Prediction of adherence and control in diabetes

Kavanagh, David J.; Gooley, S.; Wilson, Peter H.

doi:10.1007/bf00844820

Cited by 159 publications

(95 citation statements)

References 19 publications

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“…Previously, dental self-efficacy has been found to relate to oral hygiene practices and dental visiting (McCaul et al 1985, Tedesco et al 1994, Stewart et al 1997) and, correspondingly, diabetes self-efficacy to diabetes self-care (Hurley & Shea 1992, Littlefield et al 1992, Kavanagh et al 1993. The results of the present study are accordant with these findings concerning health behavior and, furthermore, the relation found here between diabetes self-efficacy and metabolic balance is parallel to that reported by Kavanagh et al (1993) and Day et al (1996).…”

Section: Self-efficacysupporting

confidence: 89%

“…There has been an association between high diabetes self-efficacy concerning the major diabetes self-care practices and a good level of adherence to those practices (Littlefield et al 1992). It has similarly been found that self-efficacy is associated with diabetes adherence (Kavanagh et al 1993, Lo 1998 and is able to predict glycosylated haemoglobin levels (Kavanagh et al 1993, Day et al 1996. High diabetes self-efficacy has been related to better perceived health, mental health and social functioning (Aalto et al 1997).…”

Section: Self-efficacymentioning

confidence: 96%

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Communication and Community

Shepherd¹,

Rothenbuhler²

2000

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Associations have been found between diabetes status and periodontal diseases and dental caries. In addition to biological explanations, psychological features can be proposed to affect the relations between oral health and IDDM (=insulin-dependent diabetes mellitus). The aim of this study was to evaluate the psychological features characterizing oral hygiene practices, dental visiting and diabetes self-care. The research population consisted of 149 IDDM patients, and cross-sectional data were collected by a quantitative questionnaire, in clinical examinations and from patient records.There was a positive correlation between the sum scores for dental self-efficacy and diabetes self-efficacy and, correspondingly, between the dental and diabetes locus of control beliefs. High self-esteem was found to associate with good adherence to some specific health behaviors, such as tooth brushing, exercising and insulin adjustment. When Weiner´s attribution theory was used, there were similarities in the causal thinking in oral and diabetes view. All in all, especially the perception of self-efficacy was found to be a powerful feature characterizing health behavior. There were overlapping relations showing an association of high dental self-efficacy with good diabetes adherence, of high diabetes self-efficacy with frequent dental visiting, and of good metabolic control with high tooth brushing self-efficacy, frequent tooth brushing and low plaque level. On the basis of these results, enhancement of self-efficacy appears important.These results suggest that there might, indeed, be some common psychological features for both oral health behavior and diabetes self-care. These could partly explain the relations between diabetes status and periodontal diseases and dental caries. The results can be utilized in patientcentered health education by identifying and enhancing the psychological features that characterize health behavior and health status. The results emphasize the need for co-operation between dental and diabetes health care professionals in their daily practice.

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Section: Self-efficacysupporting

confidence: 89%

Section: Self-efficacymentioning

confidence: 96%

Communication and Community

Shepherd¹,

Rothenbuhler²

2000

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“…According to the self-efficacy theory of Bandura (1988), self-efficacy beliefs entail a positive estimation of one's skills and are resistant to change in the face of difficulties, thus sustaining perseverant efforts to attain one's goals (Bandura, 1988;Maddux and Lewis, 1995). In line with the theory, positive efficacy expectancies have been shown to be stable across time in a number of chronic diseases, such as diabetes mellitus (Kavanagh et al, 1993), multiple sclerosis (Barnwell and Kavanagh, 1997), and rheumatoid arthritis (Taal et al, 1993).…”

mentioning

confidence: 63%

Is Optimism Sensitive to the Stressors of Chronic Disease? The Impact of Type 1 Diabetes Mellitus and Multiple Sclerosis on Optimistic Beliefs

