Self-efficacy, depression and self-care activities of people with type 2 diabetes in Turkey

Kav, Sultan; Yılmaz, Arzu; Bulut, Yasemin; Doğan, Nevin

doi:10.1016/j.colegn.2015.09.005

Cited by 52 publications

(74 citation statements)

References 37 publications

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“…The results in the final model further confirmed that self‐efficacy was a strong predictor of DSM behaviors. This is consistent with the results of numerous prior investigations (Al‐Amer et al., ; Bhandari & Kim, ; Cosansu & Erdogan, ; Devarajooh & Chinna, ; Gao et al., ; Hu, Dong et al., ; Kav et al., ; Ku & Kegels, ; Lin et al., ; Walker et al., ; Yang et al., ; Yuan et al., ; Yue et al., ; Zhao et al., ; Zhong et al., ).…”

Section: Discussionsupporting

confidence: 92%

“…Self‐efficacy, which refers to the belief in one's capability to perform specific behaviors, plays a central role in the change of individuals’ behavior (Bandura, ). Cross‐sectional studies suggest that higher self‐efficacy is also associated with better DSM behaviors (Al‐Amer, Ramjan, Glew, Randall, & Salamonson, ; Bhandari & Kim, ; Cosansu & Erdogan, ; Devarajooh & Chinna, ; Gao et al., ; Hu, Dong, Wei, & Huang, ; Kav, Yilmaz, Bulut, & Dogan, ; Ku & Kegels, ; Lin et al., ; Walker, Gebregziabher, Martin‐Harris, & Egede, ; Yang et al., ; Yuan, Sun, Yu, Zhao, & Dong, ; Yue, Chen, Wang, Su, & Wu, ; Zhao et al., ; Zhong, Wang, Zhang, Ji, & Wang, ). Social cognitive theory also suggests that sources of information can influence behavior by affecting self‐efficacy, emotional status can affect the judgment of individuals’ self‐efficacy, and personal characteristics might have an impact on self‐efficacy (Bandura, ).…”

Section: Background and Significancementioning

confidence: 99%

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The Mediating Role of Self‐Efficacy in Shaping Self‐Management Behaviors Among Adults With Type 2 Diabetes

Jiang

et al. 2019

Worldviews Ev Based Nurs

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Background: Self-efficacy, diabetes distress, knowledge, and education level are likely the important factors affecting diabetes self-management (DSM) behaviors. However, the theoretical mechanisms underlying these variables remain unclear. Aims:The study aimed to test a model including variables of self-efficacy, diabetes distress, knowledge, and education level and DSM behaviors that were informed by social cognitive theory and the literature review among adults with type 2 diabetes. Methods:A cross-sectional study design was employed. Among a convenience sample of 320 adults with type 2 diabetes, 265 eligible participants (response rate = 82.81%) were investigated, using the demographic information questionnaire, the Summary of Diabetes Self-Care Activities, the Self-Efficacy for Diabetes Scale, the Diabetes-Related Knowledge Questionnaire, and the Diabetes Distress Scale. Structural equation modeling was performed with 10,000 bootstrap samples using AMOS 23.0.Results: The final model provided a good fit to the data (χ 2 [22, N = 265] = 9.192, df = 5, p = .102, NFI = 0.972, RMSEA = 0.056). Self-efficacy had the strongest direct effect on DSM behaviors (β = 0.550, p = .000). Knowledge (β = 0.167, p = .004) and employment status (β = −0.130, p = .009) had a direct effect on DSM behaviors. The association between knowledge and DSM behaviors was partially mediated by self-efficacy (bootstrap mean = 0.160, 95% CI: 0.088, 0.237), explaining 49.08% of the total effect of knowledge on DSM behaviors. The association between diabetes distress and DSM behaviors (bootstrap mean = −0.113, 95% CI: −0.192, −0.043) and education level and DSM behaviors (bootstrap mean = 0.102, 95% CI: 0.047, 0.165) were completely mediated by self-efficacy.Conclusions: Self-efficacy plays an important role in the mediation of the association between knowledge and DSM behaviors, diabetes distress and DSM behaviors, and education level and DSM behaviors, as well as a direct contributing role in the predication of DSM behaviors.Linking Evidence to Action: Self-efficacy plays a direct contributing and mediating role in shaping DSM behaviors. The results of the model can help to develop evidence-and theorybased and culturally sensitive interventions. Strategies including goal setting, practicing, recording, peer models, persuasion, positive feedback, and encouragement can be used to address self-efficacy of patients. Interventions led by nurses that increase knowledge, reduce diabetes distress, and emphasize self-efficacy have the potential to promote changes in DSM behaviors.

