Exploring the relationships between self-efficacy, self-care, and glycaemic control in primary care diabetes management
Objectives: Our study aimed to identify the complex interplay between self-efficacy, self-care practice, and glycaemic control among people with type 2 diabetes mellitus (PWDs) to inform the design of more targeted and effective behavioural interventions in primary care. Methods: A cross-sectional d...
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SAGE Publishing
2024-12-01
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| Series: | SAGE Open Medicine |
| Online Access: | https://doi.org/10.1177/20503121241310016 |
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| author | Le Ho Thi Quynh Anh Nguyen Vu Quoc Huy Nguyen Minh Tam Johan Wens Anselme Derese Wim Peersman Vo Ngoc Ha My Tran Binh Thang Nguyen Thi Phuong Anh Tran Thi Truc Ly Peter Pype |
| author_facet | Le Ho Thi Quynh Anh Nguyen Vu Quoc Huy Nguyen Minh Tam Johan Wens Anselme Derese Wim Peersman Vo Ngoc Ha My Tran Binh Thang Nguyen Thi Phuong Anh Tran Thi Truc Ly Peter Pype |
| author_sort | Le Ho Thi Quynh Anh |
| collection | DOAJ |
| description | Objectives: Our study aimed to identify the complex interplay between self-efficacy, self-care practice, and glycaemic control among people with type 2 diabetes mellitus (PWDs) to inform the design of more targeted and effective behavioural interventions in primary care. Methods: A cross-sectional descriptive study was performed with 294 PWDs managed in primary care. The Diabetes Management Self-Efficacy Scale (DMSES) and Summary of Diabetes Self-Care Activities (SDSCA) questionnaire measured patients’ self-efficacy and self-care practice. Multivariate logistic regression models were developed to explore how SDSCA, DMSES, and their combined effect relate to glycaemic control, adjusting for patient characteristics. Network analysis in R software examined relationships between self-efficacy and self-care dimensions across glycaemic control subgroups using a Gaussian graphical model with the extended Bayesian information criterion. Results: Half the PWDs (50.7%) had suboptimal glycaemic control. Better glycaemic control was consistently associated with higher self-efficacy (odds ratio (OR) = 0.76, 95% confidence (CI) (0.60, 0.97), p = 0.03), shorter duration of diabetes (OR = 1.89, 95% CI (1.08, 3.31), p = 0.03), normal waist circumference (OR = 1.76, 95% CI (1.02, 3.05), p = 0.04), absence of diabetes complications (OR = 2.09, 95% CI (1.10, 3.98), p = 0.02), and treatment with oral hypoglycaemic agents (OR = 3.05, 95% CI (1.53, 6.09), p < 0.01). Network analysis among people with well-controlled HbA1c revealed that diet adherence and self-efficacy had the most robust connection, with diet self-efficacy strongly associated with most self-efficacy dimensions. Self-efficacy in exercise, blood glucose monitoring, and foot care are the most central factors in the network structures for PWDs with suboptimal glycaemic control. Conclusions: Our study highlights the critical role of self-efficacy in diabetes primary care. For people with optimal glycaemic control, prioritising self-efficacy in diet adherence is crucial for sustaining glycaemic outcomes and supporting other self-care behaviours. Among those with suboptimal glycaemic control, enhancing self-efficacy in exercise, blood glucose monitoring, and foot care is essential. Targeted education programs, personalised counselling, and E-health tools can further empower patients to manage their diabetes more effectively. |
| format | Article |
| id | doaj-art-2fbce11c08cc4181b2f091f79da5f533 |
| institution | Kabale University |
| issn | 2050-3121 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | SAGE Publishing |
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| series | SAGE Open Medicine |
| spelling | doaj-art-2fbce11c08cc4181b2f091f79da5f5332025-01-23T08:03:28ZengSAGE PublishingSAGE Open Medicine2050-31212024-12-011210.1177/20503121241310016Exploring the relationships between self-efficacy, self-care, and glycaemic control in primary care diabetes managementLe Ho Thi Quynh Anh0Nguyen Vu Quoc Huy1Nguyen Minh Tam2Johan Wens3Anselme Derese4Wim Peersman5Vo Ngoc Ha My6Tran Binh Thang7Nguyen Thi Phuong Anh8Tran Thi Truc Ly9Peter Pype10Department of Public Health and Primary Care, Faculty of Medicine and Health Sciences, Ghent University, Ghent, BelgiumDepartment of Obstetrics and Gynecology, Hue University of Medicine and Pharmacy, Hue University, Hue, VietnamFamily Medicine Centre, Hue University of Medicine