Does self-efficacy mediate the cross-sectional relationship between perceived quality of health care and self-management of diabetes?: Results from Diabetes MILES - Australia
Tregea,Hannah Lee,Christina Browne,Jessica L. Pouwer,F. Speight,Jane
Tregea,Hannah
Lee,Christina
Browne,Jessica L.
Pouwer,F.
Speight,Jane
Abstract
Objective: Quality of health care (QoC) and self-efficacy may affect self-management of diabetes, but such effects are not well understood. We examined the indirect role of diabetes-specific self-efficacy (DSE) and generalised self-efficacy (GSE) in mediating the cross-sectional relationship between self-reported QoC and diabetes self-management. Design: Diabetes MILES-Australia was a national survey of 3,338 adults with diabetes. We analysed data from 1,624 respondents (age: M = 52.1, SD = 13.9) with type 1 (T1D; n = 680) or type 2 diabetes (T2D; n = 944), who responded to a version of the survey containing key measures. Main Outcome Measures: Self-reported healthy eating, physical activity, self-monitoring of blood glucose frequency, HbA(1c), medication/insulin adherence. Results: We used Preacher and Hayes' bootstrapping method, controlling for age, gender and diabetes duration, to test mediation of DSE and GSE on the relationship of QoC with each self-management variable. We found statistically significant but trivial mediation effects of DSE and of GSE on most, but not all, variables (all effect sizes <.06). Conclusion: Support for mediation was weak, suggesting that relationships amongst these variables are small and that future research might explore other aspects of self-management in diabetes.
Description
Date
2016
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Volume Title
Publisher
Research Projects
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Keywords
Australia, diabetes, population, quality of care, self-efficacy, self-management, GLYCEMIC CONTROL, DECISION-MAKING, PATIENT, ADHERENCE, ILLNESS, BELIEFS, DISEASE, SCALE, DICHOTOMIZATION, EMPOWERMENT, SDG 3 - Good Health and Well-being
Citation
Tregea, H, Lee, C, Browne, J L, Pouwer, F & Speight, J 2016, 'Does self-efficacy mediate the cross-sectional relationship between perceived quality of health care and self-management of diabetes? Results from Diabetes MILES - Australia', Psychology & Health, vol. 31, no. 5, pp. 592-604. https://doi.org/10.1080/08870446.2015.1128543