Self-efficacy, problem solving, and social-environmental support are associated with diabetes self-management behaviors

Diane K. King, Russell E. Glasgow, Deborah J. Toobert, Lisa A. Strycker, Paul A. Estabrooks, Diego Osuna, Andrew J. Faber

Research output: Contribution to journalArticle

172 Citations (Scopus)

Abstract

OBJECTIVE - To evaluate associations between psychosocial and social-environmental variables and diabetes self-management, and diabetes control. RESEARCH DESIGN AND METHODS - Baseline data from a type 2 diabetes self-management randomized trial with 463 adults having elevated BMI (M = 34.8 kg/m2) were used to investigate relations among demographic, psychosocial, and social-environmental variables; dietary, exercise, and medication-taking behaviors; and biologic outcomes. RESULTS - Self-efficacy, problem solving, and social-environmental support were independently associated with diet and exercise, increasing the variance accounted for by 23 and 19%, respectively. Only diet contributed to explained variance in BMI (β = -0.17, P = 0.0003) and self-rated health status (β = 0.25, P < 0.0001); and only medication-taking behaviors contributed to lipid ratio (total-to-HDL) (β = -0.20, P = 0.0001) and A1C (β = -0.21, P < 0.0001). CONCLUSIONS - Interventions should focus on enhancing self-efficacy, problem solving, and social-environmental support to improve self-management of diabetes.

Original languageEnglish (US)
Pages (from-to)751-753
Number of pages3
JournalDiabetes Care
Volume33
Issue number4
DOIs
StatePublished - Apr 1 2010

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Self Efficacy
Self Care
Diet
Type 2 Diabetes Mellitus
Health Status
Research Design
Demography
Lipids

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism
  • Advanced and Specialized Nursing

Cite this

Self-efficacy, problem solving, and social-environmental support are associated with diabetes self-management behaviors. / King, Diane K.; Glasgow, Russell E.; Toobert, Deborah J.; Strycker, Lisa A.; Estabrooks, Paul A.; Osuna, Diego; Faber, Andrew J.

In: Diabetes Care, Vol. 33, No. 4, 01.04.2010, p. 751-753.

Research output: Contribution to journalArticle

King, Diane K. ; Glasgow, Russell E. ; Toobert, Deborah J. ; Strycker, Lisa A. ; Estabrooks, Paul A. ; Osuna, Diego ; Faber, Andrew J. / Self-efficacy, problem solving, and social-environmental support are associated with diabetes self-management behaviors. In: Diabetes Care. 2010 ; Vol. 33, No. 4. pp. 751-753.
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