Fournier

Ridder

Bensing

2003

Psychology & Health

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The aim of the present study was to investigate longitudinally the sensitivity of optimistic beliefs (positive outcome expectancies, efficacy expectancies, and optimistic bias) to disease-related stress (measured by disease duration, depressive symptoms, physical symptoms, physical impairment, and life-events) in Type 1 diabetes (n ¼ 90) and multiple sclerosis (n ¼ 90). First, we examined whether chronically ill patients were less optimistic than a healthy control group (n ¼ 60), which showed that patients reported lower levels of optimistic bias but similar levels of the two other optimistic beliefs. Next, we analyzed the stability of the three types of optimistic beliefs across time (one year) for both disease groups, which demonstrated that optimistic bias in MS patients decreased. Finally, the impact of disease-related stressors on optimistic beliefs during a one-year period was determined, showing that all three optimistic beliefs decreased when patients reported depressive symptoms. Together, these findings show that positive outcome expectancies and efficacy expectancies were unaffected by being ill and fairly stable unless patients reported depressive symptoms while optimistic bias appeared to decrease as a result of being ill. Results are discussed in terms of the role of control and depression in optimistic bias.

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“…The value of self-efficacy in predicting self-care behaviors and outcomes in patients with diabetes is supported by several studies, in which self-efficacy was associated with self-reported adherence in adults (3)(4)(5)(6)(7)(8)(9) and adolescents (10,11), glycemic control (8,12,13), and better perceived general health, mental health, and social functioning (14).…”

mentioning

confidence: 95%

“…Several instruments to assess selfefficacy specific to self-care behavior have been used in adult patients with diabetes. In some studies, a single item is used (18); in other studies, data on reliability and validity are lacking (3,8) or not available in English (9). In some cases, the instrument relies heavily on diet-related items (4,15,19) or is concerned with psychosocial issues instead of self-care behavior (20).…”

mentioning

confidence: 99%

The Confidence in Diabetes Self-Care Scale

et al. 2003

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OBJECTIVE -To examine psychometric properties of the Confidence in Diabetes Self-Care (CIDS) scale, a newly developed instrument assessing diabetes-specific self-efficacy in Dutch and U.S. patients with type 1 diabetes.RESEARCH DESIGN AND METHODS -Reliability and validity of the CIDS scale were evaluated in Dutch (n ϭ 151) and U.S. (n ϭ 190) outpatients with type 1 diabetes. In addition to the CIDS scale, assessment included HbA 1c , emotional distress, fear of hypoglycemia, self-esteem, anxiety, depression, and self-care behavior. The Dutch sample completed additional measures on perceived burden and importance of self-care. Test-retest reliability was established in a second Dutch sample (n ϭ 62).RESULTS -Internal consistency (Cronbach's ␣ ϭ 0.86 for Dutch patients and 0.90 U.S. patients) and test-retest reliability (Spearman's r ϭ 0.85, P Ͻ 0.0001) of the CIDS scale were high. Exploratory factor analysis showed one strong general factor. Spearman's correlations between the CIDS scale and other measures were moderate and in the expected directions, and high HbA 1c levels were associated with low CIDS scores in the U.S. sample only. Low CIDS scores were positively associated with self-care but not with glycemic control in the original samples. CIDS scores in the U.S. and Dutch samples did not show any statistically significant differences. U.S. men had higher CIDS scores than U.S. women.CONCLUSIONS -The CIDS scale is a reliable and valid measure of diabetes-specific selfefficacy for use in patients with type 1 diabetes. High psychometric similarity allows for crosscultural comparisons. Diabetes Care 26:713-718, 2003E ffective self-regulation of diabetes is not just based on simple adherence to a prescribed regimen but requires active behavioral involvement of patients on a day-to-day basis. A key factor in attaining behavioral goals is self-efficacythe individual's confidence in his or her own ability to perform specific tasks required to reach a desired goal (1). To cope effectively with the complex demands of the diabetes treatment regimen, a sufficient sense of self-efficacy is required.

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Prediction of adherence and control in diabetes

Cited by 159 publications

References 19 publications

Communication and Community

Communication and Community

Is Optimism Sensitive to the Stressors of Chronic Disease? The Impact of Type 1 Diabetes Mellitus and Multiple Sclerosis on Optimistic Beliefs

The Confidence in Diabetes Self-Care Scale

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