scholarly journals Self-efficacy scale for Brazilians with type 1 diabetes

2007 ◽  
Vol 125 (2) ◽  
pp. 96-101 ◽  
Author(s):  
Daniela Alves Gastal ◽  
Ricardo Tavares Pinheiro ◽  
Débora Potter Vazquez
Keyword(s):  
Type 1 Diabetes ◽  
Psychometric Properties ◽  
Self Efficacy ◽  
Diabetes Management ◽  
Public Health Problem ◽  
Public Healthcare ◽  
Southern Brazil ◽  
Good Glycemic Control ◽  
Diabetes Patients

CONTEXT AND OBJECTIVE: Diabetes is a public health problem and good glycemic control is able to prevent or contain its complications. Self-efficacy is a key factor in successfully achieving behavior goals. The aim of this study was to analyze the psychometric properties of the insulin management diabetes self-efficacy scale (IMDSES) on type 1 diabetes patients from southern Brazil. DESIGN AND SETTING: Validation study in two cities in southern Brazil. METHODS: The psychometric properties of IMDSES were evaluated in a population of type 1 diabetes patients (n = 213), from September to December 2004, who were attended within the Brazilian public healthcare system. Principal component analysis was conducted to develop the subscales. Cronbach’s alpha was used as the reliability coefficient. RESULTS: The analysis of psychometric properties resulted in an IMDSES consisting of 20 items and three subscales: diet (alpha: 0.83), insulin (alpha: 0.92) and general management (alpha: 0.78) and accounted for 53% of the variance. Criteria validity was investigated through two parameters: glycohemoglobin, which showed significant association with self-efficacy on the insulin subscale (p = 0.04), and the variable "adherence", which was significantly associated with self-efficacy on two subscales (p < 0.05). CONCLUSIONS: This study shows that the IMDSES is valid and reliable, and can be used to measure results from diabetes educational programs and to measure self-efficacy relating to diabetes management, for possible interventions.

scholarly journals Identification of Psychological Factors Associated with Adherence to Self-Care Behaviors amongst Patients with Type 1 Diabetes

2019 ◽  
Vol 2019 ◽  
pp. 1-9 ◽  
Author(s):  
Dácil Alvarado-Martel ◽  
M. Ángeles Ruiz Fernández ◽  
Maribel Cuadrado Vigaray ◽  
Armando Carrillo ◽  
Mauro Boronat ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Self Efficacy ◽  
Diabetes Management ◽  
Self Care ◽  
Therapeutic Education ◽  
Anxiety And Depression ◽  
Personality Variables ◽  
Age Range ◽  
Lower Adherence

Purpose. To explore the factors involved in adherence to self-care behaviors in patients with type 1 diabetes. Materials and Methods. Patients with type 1 diabetes (age range: 14-71 years) were invited to participate at seven Spanish hospitals. They completed a dossier which recorded sociodemographic and clinical variables and also measured personality variables, emotional state, beliefs, and concerns regarding the illness, by means of questionnaires. Results. A total of 428 patients with type 1 diabetes were included (58% women, age 36 (11.8) years, diabetes duration 18.3 (10.2) years, HbA1c 7.9 +/-1.3%). A total of 60.1% of patients found it difficult to follow the treatment recommendations for the care of their disease. The reasons given were mood (25.2%), lack of motivation (13.4%), work (12%), and economic difficulties (3.8%). Other personal reasons were reported by 5.7%. Motivation, training in diabetes management, importance the patient attributed to the disease, and self-efficacy were the variables that predicted adherence to self-care behaviors, together accounting for 32% of its variance. Anxiety and depression were highly prevalent in this study population (57.1% and 23.1%, respectively) and were associated with lower adherence. Conclusion. In the present study assessing patients with type 1 diabetes, motivation, training in diabetes management, beliefs regarding the disease, and self-efficacy were the main contributors to adherence to self-care behaviors. On the other hand, anxiety and depression were highly prevalent and associated with lower adherence. Thus, supplementing therapeutic education with strategies designed to raise levels of motivation, discussion of beliefs about the disease, and encouragement of self-efficacy might be a useful way to increase patient involvement in self-care.

scholarly journals Evaluating Parents’ Self-Efficacy for Diabetes Management in Pediatric Type 1 Diabetes

2016 ◽  
pp. jsw072 ◽  
Author(s):  
Amy E. Noser ◽  
Susana R. Patton ◽  
Jason Van Allen ◽  
Michael B. Nelson ◽  
Mark A. Clements
Keyword(s):  
Type 1 Diabetes ◽  
Self Efficacy ◽  
Diabetes Management ◽  
Pediatric Type 1 Diabetes

