Sociodemographic and clinical predictors of self-management among people with poorly controlled Type 1 and Type 2 Diabetes: the role of illness perceptions and self-efficacy

Abdul-Razak Abubakari, Rosanna Cousins, Cecil Thomas, Dushyant Sharma, Ebrahim K. Naderali

Research output: Contribution to journalArticle

Abstract

Self-management is critical if people with diabetes are to minimise their risk of macrovascular and microvascular complications, yet adherence to self-management recommendations is suboptimal. Understanding the predictors of optimal diabetes self-management in specific populations is needed to inform effective interventions. This study investigated the role of demographic and clinical characteristics, illness perceptions, and self-efficacy in explaining adherence to self-management recommendations among people with poorly controlled diabetes in North West of England. Illness perceptions and self-efficacy data were collected using validated questionnaires and clinical data were obtained from hospital records. Correlations were used to investigate bivariate relationships between independent variables and self-management, and multiple regression techniques were used to determine demographic and psychosocial predictors of self-management. Various demographic and clinical characteristics were associated with adherence to self-management recommendations. In particular, employment status explained 11% of the variation in adherence to foot care whilst diabetes treatment category explained 9% of exercise and 21% of the variations in SMBG recommendations. Also, 22% and 8% of the variations in overall self-management were explained by illness perceptions and self-efficacy beliefs, respectively. Illness perceptions and self-efficacy beliefs of people with poorly controlled diabetes are important predictors of their self-management behaviours and could potentially guide effective interventions.
Original languageEnglish
Number of pages12
JournalJournal of Diabetes Research
Volume2016
Issue number 6708164
Early online date1 Dec 2015
DOIs
Publication statusPublished - 2016

Keywords

  • self-management
  • diabetes
  • self-efficay

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