Exploring the Connection Between Self-Efficacy and Effective Diabetes Self-f Management

PURPOSE the purpose of this study was to review the existing empirical evidence about factors that contribute to effective diabetes self-management as indicated by healthy outcomes in persons with the disease, with a specific focus on self-efficacy, to determine the link between learned self-efficacy and effective diabetes self-management in adults. METHODS A systematic review was conducted of the extant literature from 1985-2001 that described factors related to effective self-management of diabetes. The review included theoretical and empirical articles. The search engines included CINAHL, MEDLINE, PUBMED, and COCHRANE. RESULTS Empirical evidence supports the following factors to improve the education outcomes for adults with diabetes: involve people with diabetes in their own care, guide them in actively learning about the disease, explore their feelings about having the disease, and teach them the skills necessary to adjust their behavior to control their own health outcomes. Thus, the goal for educating people with diabetes is to improve their individual self-efficacy and, accordingly, their self-management ability. CONCLUSIONS Education sessions need to involve fewer lectures and more practical, interactive exercises that focus on developing specific skills. Follow-up contact is a valuable method for helping people make a healthy adjustment to living with diabetes.

[1]  C. Kinzer,et al.  Assessing and overcoming situational obstacles to dietary adherence in adolescents with IDDM. , 1996, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[2]  H. Tildesley,et al.  Diabetes teaching--outcome analysis. , 1996, Patient education and counseling.

[3]  Y. Po,et al.  Telemedicine to improve patients' self-efficacy in managing diabetes , 2000, Journal of telemedicine and telecare.

[4]  G. R. Reed,et al.  Diabetes Self-Management: Self-reported recommendations and patterns in a large population , 1997, Diabetes Care.

[5]  P. Lewinsohn,et al.  Improving self-care among older patients with type II diabetes: the "Sixty Something..." Study. , 1992, Patient education and counseling.

[6]  D. Cregan,et al.  Assessment of the outcome of an educational programme of diabetes self-care , 1982, Diabetologia.

[7]  R. Glasgow,et al.  Psychosocial Barriers to Diabetes Self-Management and Quality of Life , 2001 .

[8]  I. Rosenstock.  Understanding and Enhancing Patient Compliance with Diabetic Regimens , 1985, Diabetes Care.

[9]  R. Lorenz,et al.  Utility of a Brief Self-Efficacy Scale in Clinical Training Program Evaluation , 2000, Evaluation & the health professions.

[10]  Russell E. Glasgow,et al.  Personal Models of Diabetes Among Older Adults: Relationship to Self-Management and Other Variables , 1995, The Diabetes educator.

[11]  J. Piette,et al.  The effect of automated calls with telephone nurse follow-up on patient-centered outcomes of diabetes care: a randomized, controlled trial. , 2000, Medical care.

[12]  Thomas R. Pieber,et al.  Evaluation of a Structured Teaching and Treatment Programme for Type 2 Diabetes in General Practice in a Rural Area of Austria , 1995 .

[13]  R. Glasgow,et al.  Personal models of diabetes and their relations to self-care activities. , 1990, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[14]  M. S. Smith,et al.  Locus of Control, Social Support, and Adherence to the Diabetes Regimen , 1996, The Diabetes educator.

[15]  R M Kaplan,et al.  Behavior as the central outcome in health care. , 1990, The American psychologist.

[16]  C. Hanis,et al.  A Community-Based, Culturally Sensitive Education and Group-Support Intervention for Mexican Americans With NIDDM: A Pilot Study of Efficacy , 1995, The Diabetes educator.

[17]  T R Pieber,et al.  Evaluation of a Structured Outpatient Group Education Program for Intensive Insulin Therapy , 1995, Diabetes Care.

[18]  S. M. Hudson,et al.  Metabolic control and psychological sense of control in women with diabetes mellitus. Alternative considerations of the relationship. , 2000, Journal of psychosomatic research.

[19]  J. Schensul,et al.  Correlates of Self-Efficacy in Diabetes Self-Care Among Hispanic Adults With Diabetes , 2000, The Diabetes educator.

[20]  A. Hurley,et al.  Self-Efficacy: Strategy for Enhancing Diabetes Self-Care , 1992, The Diabetes educator.

[21]  M. Funnell,et al.  Patient Empowerment: Results of a randomized controlled trial , 1995, Diabetes Care.

[22]  J. Turtle,et al.  Knowledge and attitude change as predictors of metabolic improvement in diabetes education. , 1990, Social science & medicine.

[23]  C. Bradley.  Health beliefs and knowledge of patients and doctors in clinical practice and research. , 1995, Patient education and counseling.

[24]  S. Hauser,et al.  Self-Efficacy in Adolescent Girls and Boys With Insulin-Dependent Diabetes Mellitus , 1987, Diabetes Care.

[25]  R. Rubin,et al.  The Effect of a Diabetes Education Program Incorporating Coping Skills Training on Emotional Well-Being and Diabetes Self-Efficacy , 1993 .

[26]  S A Brown,et al.  Studies of educational interventions and outcomes in diabetic adults: a meta-analysis revisited. , 1990, Patient education and counseling.

[27]  W F Velicer,et al.  Standardized, individualized, interactive, and personalized self-help programs for smoking cessation. , 1993, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[28]  N. Fineberg,et al.  The Diabetes Education Study: A Controlled Trial of the Effects of Diabetes Patient Education , 1986, Diabetes Care.

[29]  L. Aiken,et al.  The health belief model and adolescents with insulin-dependent diabetes mellitus. , 1992, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[30]  T. Skinner,et al.  Social support and personal models of diabetes as predictors of self-care and well-being: a longitudinal study of adolescents with diabetes. , 2000, Journal of pediatric psychology.

[31]  S. Brown.  Meta-analysis of diabetes patient education research: variations in intervention effects across studies. , 1992, Research in nursing & health.

[32]  W. Velicer,et al.  The Transtheoretical Model of Health Behavior Change , 1997, American journal of health promotion : AJHP.

[33]  R. Glasgow,et al.  Personal-Model Beliefs and Social-Environmental Barriers Related to Diabetes Self-Management , 1997, Diabetes Care.

[34]  Determinants of injecting insulin in elderly patients with type II diabetes mellitus. , 1993, Patient education and counseling.

[35]  A. Fagot-Campagna.  Emergence of Type 2 Diabetes Mellitus in Children: Epidemiological Evidence , 2000, Journal of pediatric endocrinology & metabolism : JPEM.

[36]  R. Rubin,et al.  Effect of Diabetes Education on Self-Care, Metabolic Control, and Emotional Well-Being , 1989, Diabetes Care.