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Journal of Diabetes & Metabolic Disorders
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Open Access 01-12-2017 | Research article

General self-efficacy and diabetes management self-efficacy of diabetic patients referred to diabetes clinic of Aq Qala, North of Iran

Authors: Hajar Dehghan, Abdurrahman Charkazi, Ghorban Mohammad Kouchaki, Bagher Pahlevan Zadeh, Bibi Azizieh Dehghan, Mohammad Matlabi, Morteza Mansourian, Mostafa Qorbani, Omid Safari, Tahereh Pashaei, Babak Rastegari Mehr

Published in: Journal of Diabetes & Metabolic Disorders | Issue 1/2017

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Abstract

Background

Self-efficacy is one of the factors involved in successful self-care of diabetic patients. The aim of this study was to evaluate general self-efficacy and diabetes management self-efficacy and to determine their association with glycemic control in diabetic individuals, referred to the diabetes clinic of Aq Qala city, North of Iran.

Methods

In this cross-sectional study, 251 type 2 diabetes mellitus patients were enrolled using census method. Data collection tools consisted of Sherer General Self-Efficacy Scale (SGSES) and Diabetes Management Self-Efficacy Scale (DMSES) with minor demographic adjustments and hemoglobin A1C test. Data were analyzed using descriptive statistics and analytical techniques include independent t-test, Spearman correlation coefficient and linear regression were applied for further data analysis.

Results

The mean and standard deviation age of subjects was 56.17 ± 10.45 years. The mean level of HbA1C of studied subject was 8.35 ± 2.02%. There was a negative correlation between age and general self-efficacy and diabetes self-efficacy while, there was a positive correlation between general self-efficacy and diabetes self-efficacy (P < 0.001). Results of the regression analysis showed that duration of the disease was the only variable which had a significant effect on the level of hemoglobin A1C (P < 0.001), so that for each year of having the disease, the level of hemoglobin A1C increased by 0.084% (CI 95% = 0.048–0.121).