Use of Digital Technologies in Pediatric Diabetes Management During the Pandemic

2021 ◽  
Vol 1 (2) ◽  
Author(s):  
Dhruvi Hasnani ◽  
◽  
Vipul Chavda ◽  
Shriji Hasnani ◽  
Vaishali Maheriya ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Diabetes Management ◽  
International Diabetes Federation ◽  
Research Society ◽  
Medical Community ◽  
Hospital Death ◽  
Good Glycemic Control ◽  
Pediatric Diabetes

The outbreak of COVID-19 had created a significant impact on the medical community and has resulted in novel challenges to all the physicians. It is estimated by the International Diabetes Federation (IDF) that in 2019 there were 95,600 cases of type 1 diabetes (0 and 14 years of age) in India. Type 1 diabetes was identified to be an independent risk factor associated with in-hospital death in COVID-19. During the pandemic, due to fear of visiting the hospitals, there was an underrepresentation of new cases and due to delay in the diagnosis, there was a spike in the number of cases of diabetic ketoacidosis. The objective of the current review is to summarize the role of telemedicine in the management of pediatric diabetes. Various organizations such as the Research Society of Study of Diabetes in India (RSSDI), CDiC, and IFAC came forward to support the pediatric diabetes community through the supply of insulin, glucose strips and syringes. The efficiency of telehealth visits was enhanced by using diabetes technologies like insulin pumps, CGMs, and bluetooth glucose meters. As children got ample time to spend with their parents and perform the in-home physical activity, they had good glycemic control during the pandemic period in some cases.

scholarly journals Impulse Control, Diabetes-Specific Self-Efficacy, and Diabetes Management Among Emerging Adults With Type 1 Diabetes

2012 ◽  
Vol 38 (3) ◽  
pp. 247-254 ◽  
Author(s):  
N. W. Stupiansky ◽  
K. M. Hanna ◽  
J. E. Slaven ◽  
M. T. Weaver ◽  
J. D. Fortenberry
Keyword(s):  
Type 1 Diabetes ◽  
Emerging Adults ◽  
Self Efficacy ◽  
Impulse Control ◽  
Diabetes Management ◽  
Control Diabetes

scholarly journals An Integrative Review of Self-efficacy Measurement Instruments in Youth With Type 1 Diabetes

2014 ◽  
Vol 41 (1) ◽  
pp. 43-58 ◽  
Author(s):  
Lisa Rasbach ◽  
Carolyn Jenkins ◽  
Lori Laffel
Keyword(s):  
Type 1 Diabetes ◽  
Self Efficacy ◽  
Social Cognitive ◽  
Cognitive Theory ◽  
Diabetes Management ◽  
Integrative Review ◽  
Key Words Diabetes ◽  
Measurement Instruments ◽  
White Middle Class

Purpose The purpose of this study is to assess the extant literature on instruments used to measure self-efficacy in youth with type 1 diabetes (T1DM) and their caregivers and to critically evaluate these measurements. Methods An integrative review (2003-2013) was conducted searching PsycINFO, Cumulative Index to Nursing and Allied Health Literature (CINAHL), and US National Library of Medicine PubMed service (PubMed) databases using key words diabetes, type 1 diabetes, and self-efficacy. The authors reviewed the resulting 294 references for inclusion criteria of (a) sample of youth with T1DM or sample of caregivers of youth with T1DM, (b) description of the self-efficacy instrument as primary research, and (c) the instrument measured self-efficacy specifically related to diabetes management. Forty-five articles out of the initial 294 met criteria. Results Of the 45 articles, 10 different self-efficacy instruments were identified. The primary theoretical framework used was Bandura’s social cognitive theory and model of self-efficacy. Most participants were white middle-class T1DM youth. Evaluations to assess validity often were not reported; however, a majority of studies reported high internal consistency of the instruments. Conclusions Sample homogeneity could limit the applicability of results to certain patient populations. Further psychometric analysis, including validity assessments, should be conducted in more diverse samples. Development of valid and reliable instruments for measuring self-efficacy that are sensitive to change across a wider caregiver base over time is necessary. While this review examined reliable and valid instruments used in research, future opportunities include evaluation of measuring self-efficacy in T1DM youth exposed to recent advances in diabetes management technologies.

