtained, 60 medical records were accessed of people ≥ 18 years of age with type 1 or type 2 diabetes who were seen consecutively in a primary care practice located in an urban setting. Data analysis revealed no statistically significant relationships between global measures of self-efficacy and self-care and A1C levels. However, there were two questions from the Stanford Diabetes Self-Efficacy for Diabetes Scale found to be significantly related to A1C (P < 0.009). Those whose diabetes was well controlled were confident in selecting appropriate foods when hungry and in their ability to exercise for 15–30 minutes, four to five times per week. These findings, if replicated in future studies, may provide clinicians an opportunity to develop and test targeted self-management interventions yielding the highest probability of improved glycemic control.
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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 [25]
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- Authors
- Beckerle, C. M., & Lavin, M. A.
- Affiliations
- Saint Louis University (US)
- Venue
- Diabetes Spectrum
- Publisher
- American Diabetes Association
- Published
- 2013-08-01
- Volume
- 26
- Issue
- 3
- Pages
- 172-178
- ISSN
- 1040-9165 (ISSN-L)
- 1944-7353
- OpenAlex
- W1968655690
- Cited by
- 74
- References
- 24
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 4 · 2023: 6 · 2022: 10 · 2021: 13 · 2020: 4 · 2019: 6 · 2018: 10 · 2017: 10 · 2016: 3 · 2015: 3
- FWCI
- 1.57
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Diabetes Spectrum (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
- self-efficacy, diabetes self-care, glycemic control, HbA1c, type 1 diabetes, type 2 diabetes, diabetes self-management, exercise confidence, self-management interventions
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