Self-Efficacy and Confidence in Outcomes as Determinants of Self-Care Practices in Inner-City, African-American Women with Non-Insulin-Dependent Diabetes

Author:

Skelly Anne H.1,Marshall James R.2,Haughey Brenda P.3,Davis Paul J.4,Dunford Robert G.5

Affiliation:

1. University of North Carolina at Chapel Hill Chapcl Hill, North Carolina

2. University at Buffato. Social and Preventive Medicine

3. School of Nursing

4. School of Dental Medicine Buffalo, New York

5. Albany Medical Center. Department of Medicine Alhany, New York

Abstract

The puipose of this study was to examine the extent to which Perceived self-efficacy and confidence in outcomes, selected demographic variables, and disease characteristics (age, duration of diabetes, presence of documented complications) affect an individual's adherence over time to a diabetes regimen of home glucose testing, medication/insulin administration, diet, and exercise. A convenience sample of 118 inner-city, African-American women with type II, non-insulin-dependent diabetes mellitus receiving outpatient care at a large urban hospital were asked to complete measures of each of the psychosocial variables on two occasions, separated by an interval of 4 to 5 months, and coinciding with their next scheduled clinic visit. Bivariate and multivariate analyses at Times 1 and 2 demonstrated the ability of self-efficacy alone to explain diet, exercise, and home-testing behaviors while suggesting variability within individuals in sense of self-efficacy over time.

Publisher

SAGE Publications

Subject

Health Professions (miscellaneous),Endocrinology, Diabetes and Metabolism

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