Tags

Type your tag names separated by a space and hit enter

Self-efficacy, self-management, and glycemic control in adults with type 2 diabetes mellitus.
J Diabetes Complications. 2012 Jan-Feb; 26(1):10-6.JD

Abstract

OBJECTIVE

The objective was to evaluate the relationships between diabetes management self-efficacy and diabetes self-management behaviors and glycemic control.

METHODS

A cross-sectional design was used. A convenience sample of 223 subjects with type 2 diabetes, ≥25 years old, who sought care at the National Diabetes Center in Amman, Jordan, was enrolled. A structured interview and medical records provided the data. The instruments included a sociodemographic and clinical questionnaire, a diabetes management self-efficacy scale, and a diabetes self-management behaviors scale. Glycosylated hemoglobin was used as an index for glycemic control. The analyses are presented as proportions, means (±S.D.), odds ratios, and 95% confidence intervals obtained from logistic regressions.

RESULTS

Diet self-efficacy and diet self-management behaviors predicted better glycemic control, whereas insulin use was a statistically significant predictor for poor glycemic control. In addition, subjects with higher self-efficacy reported better self-management behaviors in diet, exercise, blood sugar testing, and taking medication. The findings showed that more than half of the subjects did not have their diabetes under control and that only 42% had attended diabetes education programs.

CONCLUSIONS

The majority of subjects did not have their diabetes controlled; their self-efficacy was low, and they had suboptimal self-management behaviors. Therefore, strategies to enhance and promote self-efficacy and self-management behaviors for patients are essential components of diabetes education programs. Furthermore, behavioral counseling and skill-building interventions are critical for the patients to become confident and be able to manage their diabetes.

Authors+Show Affiliations

Mutah University, Al-Karak, Jordan. okhawaldh@yahoo.comNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

22226484

Citation

Al-Khawaldeh, Omar Abdulhameed, et al. "Self-efficacy, Self-management, and Glycemic Control in Adults With Type 2 Diabetes Mellitus." Journal of Diabetes and Its Complications, vol. 26, no. 1, 2012, pp. 10-6.
Al-Khawaldeh OA, Al-Hassan MA, Froelicher ES. Self-efficacy, self-management, and glycemic control in adults with type 2 diabetes mellitus. J Diabetes Complications. 2012;26(1):10-6.
Al-Khawaldeh, O. A., Al-Hassan, M. A., & Froelicher, E. S. (2012). Self-efficacy, self-management, and glycemic control in adults with type 2 diabetes mellitus. Journal of Diabetes and Its Complications, 26(1), 10-6. https://doi.org/10.1016/j.jdiacomp.2011.11.002
Al-Khawaldeh OA, Al-Hassan MA, Froelicher ES. Self-efficacy, Self-management, and Glycemic Control in Adults With Type 2 Diabetes Mellitus. J Diabetes Complications. 2012 Jan-Feb;26(1):10-6. PubMed PMID: 22226484.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Self-efficacy, self-management, and glycemic control in adults with type 2 diabetes mellitus. AU - Al-Khawaldeh,Omar Abdulhameed, AU - Al-Hassan,Mousa Ali, AU - Froelicher,Erika Sivarajan, Y1 - 2012/01/05/ PY - 2010/08/07/received PY - 2011/11/02/revised PY - 2011/11/03/accepted PY - 2012/1/10/entrez PY - 2012/1/10/pubmed PY - 2012/7/28/medline SP - 10 EP - 6 JF - Journal of diabetes and its complications JO - J Diabetes Complications VL - 26 IS - 1 N2 - OBJECTIVE: The objective was to evaluate the relationships between diabetes management self-efficacy and diabetes self-management behaviors and glycemic control. METHODS: A cross-sectional design was used. A convenience sample of 223 subjects with type 2 diabetes, ≥25 years old, who sought care at the National Diabetes Center in Amman, Jordan, was enrolled. A structured interview and medical records provided the data. The instruments included a sociodemographic and clinical questionnaire, a diabetes management self-efficacy scale, and a diabetes self-management behaviors scale. Glycosylated hemoglobin was used as an index for glycemic control. The analyses are presented as proportions, means (±S.D.), odds ratios, and 95% confidence intervals obtained from logistic regressions. RESULTS: Diet self-efficacy and diet self-management behaviors predicted better glycemic control, whereas insulin use was a statistically significant predictor for poor glycemic control. In addition, subjects with higher self-efficacy reported better self-management behaviors in diet, exercise, blood sugar testing, and taking medication. The findings showed that more than half of the subjects did not have their diabetes under control and that only 42% had attended diabetes education programs. CONCLUSIONS: The majority of subjects did not have their diabetes controlled; their self-efficacy was low, and they had suboptimal self-management behaviors. Therefore, strategies to enhance and promote self-efficacy and self-management behaviors for patients are essential components of diabetes education programs. Furthermore, behavioral counseling and skill-building interventions are critical for the patients to become confident and be able to manage their diabetes. SN - 1873-460X UR - https://www.unboundmedicine.com/medline/citation/22226484/Self_efficacy_self_management_and_glycemic_control_in_adults_with_type_2_diabetes_mellitus_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1056-8727(11)00127-9 DB - PRIME DP - Unbound Medicine ER -