Abstract
© 2016 Sigma Theta Tau International.BACKGROUND: Patients with higher levels of self-management barriers are more likely to exhibit a lower level of self-efficacy. However, the theoretically meaningful mechanisms underlying the association between the two variables have not yet been established.AIMS: Informed by the Transactional Model of Stress and Coping, this study aimed to examine the potential role of diabetes appraisal on the association of self-management barriers and self-efficacy in patients with type 2 diabetes mellitus.METHODS: This article presents the secondary data analyses of a multicenter, cross-sectional study. A sample of 346 adults with type 2 diabetes was interviewed, using the Personal Diabetes Questionnaire, the Appraisal of Diabetes scale, the Diabetes Empowerment Scale-Short Form, and the Summary of Diabetes Self-Care Activities. Structure equation modeling was performed with 10,000 bootstrap samples using Mplus 7.RESULTS: The hypothesized model provided a good fit to the data (?2 = 22.975, df = 33; p = .1144; CFI = 0.989; SRMR = 0.036; RMSEA = 0.042). The mediating effect of diabetes appraisal on the association of self-management barriers and self-efficacy was significant (? = -0.521; 95% CI: -0.865, -0.283), explaining 44.82% of the total effect of barriers on self-efficacy. Significant associations were also detected between diet knowledge and diabetes appraisal (? = 0.148, p = .047).LINKING EVIDENCE TO ACTION: Diabetes appraisal plays a mediating role in the association between self-management barriers and self-efficacy in patients with type 2 diabetes. Reflecting on patients' appraisal of diabetes can help to develop evidence-based and patient-centered interventions. Interventions that enhance individuals' positive appraisal of diabetes have the potential to buffer the negative effects of self-management barriers on self-efficacy.
Original language | English |
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Pages (from-to) | 356-362 |
Number of pages | 7 |
Journal | Worldviews on Evidence-Based Nursing |
Volume | 13 |
Issue number | 5 |
DOIs | |
Publication status | Published - 1 Oct 2016 |
Externally published | Yes |
Keywords
- appraisal
- decision making
- diabetes
- knowledge
- mediating effect
- self-efficacy
- self-management barriers
ASJC Scopus subject areas
- General Nursing