The Role of Diabetes-Specific and Generalised Self-Efficacy in the Relationship between Quality of Care and Self-Management of Diabetes: Results from Diabetes MILES - Australia — ASN Events
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  3. The Role of Diabetes-Specific and Generalised Self-Efficacy in the Relationship between Quality of Care and Self-Management of Diabetes: Results from Diabetes MILES - Australia

The Role of Diabetes-Specific and Generalised Self-Efficacy in the Relationship between Quality of Care and Self-Management of Diabetes: Results from Diabetes MILES - Australia (#242)

Hannah Tregea 1 , Christina Lee 1 , Jessica L Browne 2 3 , Frans Pouwer 4 , Jane Speight 2 3 5
  1. School of Psychology, University of Queensland, Brisbane, QLD, Australia
  2. The Australian Centre for Behavioural Research in Diabetes (ACBRD), Diabetes Australia, Melbourne, Victoria, Australia
  3. Centre for Mental Health and Wellbeing Research, School of Psychology, Deakin University, Burwood, Victoria, Australia
  4. Center of Research on Psychology in Somatic Diseases (CoRPS), Tilburg University, Warandelaan 2, 5037 , AB Tilburg, The Netherlands
  5. AHP Research, Hornchurch, Essex, UK

AIMS: Effective self-management of diabetes requires daily cognitive and behavioural processes. Whilst the quality of health professional care (QoC) has an influence on self-care, so too do psychosocial variables such as self-efficacy. The interrelationships between healthcare and psychosocial variables, however, are not well understood. Using data from the Diabetes MILES – Australia survey, we examined the roles of diabetes-specific self-efficacy (DSE) and general self-efficacy (GSE) in mediating the relationship between QoC and self-management.
METHOD: Diabetes MILES – Australia was a national survey (postal and online) of 3,338 adults with type 1 (T1DM) or type 2 diabetes (T2DM), focused on psychosocial and behavioural issues. The current analysis focused on a subset of 1,624 respondents (Age: M=52.05, SD=13.9) with T1DM (n=680) or T2DM (n=944), who completed measures including the Diabetes Empowerment Scale and the General Self-Efficacy scale. Stepwise regression analyses, controlling for age, gender and diabetes duration, examined the effects of adding the mediator (DSE or GSE) to the regression of QoC onto four self-management activities: medication adherence, healthy eating, physical activity, and self blood glucose monitoring (SMBG). Analyses were conducted separately for T1DM and T2DM.
RESULTS: DSE mediated the relationship between QoC and medication adherence (T1DM only), healthy eating (T1DM only), and exercise (T1DM only). GSE mediated this relationship only for exercise (T1DM only). There were no effects for the T2DM group.
CONCLUSIONS: Health consultations that aim to improve DSE may enhance self-management activities among people with T1DM. Differences in perceived severity of the conditions and demographic differences between the T1DM and T2DM groups may explain why DSE and GSE mediated the relationship between QoC and self-management activities for people with T1DM only. Further investigation is warranted to understand these relationships and to develop interventions targeted to the specific needs of people with T1DM or T2DM.