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, Frans and Speight, Jane (2016) Does self-efficacy mediate the cross-sectional relationship between perceived quality of health care and self-management of diabetes? Results from Diabetes MILES – Australia. Psychology and Health, 1-13. doi:10.1080/08870446.2015.1128543


Author Tregea, Hannah
Lee, Christina
Browne, Jessica L.
Pouwer, Frans
Speight, Jane
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
Journal name Psychology and Health   Check publisher's open access policy
ISSN 1476-8321
0887-0446
Publication date 2016-01-09
Year available 2015
Sub-type Article (original research)
DOI 10.1080/08870446.2015.1128543
Open Access Status Not Open Access
Start page 1
End page 13
Total pages 13
Place of publication Abingdon, Oxon, United Kingdom
Publisher Routledge
Subject 2739 Public Health, Environmental and Occupational Health
3202 Applied Psychology
Formatted 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, HbA1c, 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.
Keyword Australia
Diabetes
Population
Quality of care
Self-efficacy
Self-management
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2016 Collection
School of Psychology Publications
 
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