Format

Send to

Choose Destination
Psychol Health. 2016 May;31(5):592-604. doi: 10.1080/08870446.2015.1128543. Epub 2016 Jan 11.

Does self-efficacy mediate the cross-sectional relationship between perceived quality of health care and self-management of diabetes? Results from Diabetes MILES - Australia.

Author information

1
a School of Psychology , The University of Queensland , St Lucia , Australia.
2
b The Australian Centre for Behavioural Research in Diabetes , Melbourne , Australia.
3
c School of Psychology , Deakin University , Burwood , Australia.
4
d Center of Research on Psychology in Somatic diseases (CoRPS) , Tilburg University , Tilburg , The Netherlands.
5
e AHP Research , Essex , UK.

Abstract

OBJECTIVE:

Quality of health care (QoC) and self-efficacy may affect self-management of diabetes, but such effects are not well understood. We examined the indirect role of diabetes-specific self-efficacy (DSE) and generalised self-efficacy (GSE) in mediating the cross-sectional relationship between self-reported QoC and diabetes self-management.

DESIGN:

Diabetes MILES-Australia was a national survey of 3,338 adults with diabetes. We analysed data from 1,624 respondents (age: M = 52.1, SD = 13.9) with type 1 (T1D; n = 680) or type 2 diabetes (T2D; n = 944), who responded to a version of the survey containing key measures.

MAIN OUTCOME MEASURES:

self-reported healthy eating, physical activity, self-monitoring of blood glucose frequency, HbA1c, medication/insulin adherence.

RESULTS:

We used Preacher and Hayes' bootstrapping method, controlling for age, gender and diabetes duration, to test mediation of DSE and GSE on the relationship of QoC with each self-management variable. We found statistically significant but trivial mediation effects of DSE and of GSE on most, but not all, variables (all effect sizes < .06).

CONCLUSION:

Support for mediation was weak, suggesting that relationships amongst these variables are small and that future research might explore other aspects of self-management in diabetes.

KEYWORDS:

Australia; diabetes; population; quality of care; self-efficacy; self-management

PMID:
26647643
DOI:
10.1080/08870446.2015.1128543
[Indexed for MEDLINE]

Supplemental Content

Loading ...
Support Center