Does self-efficacy mediate the cross-sectional relationship between perceived quality of health care and self-management of diabetes? Results from Diabetes MILES - Australia

Hannah Tregea, Christina Lee*, Jessica L. Browne, F. Pouwer, Jane Speight

*Corresponding author for this work

Research output: Contribution to journalArticleScientificpeer-review

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.

Original languageEnglish
Pages (from-to)592-604
JournalPsychology & Health
Volume31
Issue number5
DOIs
Publication statusPublished - 2016

Keywords

  • Australia
  • diabetes
  • population
  • quality of care
  • self-efficacy
  • self-management
  • GLYCEMIC CONTROL
  • DECISION-MAKING
  • PATIENT
  • ADHERENCE
  • ILLNESS
  • BELIEFS
  • DISEASE
  • SCALE
  • DICHOTOMIZATION
  • EMPOWERMENT

Cite this

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title = "Does self-efficacy mediate the cross-sectional relationship between perceived quality of health care and self-management of diabetes?: Results from Diabetes MILES - Australia",
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.",
keywords = "Australia, diabetes, population, quality of care, self-efficacy, self-management, GLYCEMIC CONTROL, DECISION-MAKING, PATIENT, ADHERENCE, ILLNESS, BELIEFS, DISEASE, SCALE, DICHOTOMIZATION, EMPOWERMENT",
author = "Hannah Tregea and Christina Lee and Browne, {Jessica L.} and F. Pouwer and Jane Speight",
year = "2016",
doi = "10.1080/08870446.2015.1128543",
language = "English",
volume = "31",
pages = "592--604",
journal = "Psychology & Health: Official journal of the European Health Psychology Society (EHPS)",
issn = "0887-0446",
publisher = "TAYLOR & FRANCIS LTD",
number = "5",

}

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.

In: Psychology & Health, Vol. 31, No. 5, 2016, p. 592-604.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Does self-efficacy mediate the cross-sectional relationship between perceived quality of health care and self-management of diabetes?

T2 - Results from Diabetes MILES - Australia

AU - Tregea, Hannah

AU - Lee, Christina

AU - Browne, Jessica L.

AU - Pouwer, F.

AU - Speight, Jane

PY - 2016

Y1 - 2016

N2 - 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.

AB - 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.

KW - Australia

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KW - population

KW - quality of care

KW - self-efficacy

KW - self-management

KW - GLYCEMIC CONTROL

KW - DECISION-MAKING

KW - PATIENT

KW - ADHERENCE

KW - ILLNESS

KW - BELIEFS

KW - DISEASE

KW - SCALE

KW - DICHOTOMIZATION

KW - EMPOWERMENT

U2 - 10.1080/08870446.2015.1128543

DO - 10.1080/08870446.2015.1128543

M3 - Article

VL - 31

SP - 592

EP - 604

JO - Psychology & Health: Official journal of the European Health Psychology Society (EHPS)

JF - Psychology & Health: Official journal of the European Health Psychology Society (EHPS)

SN - 0887-0446

IS - 5

ER -