Format

Send to:

Choose Destination
See comment in PubMed Commons below
Diabetes Care. 2010 Apr;33(4):751-3. doi: 10.2337/dc09-1746. Epub 2010 Feb 11.

Self-efficacy, problem solving, and social-environmental support are associated with diabetes self-management behaviors.

Author information

  • 1Institute for Health Research, Kaiser Permanente Colorado, Denver, Colorado, USA. diane.king@kp.org

Abstract

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/m(2)) 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 (beta = -0.17, P = 0.0003) and self-rated health status (beta = 0.25, P < 0.0001); and only medication-taking behaviors contributed to lipid ratio (total-to-HDL) (beta = -0.20, P = 0.0001) and A1C (beta = -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.

PMID:
20150299
[PubMed - indexed for MEDLINE]
PMCID:
PMC2845021
Free PMC Article
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for HighWire Icon for PubMed Central
    Loading ...
    Write to the Help Desk