The roles of self-efficacy, outcome expectancies and social support in the self-care behaviours of diabetics

Williams, Kimberly; Bond, Malcolm J.

doi:10.1080/13548500120116076

Cited by 167 publications

(141 citation statements)

References 34 publications

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“…And most of all, I thank you for your sense of humor, honorability, and loyalty. costs to individuals from complications such as blindness, heart disease, kidney failure, and limb amputation (Williams & Bond, 2002 A review of the literature conducted by Hentinen (1987) concluded that adherence rates vary from 30% to 80%. Unfortunately, data suggest that individuals with diabetes mellitus do not participate in self-care behavior and do not have tight glycemic control.…”

Section: Acknowledgementsmentioning

confidence: 99%

Illness representations, emotional distress, coping strategies, and coping efficacy as predictors of patient outcomes in type 2 diabetes

Hart¹,

Grindel²

2010

J of Nursing and Healthcare

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hart pl & grindel cg (2010) Journal of Nursing and Healthcare of Chronic Illness2, 225–240 Illness representations, emotional distress, coping strategies, and coping efficacy as predictors of patient outcomes in type 2 diabetes Aim. To examine the relationship between illness representations, emotional distress, coping strategies, and coping efficacy as predictors of self‐care behaviour and A1c levels in individuals with type 2 diabetes. Background. Diabetes mellitus affects 23·6 million Americans and is the seventh leading cause of death in the United States. Reduction in complications can be best achieved by individuals’ adhering to appropriate lifestyle changes and maintaining tight glycemic control. Understanding the degree of influence that psychosocial factors have on individuals’ decisions to perform self‐regulation activities will give insight on strategies to encourage better decision‐making to prevent acute and chronic complications. Methods. A descriptive, correlational design examined the psychosocial factors to determine the predictive relationships with self‐care behaviour and A1c levels. Participants were 119 men and women recruited from physician offices, medical clinics, and diabetes education centers. The research was conducted from March–December 2007. Results. Participants perceived their diabetes to be a chronic, moderately cyclical condition with negative consequences and with moderate amounts of symptomatology that greatly influenced their emotional status. Hierarchical multiple linear regression analyses revealed that a) coping efficacy uniquely accounted for 9% of the variance in self‐care behaviour and b) illness representations, particularly timeline‐cyclical, uniquely accounted for 12% of the variance in A1c levels. Conclusions. The findings confirm how illness representations, emotional distress, coping strategies, and coping efficacy influence self‐care behaviour and health outcomes. Psychosocial factors can influence lifestyle behaviour changes and outcomes of individuals with diabetes mellitus. Relevance to clinical practice. Findings from the study have implications for nurses in the areas of assessment, diabetes management, coping skills training, and cognitive behavioural therapy. Nurses should incorporate these strategies into their daily practice to help individuals identify successful coping strategies, enhance coping efficacy, and change misconceptions about diabetes mellitus to improve self‐care behaviour and health outcomes.

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Section: Acknowledgementsmentioning

confidence: 99%

Illness representations, emotional distress, coping strategies, and coping efficacy as predictors of patient outcomes in type 2 diabetes

Hart¹,

Grindel²

2010

J of Nursing and Healthcare

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“…Perceived control and self-efficacy Both perceived control and self-efficacy, which combine to make perceived behavioural control in the Theory of Planned Behaviour, are known to predict adherence to health-protective regimens -in, for example, haemodialysis (Christensen, Moran, Lawton, Stallman, & Voigts, 1997), anti-retroviral therapy (Godin, Côté, Naccache, Lambert, & Trottier, 2005), cardiac rehabilitation exercise programs (Woodgate, Brawley, & Weston, 2005), cholesterol-lowering diets (Burke, Dunbar-Jacob, Orchard, & Sereika, 2005), self-care for diabetes (Murphy, Thompson, & Morris, 1997;O'Hea, 2005;Williams & Bond, 2002), and exercise in the healthy population (McCaul, Sandgren, O'Neill, & Hinsz, 1993). Strong senses of self-efficacy and perceived control are known to predict greater adherence (McCauley, 1993;Robertson & Keller, 1992).…”

Section: Cognitions and Motivationmentioning

confidence: 99%

Adherence to anti‐hypertensive medication: Proposing and testing a conceptual model