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Section: Discussionsupporting

confidence: 92%

Section: Background and Significancementioning

confidence: 99%

The Mediating Role of Self‐Efficacy in Shaping Self‐Management Behaviors Among Adults With Type 2 Diabetes

Jiang

et al. 2019

Worldviews Ev Based Nurs

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“…This result is in agreement with results obtained by Curtin et al [11]. It is also consistent with Kav et al's research, which studied the self-efficacy of diabetic patients [47].…”

Section: Discussionsupporting

confidence: 83%

“…People who live alone have better self-efficacy than those who live with their families. This result seems to be consistent with another Turkish study, which found the same result in diabetic patients [47]. It is interesting to note that in this study, self-efficacy was inversely associated with the number of co-morbid diseases and medications.…”

Section: Discussionsupporting

confidence: 82%

Dialysis-related factors affecting self-efficacy and quality of life in patients on haemodialysis: a cross-sectional study from Palestine

et al. 2018

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Background: Chronic kidney disease (CKD) is one of the main public health issues. It increases the morbidity and mortality of patients. Treatment includes multiple aspects such as dialysis and lifestyle modifications. The primary goal of this study was to determine factors associated with self-efficacy and health-related quality of life (HRQoL) among haemodialysis (HD) patients. Methods: A cross-sectional descriptive correlation study was conducted on CKD patients undergoing HD at 12 different dialysis centres in Palestine. Self-efficacy was assessed by the Self-Efficacy for Managing Chronic Disease Six-Item Scale (SEMCD-6), and HRQoL was assessed using the Five-level EuroQol Five-Dimensions (EQ-5D-5L) tool. Multiple linear regression analysis was carried out to assess the association of factors with each of the SEMCD-6 and HRQoL scale scores. Results: A total of 283 HD patients were included in the study. A correlation test revealed moderately positive association between the EQ-5D and SEMCD-6 scores (r = 0.497, p value < 0.001). In multiple linear regression analysis, age, living status, and number of co-morbid diseases were negatively associated with SEMCD-6 scores (β = − 2.66, p = 0.016; β = − 5.71, p = 0.033; β = − 1.84, p = 0.006, respectively). Furthermore, there is a positive association between educational level and SEMCD-6 score with QoL score (β = 0.05, p = 0.017; β = 0.01, p < 0.001, respectively), while there is a negative association between the number of co-morbid diseases and QoL score (β = − 0.07, p = 0.001).Conclusions: This study assessed factors associated with impaired self-efficacy and HRQoL in HD patients. The results show that impaired self-efficacy was associated with the elderly, patients living with family, and patients with a high number of co-morbid diseases. Furthermore, this study found that the worst HRQoL was associated with patients with a low education level, lower levels of self-efficacy, and a high number of co-morbid diseases.

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“…This is one of a few recent studies investigating the population with DM2 that included a large number of subjects, in which demographic factors affecting the HRQoL were associated (multivariate analysis); in addition, it did not show that sex affected global HRQoL or physical function, emotional health, body pain and mental health [16, 28]. …”

Section: Discussionmentioning

confidence: 99%

Health and quality of life outcomes impairment of quality of life in type 2 diabetes mellitus: a cross-sectional study

Zurita‐Cruz

Manuel‐Apolinar

Arellano-Flores

et al. 2018

Health Qual Life Outcomes

109

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BackgroundType 2 diabetes mellitus (DM2) is a chronic disease, and for treatment to succeed, it is necessary to harmonize the mental health of the patient with the environment, which impacts quality of life and adherence to medical regimens. The objetive of this study is describe the quality of life of patients with DM2 and the factors relates to its modification.MethodsThis investigation was a cross-sectional study. Patients over 18 years of age with DM2 were selected. The following variables related to quality of life were studied: age, sex, occupation, marital status, years of DM2 evolution, comorbidities and presence of depression (Beck Depression Inventory). Perceived quality of life was measured with a health-related quality of life (HRQoL) scale, the 36-Item Short-Form Survey (SF-36). Patients were classified according to SF-36 HRQoL score (< 50, 51-75 and > 76 points).ResultsAmong the 1394 patients included, the median age was 62 years. Global HRQoL had a median of 50.1 points. Bivariate analysis showed that age, marital status, sex, occupation, comorbidities, duration of DM2 and comorbidities had impacts on HRQoL. The logistic regression model identified age (odds ratio [OR] 1.04) and depression (OR 4.4) as independent factors that influenced overall quality of life.ConclusionsPatients with DM2 have poor HRQoL, which is associated with a high frequency of depression. Older age and the presence of depression impair patient HRQoL.Trial registrationR-2013-781-052. Registered 20 December 2014.

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Self-efficacy, depression and self-care activities of people with type 2 diabetes in Turkey

Cited by 52 publications

References 37 publications

The Mediating Role of Self‐Efficacy in Shaping Self‐Management Behaviors Among Adults With Type 2 Diabetes

The Mediating Role of Self‐Efficacy in Shaping Self‐Management Behaviors Among Adults With Type 2 Diabetes

Dialysis-related factors affecting self-efficacy and quality of life in patients on haemodialysis: a cross-sectional study from Palestine

Health and quality of life outcomes impairment of quality of life in type 2 diabetes mellitus: a cross-sectional study

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