and Pharmacy, Hue University, Hue, VietnamDepartment of Family Medicine and Population Health, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, BelgiumDepartment of Public Health and Primary Care, Faculty of Medicine and Health Sciences, Ghent University, Ghent, BelgiumFaculty of Applied Social Work, Odisee University of Applied Sciences, Brussels, BelgiumOffice of Undergraduate Education, Hue University of Medicine and Pharmacy, Hue University, Hue, VietnamPublic Health Faculty, Hue University of Medicine and Pharmacy, Hue University, Hue, VietnamFamily Medicine Centre, Hue University of Medicine and Pharmacy, Hue University, Hue, VietnamFamily Medicine Centre, Hue University of Medicine and Pharmacy, Hue University, Hue, VietnamDepartment of Public Health and Primary Care, Faculty of Medicine and Health Sciences, Ghent University, Ghent, BelgiumObjectives: Our study aimed to identify the complex interplay between self-efficacy, self-care practice, and glycaemic control among people with type 2 diabetes mellitus (PWDs) to inform the design of more targeted and effective behavioural interventions in primary care. Methods: A cross-sectional descriptive study was performed with 294 PWDs managed in primary care. The Diabetes Management Self-Efficacy Scale (DMSES) and Summary of Diabetes Self-Care Activities (SDSCA) questionnaire measured patients’ self-efficacy and self-care practice. Multivariate logistic regression models were developed to explore how SDSCA, DMSES, and their combined effect relate to glycaemic control, adjusting for patient characteristics. Network analysis in R software examined relationships between self-efficacy and self-care dimensions across glycaemic control subgroups using a Gaussian graphical model with the extended Bayesian information criterion. Results: Half the PWDs (50.7%) had suboptimal glycaemic control. Better glycaemic control was consistently associated with higher self-efficacy (odds ratio (OR) = 0.76, 95% confidence (CI) (0.60, 0.97), p = 0.03), shorter duration of diabetes (OR = 1.89, 95% CI (1.08, 3.31), p = 0.03), normal waist circumference (OR = 1.76, 95% CI (1.02, 3.05), p = 0.04), absence of diabetes complications (OR = 2.09, 95% CI (1.10, 3.98), p = 0.02), and treatment with oral hypoglycaemic agents (OR = 3.05, 95% CI (1.53, 6.09), p < 0.01). Network analysis among people with well-controlled HbA1c revealed that diet adherence and self-efficacy had the most robust connection, with diet self-efficacy strongly associated with most self-efficacy dimensions. Self-efficacy in exercise, blood glucose monitoring, and foot care are the most central factors in the network structures for PWDs with suboptimal glycaemic control. Conclusions: Our study highlights the critical role of self-efficacy in diabetes primary care. For people with optimal glycaemic control, prioritising self-efficacy in diet adherence is crucial for sustaining glycaemic outcomes and supporting other self-care behaviours. Among those with suboptimal glycaemic control, enhancing self-efficacy in exercise, blood glucose monitoring, and foot care is essential. Targeted education programs, personalised counselling, and E-health tools can further empower patients to manage their diabetes more effectively.https://doi.org/10.1177/20503121241310016 |
| spellingShingle | Le Ho Thi Quynh Anh Nguyen Vu Quoc Huy Nguyen Minh Tam Johan Wens Anselme Derese Wim Peersman Vo Ngoc Ha My Tran Binh Thang Nguyen Thi Phuong Anh Tran Thi Truc Ly Peter Pype Exploring the relationships between self-efficacy, self-care, and glycaemic control in primary care diabetes management SAGE Open Medicine |
| title | Exploring the relationships between self-efficacy, self-care, and glycaemic control in primary care diabetes management |
| title_full | Exploring the relationships between self-efficacy, self-care, and glycaemic control in primary care diabetes management |
| title_fullStr | Exploring the relationships between self-efficacy, self-care, and glycaemic control in primary care diabetes management |
| title_full_unstemmed | Exploring the relationships between self-efficacy, self-care, and glycaemic control in primary care diabetes management |
| title_short | Exploring the relationships between self-efficacy, self-care, and glycaemic control in primary care diabetes management |
| title_sort | exploring the relationships between self efficacy self care and glycaemic control in primary care diabetes management |
| url | https://doi.org/10.1177/20503121241310016 |
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