Author : Kristina Schumann
Publisher :
ISBN 13 :
Total Pages : 330 pages
Book Rating : 4.:/5 (917 download)
Book Synopsis Barrier-based Diabetes Self-efficacy Survey by : Kristina Schumann
Download or read book Barrier-based Diabetes Self-efficacy Survey written by Kristina Schumann and published by . This book was released on 2013 with total page 330 pages. Available in PDF, EPUB and Kindle. Book excerpt: Diabetes is a significant problem in the United States, particularly among ethnic minorities. Diabetes self-management, which requires a complex regimen of lifestyle behaviors that are difficult to initiate and maintain, is critical in obtaining and maintaining optimal glycemic control, and contributes to reducing or eliminating diabetes-related complications. Healthy eating, physical activity, and problem solving are particularly challenging self-management activities that are influenced by the individual's self-efficacy to perform these behaviors. There are a number of diabetes-specific measures of self-efficacy in the literature, however these existing measures, by and large, ignore situational contexts influencing diabetes self-management. The purpose of the current study was to assess the psychometric properties of a new measure of diabetes-specific self-efficacy, the Barrier-Based Diabetes Self-Efficacy Survey (BB-DSES), which evaluates self-efficacy for key, challenging self-management behaviors (i.e., healthy eating, physical activity, and problem solving) in specific situational contexts. It was hypothesized that these BB-DSES behavior specific scales would have multidimensional factor structures, adequate reliability and validity, and would explain a significant amount of variance in A1C. One hundred participants enrolled in a larger research study, Project DECIDE (Decision-making Education for Choices In Diabetes Everyday), were included in the analyses. Ten additional participants were invited to participate in cognitive interviews to better understand the BB-DSES. Cognitive interviews indicated that participants had very little difficulty interpreting and understanding the items on the BB-DSES. Exploratory factor analysis was conducted to analyze emerging factors within each of the behavior scales of the BB-DSES. Cronbach alpha coefficients, bivariate correlations, and OLS regression models were assessed to examine reliability and validity of the BB-DSES. Hierarchical multiple regression was used to examine the relations between behavior-specific self-efficacy and glycemic control. In the current study sample, factor analyses revealed a unidimensional factor structure of each behavior specific scale of the BB-DSES. The behavior scales of the BB-DSES uniquely predicted their respective self-management behaviors (i.e., healthful eating, physical activity, and effective problem solving). Overall the BB-DSES demonstrated adequate reliability and validity. However, the BB-DSES did not explain a significant amount of variance in glycemic control. Results are discussed in terms of both clinical and research significance.