Self-Efficacy Impacts Self-Care and HbA1c in Young Adults With Type I Diabetes

Johnston-Brooks, Catharine; Lewis, Megan A.; Garg, Satish K.

doi:10.1097/00006842-200201000-00007

Cited by 168 publications

(144 citation statements)

References 35 publications

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“…1. Tables 1 and 2, and the Electronic supplementary material (ESM Table 1), detail the papers that were included in (n=14) [27][28][29][30][31][32][33][34][35][36][37][38][39][40] and excluded from (n=11) the review. There were 16 relationships between psychosocial measures and disease-related factors in populations with diabetes and six relationships between psychosocial measures and diseaserelated factors in populations without diabetes at baseline.…”

Section: Resultsmentioning

confidence: 99%

An association of adverse psychosocial factors with diabetes mellitus: a meta-analytic review of longitudinal cohort studies

2008

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Aims/hypothesis There has been substantial interest in the association between psychosocial stress and risk of diabetes mellitus, but no data on the systematic quantification of the causal relationship have been published. This analysis aims to evaluate the association between adverse psychosocial factors and diabetes mellitus. Methods We performed a search of Medline, PsycINFO, Web of Science and PubMed up to July 2008. The studies included were prospective cohort studies investigating the association between adverse psychosocial factors and risk of diabetes mellitus. Results There were 22 relationships between psychosocial factors and disease-related factors (in 14 papers), of which 16 evaluated the associations of adverse psychosocial factors with diabetes control in diabetic populations and six evaluated the associations of adverse psychosocial factors with the incidence of diabetes in populations without any diagnosed diabetes. The overall meta-analysis demonstrated that adverse psychosocial factors were significantly associated with poor diabetes control (combined correlation coefficient, r=0.096, p=0.006), whereas adverse psychosocial factors were not associated with incident diabetes mellitus. More notably, sensitivity analyses showed that low social support was more robustly associated with poor diabetes control than stressful events per se or stress-prone personality or coping style, and that adverse psychosocial factors were associated with poor control of type 1 and type 2 diabetes. Conclusions/interpretation The current review revealed a detrimental association of psychosocial factors with the prognosis of both type 1 and type 2 diabetes. However, any aetiological effect of adverse psychosocial factors remains elusive as a result of the small number of individuals enrolled in the cohorts studied.

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Section: Resultsmentioning

confidence: 99%

An association of adverse psychosocial factors with diabetes mellitus: a meta-analytic review of longitudinal cohort studies

2008

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“…Self-efficacy and selfregulation may be useful psychological constructs for understanding the ways one addresses self-care (22,23). However, only two studies have investigated selfefficacy and the insulin pump with adolescents (24,25), and no studies on selfregulation and the insulin pump have been reported.…”

Section: Body Image and Social Acceptancementioning

confidence: 99%

Perceptions of Psychosocial Factors and the Insulin Pump

et al. 2007

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OBJECTIVE -The purpose of this study was to identify psychosocial issues related to diabetes, approaches to self-care, self-perceptions, and social interactions among insulin pump users with type 1 diabetes.RESEARCH DESIGN AND METHODS -Adult insulin pump users participated in focus groups loosely formed on the basis of A1C level. Transcripts of focus group meetings were coded into themes by five reviewers using NVivo2 qualitative software.RESULTS -Thirty adults with long-term diabetes participated in five focus groups: two with low mean ϮSD A1C (6.8 Ϯ 0.4%), one with mid A1C (7.80 Ϯ 0.3%), and two with high A1C (9.1 Ϯ 0.5%). Three major themes were identified: impact on diabetes self-care, emotional reactions to the insulin pump, body image, and social acceptance. Participants who described the pump as a tool to meet glycemic goals also described a more active approach to diabetes and had better glycemic control; those who discussed the pump as a panacea described more passive self-care and had poorer glycemic control. Low A1C groups reported that starting the insulin pump reminded them of feelings they experienced at their initial diabetes diagnosis, whereas the high A1C groups did not report these feelings. Women were more concerned than men about body image and social acceptance with pump use. CONCLUSIONS -Active participation in self-care, realistic expectations of pump use, and emotional recall of diabetes diagnosis were associated with better glycemic control. Interventions to improve diabetes management with pump use should include evaluation and discussion of active versus passive approaches to self-care, recall of diabetes diagnosis, expectations of the pump, and pump-related self-consciousness and body image concerns. The roles of these factors in optimal diabetes management warrant further investigation. Diabetes Care 30:549 -554, 2007

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“…The role of self-efficacy in self-management behaviors has been examined in studies on back pain [20]; arthritis [21]; heart disease [22] and diabetes [23]. These studies found that patients who maintained high levels of self-efficacy and possessed positive attitudes toward self-management behaviors were more likely to perform those behaviors.…”

Section: Introductionmentioning

confidence: 99%

The Influence of Employer Support on Employee Management of Chronic Health Conditions at Work

et al. 2009

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Self-Efficacy Impacts Self-Care and HbA1c in Young Adults With Type I Diabetes

Abstract: Self-efficacy is an important factor for management of self-care practices and physiological outcomes among young adults with Type I diabetes, and self-care may be an important mechanism by which self-efficacy influences HbA1c levels.

Cited by 168 publications

References 35 publications

An association of adverse psychosocial factors with diabetes mellitus: a meta-analytic review of longitudinal cohort studies

An association of adverse psychosocial factors with diabetes mellitus: a meta-analytic review of longitudinal cohort studies

Perceptions of Psychosocial Factors and the Insulin Pump

The Influence of Employer Support on Employee Management of Chronic Health Conditions at Work

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