scholarly journals Internet Usage May Improve Quality of Life (QoL) in Type 1 Diabetes Mellitus Patients

2020 ◽  
pp. 1-4
Author(s):  
Ravindra Shukla ◽  
Ravindra Shukla ◽  
Divyangi Mishra
Keyword(s):  
Type 1 Diabetes ◽  
Glycemic Control ◽  
Diabetes Patient ◽  
Smart Phones ◽  
Good Glycemic Control ◽  
Group 4 ◽  
Clinical Practise ◽  
Use Of Internet ◽  
Diabetes Patients

Objective: To delineate the effect of self-gained information through internet on glycemic control and overall QoL in type 1 diabetes patient. Methodology: 35 type 1 diabetes patients, who had reasonably good glycemic control were classified by a single clinician into net- savvy and ordinary based on their behaviour towards use of internet to gather information regarding health queries and their glycemic control and QoL analysed.WHO-5 questionnaire which is used in clinical practise was applied. Result: Of net savvy group (n=18), 14 (82%) had WHO-5 score greater than 13 while among ordinary (n=17) only 7 had WHO5 of same range. Thus, those who surfed internet were in general likely to have better QoL. Among net savvy group all had individual smart phones and used google as search engine. Among ordinary, 40% (9/17) had smart phones. The mean HbA1c of net savvy group was 7.2 which was lower than that of ordinary group mean HbA1c of 7.6. Those of net savvy group were more likely to agree to increase in number of s.c. insulin injections (12/18) as compared to ordinary group (4/17). The self-reported hypoglycemia episodes were also more in net savvy group (6/ person-week) as compared to ordinary (2/ person- week). Conclusion: Use of smart search engines like google (with strong in-built Artificial Intelligence (AI) systems), even if unsupervised, should be encouraged as part of DSME in type 1 Diabetes patients for optimizing glycemic control and detecting hypoglycemic episodes.

scholarly journals Stress, Self-Efficacy, Worries, and Challenges for Caregivers of Children with Type 1 Diabetes During the COVID-19 Pandemic

2020 ◽  
Vol 3 ◽  
Author(s):  
Breanne Hand ◽  
Priya Soni ◽  
Rebecca Oyetoro ◽  
Anastasia Albanese-O’Neill ◽  
Heba Ismail ◽  
...  
Keyword(s):  
Mental Health ◽  
Type 1 Diabetes ◽  
Self Efficacy ◽  
Diabetes Management ◽  
Short Form ◽  
Severe Disease ◽  
Measurement Information ◽  
Increased Risk ◽  
Patient Reported

Background:  Approximately 200,000 American youth live with Type 1 Diabetes (T1D). Intensive daily management is critical to optimize disease outcomes. Little is known about COVID-19 pandemic effects on persons with T1D and their caregivers. We hypothesized caregivers would report increased stress, lower self-efficacy (SE), and more difficult diabetes management associated with the pandemic.     Methods: A 49-item survey using Likert scales and open-ended response questions was distributed via email and T1D-related social media platforms from May 4-June 2,2020 to caregivers of children with T1D <18 years of age. The Patient-Reported Outcomes Measurement Information System (PROMIS) SE short form was used to measure general SE.     Results:  260 caregivers completed surveys: 94.2% female, mean age 42.4±7.7 years, 80.3% college degree or higher, 53.8% annual income >$99,000, 77.3% privately insured. Mean child age 11.0±4.1 years, mean T1D duration 4.2±3.4 years. 24.2% reported having COVID-19 or knowing someone diagnosed with COVID-19. 71.9% reported greater stress than before the pandemic. 9.6% reported job loss, 25.8% financial difficulty related to COVID-19. General SE levels were high, significantly correlated with overall COVID-19-related SE (r=0.394, p<0.001), and T1D care-SE during COVID-19 (r=0.421, p<0.001). 210 respondents provided open-ended response qualitative information on worries: 87.6% reported a worry, remainder not worried.  Common worries were COVID-19-related diabetes complications including uncontrolled blood sugars, diabetic ketoacidosis, and worry about child’s increased risk for severe disease, including death. 209 reported about challenges; 90.9% stated they had at least one challenge. Family isolation and mental health were the most-stated challenges.     Conclusion:  Despite reporting high overall SE, caregivers of T1D children during the pandemic reported greater overall stress, worries, and challenges. Given that data do not suggest that children with T1D are at increased risk of COVID-19 complications, healthcare providers should work to address this knowledge gap while providing families with social and mental health supports. 

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