Quine

Steadman

Thompson

et al. 2011

British J Health Psychol

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This is the accepted version of the paper.This version of the publication may differ from the final published version. Permanent repository link:http://openaccess.city.ac.uk/5529/ Link to published version: http://dx.doi.org/10.1111/j. 2044-8287.2011.02034.x Copyright and reuse: City Research Online aims to make research outputs of City, University of London available to a wider audience. Copyright and Moral Rights remain with the author(s) and/or copyright holders. URLs from City Research Online may be freely distributed and linked to. hypertensive medication is proposed and tested. The model suggests that adherence is influenced by three sets of variables: demography, health status and perceived effects of medication; cognitions and motivation; and intention to adhere. Methods and DesignPatients with known hypertension were recruited from three primary care practices in South-East England and were asked to complete a postal questionnaire. A total of 1070 responses were received. The questionnaire asked about the three sets of predictor variables, and adherence. Eight weeks after the first questionnaire, a second was posted to all respondents, this time asking about adherence over the intervening period. ResultsThe three sets of predictor variables were treated as blocks in a hierarchical model, so that each successive block added to the variance in adherence explained by the previous blocks. The data were analysed by hierarchical multiple regression. The predictors accounted for 19% of the variance in adherence at Time 1, and 34% at Time 2. The leading individual predictors at Time 1 were age, gender, conscientiousness, hypertensive identity, perceived behavioural control, and intention. At Time 2, they were the same, except that gender made way for adherence at Time 1. ConclusionsThe model offers a parsimonious account, and the findings suggest a number of approaches to designing interventions to modify behaviour. , 1997Horne & Weinman, 1999, 2002Legare, Godin, Dodin, Turcot, & Lapierre, 2003;Lynch et al., 2000;Schmier & Leidy, 1998;Trachtenberg, Dugan, & Hall, 2005). Despite these explanations, the social-psychological mechanisms involved in medication adherence are poorly understood and no single conceptual framework has been developed in which to study it (Morrell, Park, Kidder, & Martin, 1997).The aim of the present study was to investigate the predictors of medication adherence by developing a conceptual model, using a prospective longitudinal design to investigate possible causal pathways. This was pursued in the context of adherence to antihypertensive medication. We chose to study hypertension because it is a common conditionAdherence to anti-hypertensive medication 4 of 32 that is a risk factor for other potentially fatal conditions, such as myocardial infarction and stroke, and because blood pressure control in the UK is known to be sub-optimal --even among those treated for hypertension, of whom only half to two-thirds are thought to be adherent (Ebrahim, 1998;Primatesta, Brookes, & Poulter, 20...

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“…Self-efficacy has been shown to act as the mediating link between cognitive preparation (knowledge and skill) and actual task engagement [30][31][32]. Furthermore, when comparing self-efficacy to other psychosocial interventions, self-efficacy emerged as better predictor of self-care adherence to diet, exercise and blood glucose monitoring.…”

Section: Theoretical Frameworkmentioning

confidence: 99%

“…Furthermore, when comparing self-efficacy to other psychosocial interventions, self-efficacy emerged as better predictor of self-care adherence to diet, exercise and blood glucose monitoring. It shared 4% to 26% of variance of self-care behavior when compared to Health Belief Model, outcome expectancies, autonomous self-regulation and social support in both Type 1 and Type 2 diabetes [30][31][32]. Hence self-efficacy in-home practice was the choice of theoretical framework for this study.…”

Section: Theoretical Frameworkmentioning

confidence: 99%

Pharmacist intervention in home care program for diabetes patients

Gillani¹,

Sulaiman²,

Baig³

et al. 2012

JDM

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Majority of research reports identified moderate reduction in glycated haemoglobin with education interventions regardless of age group. Our study objective was to evaluate the pharmacist interventions in providing patient home care. A 24-week longitudinal quasi-experimental-pretest/post-test study design was used to assess the effectiveness of a diabetes education program to enhance self-care practices. A doubleblinded randomized study design was considered but was not feasible as the investigator was responsible for implementing the intervention and collecting data on outcomes. Since this was a longitudinal study a 25% attrition rate was included in the calculation of sample size. Hence the sample size for the proposed study was 106 subjects with 53 subjects in each group. All analyses were done using SPSS version 18 ® . The level of significance was set at 0.05. The Research Ethics Committee of hospital and the Malaysian Medical Research and Ethics Committee approved the study. Of the 109 subject who met the study-entry criteria, 3 subjects declined to participate due to lack of time and interest. There was no significant relationship between the demographic and clinical characteristic of participants who completed the study. No significant relationship between the intervention and control groups who completed the study in demographic, clinical and psychosocial contexts. Of the 47 subjects from the intervention group who reported adherent to their daily medication intake after the education intervention, 51 subjects (31.9%) reported taking their medication at the wrong time. The recommended times for oral anti-hyperglycemic medication (OAM) are: sulphonylureas 30 minutes before food, acarbose with food, metformin with or within 30 minutes after food. This research has shown a brief structured education program that incorporated behavior science specifically selfefficacy was effective in enhancing self-care practices (SMBG and medication adherence) and improving glycaemic control in the intervention group.

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The roles of self-efficacy, outcome expectancies and social support in the self-care behaviours of diabetics

Cited by 167 publications

References 34 publications

Illness representations, emotional distress, coping strategies, and coping efficacy as predictors of patient outcomes in type 2 diabetes

Illness representations, emotional distress, coping strategies, and coping efficacy as predictors of patient outcomes in type 2 diabetes

Adherence to anti‐hypertensive medication: Proposing and testing a conceptual model

Pharmacist intervention in home care program for diabetes patients

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