Conclusions

General self-efficacy and diabetes self-efficacy does not affect glycemic control in diabetic individuals. The duration of the disease is the only affecting variable on glycemic control by its worsening in diabetic individuals. Interventions are recommended to help glycemic control in individuals who are having this disease for longer periods. Moreover, further studies on the affecting factors on poor glycemic control of diabetic patients as well as the role of time variable, are recommended.
Literature
1.
Zareban I, Niknami S, Hidarnia A, Rakhshani F, Karimy M, Shamsi M. The Effect of Education Program Based on Health Belief Model on Decreasing Blood Sugar Levels in Diabetic Type 2 Patients in Zahedan. Health Scope. 2013;2(2):73–8.CrossRef
2.
Esteghamati A, Etemad K, Koohpayehzadeh J, Abbasi M, Meysamie A, Noshad S, et al. Trends in the prevalence of diabetes and impaired fasting glucose in association with obesity in Iran: 2005–2011. Diabetes Res Clin Pract. 2014;103(2):319–27.CrossRefPubMed
3.
Funnell MM, Brown TL, Childs BP, Haas LB, Hosey GM, Jensen B, et al. National standards for diabetes self-management education. Diabetes Care. 2009;32(Supplement 1):S87–94.CrossRefPubMedPubMedCentral
4.
Sarkar U, Fisher L, Schillinger D. Is self-efficacy associated with diabetes self-management across race/ethnicity and health literacy? Diabetes Care. 2006;29(4):823–9.CrossRefPubMed
5.
King DK, Glasgow RE, Toobert DJ, Strycker LA, Estabrooks PA, Osuna D, et al. Self-efficacy, problem solving, and social-environmental support are associated with diabetes self-management behaviors. Diabetes Care. 2010;33(4):751–3.CrossRefPubMedPubMedCentral
6.
Williams BW, Kessler HA, Williams MV. Relationship among practice change, motivation, and self-efficacy. J Contin Educ Health Prof. 2014;34 Suppl 1:S5–S10.CrossRefPubMed
7.
Bandura A. Self-efficacy: toward a unifying theory of behavioral change. Psychol Rev. 1977;84(2):191.CrossRefPubMed
8.
Didarloo A, Shojaeizadeh D, ASL RG, Habibzadeh H, Niknami S, Pourali R. Prediction of self-management behavior among Iranian women with type 2 diabetes: application of the theory of reasoned action along with self-efficacy (etra). Iran Red Crescent Med J. 2012;14(2):86.PubMedPubMedCentral
9.
Kara M, van der Bijl JJ, Shortridge-Baggett LM, Asti T, Erguney S. Cross-cultural adaptation of the Diabetes Management Self-Efficacy Scale for patients with type 2 diabetes mellitus: scale development. Int J Nurs Stud. 2006;43(5):611–21.CrossRefPubMed
10.
Luszczynska A, Scholz U, Schwarzer R. The general self-efficacy scale: multicultural validation studies. J Psychol. 2005;139(5):439–57.CrossRefPubMed
11.
Jahanlou AS, Karami NA. The effect of literacy level on health related-quality of life, self-efficacy and self-management behaviors in diabetic patients. Acta Medica Iranica. 2011;49(3):153–8.PubMed
12.
O’Hea EL, Moon S, Grothe KB, Boudreaux E, Bodenlos JS, Wallston K, et al. The interaction of locus of control, self-efficacy, and outcome expectancy in relation to HbA1c in medically underserved individuals with type 2 diabetes. J Behav Med. 2009;32(1):106–17.CrossRefPubMed
13.
Cosansu G, Erdogan S. Influence of psychosocial factors on self- care behaviors and glycemic control in Turkish patients with type 2 diabetes mellitus. J Transcultheral Nurs. 2014;25(1):51–9.CrossRef
14.
Sherer M, Maddux JE, Mercandante B, Prentice-Dunn S, Jacobs B, Rogers RW. The self-efficacy scale: Construction and validation. Psychol Rep. 1982;51(2):663–71.CrossRef
15.
Haghayegh A, Ghasemi N, Neshatdoost H, Kajbaf M, Khanbani M. Psychometric properties of Diabetes Management Self-Efficacy Scale (DMSES). Iran J Endocrinol Metab. 2010;12(2):111–5,95.
16.
Noroozi A, Tahmasebi R. The diabetes management self-efficacy scale: translation and psychometric evaluation of the Iranian version. Nursing Practice Today. 2015;1(1):9–16.
17.
Beckerle CM, Lavin MA. Association of self-efficacy and self-care with glycemic control in diabetes. Diabetes Spectrum. 2013;26(3):172–8.CrossRef
18.
Chih A-H, Jan C-F, Shu S-G, Lue B-H. Self-efficacy affects blood sugar control among adolescents with type I diabetes mellitus. J Formos Med Assoc. 2010;109(7):503–10.CrossRefPubMed
19.
Trief PM, Teresi JA, Eimicke JP, Shea S, Weinstock RS. Improvement in diabetes self-efficacy and glycaemic control using telemedicine in a sample of older, ethnically diverse individuals who have diabetes: the IDEATel project. Age Ageing. 2009;38(2):219–25.CrossRefPubMed
20.
Green LW, Kreuter MW. Health promotion planning: an educational and environmental approach. Health promotion planning: an educational and environmental approach: Mayfield; 1991.
21.
Gielen AC, McDonald EM, Gary TL, Bone LR. Using the precede-proceed model to apply health behavior theories. Health behavior and health education: Theory, research, and practice. 2008;4:407-29.
22.
Borhani M, Rastgarimehr B, Shafieyan Z, Mansourian M, Hoseini SM, Arzaghi SM, et al. Effects of predisposing, reinforcing and enabling factors on self-care behaviors of the patients with diabetes mellitus in the Minoodasht city, Iran. J Diab Metabol Disord. 2015;14(1):1–9.CrossRef
23.
Dizaji MB, Taghdisi MH, Solhi M, Hoseini SM, Shafieyan Z, Qorbani M, et al. Effects of educational intervention based on PRECEDE model on self care behaviors and control in patients with type 2 diabetes in 2012. J Diab Metabol Disord. 2014;13(1):1.CrossRef
Metadata
Title
General self-efficacy and diabetes management self-efficacy of diabetic patients referred to diabetes clinic of Aq Qala, North of Iran
Authors
Hajar Dehghan
Abdurrahman Charkazi
Ghorban Mohammad Kouchaki
Bagher Pahlevan Zadeh
Bibi Azizieh Dehghan
Mohammad Matlabi
Morteza Mansourian
Mostafa Qorbani
Omid Safari
Tahereh Pashaei
Babak Rastegari Mehr
Publication date
01-12-2017
Publisher
BioMed Central
Published in
Journal of Diabetes & Metabolic Disorders / Issue 1/2017
Electronic ISSN: 2251-6581
DOI
https://doi.org/10.1186/s40200-016-0285-z

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