Correlates of self-efficacy in diabetes self-care among Hispanic adults with diabetes.
The purpose of this study was to examine factors associated with increased diabetes self-efficacy among insulin-requiring Hispanic adults with diabetes.



A cross-sectional survey design was used to obtain self-reported data on a nonrandom sample of 97 insulin-requiring Hispanic adults with diabetes. The Insulin Management Diabetes Self-Efficacy Scale (IMDSES) was translated into Spanish and administered with a demographic questionnaire by trained bilingual/bicultural interviewers in each respondent's own home. Factor analysis of the IMDSES revealed 4 subscales that corresponded with major diabetes self-care management behaviors.



Respondents gave low to average self-efficacy ratings on their ability to manage all aspects of their disease. Behaviors that required problem solving in changing circumstances received the lowest scores. Attending diabetes classes and having home nursing visits were associated with an increased sense of self-efficacy, particularly as it related to diet and insulin. English-speaking ability was associated with a general sense of self-efficacy in managing diabetes care.



The model tested was able to explain modest levels of self-efficacy, particularly in 2 of the most important diabetes management areas, insulin and diet management.
Bernal
H
H
The University of Connecticut School of Nursing, Storrs (Dr Bernal and Ms Dickinson)
Woolley
S
S
The Institute of Living, Hart­ ford, Connecticut (Mr Woolley)
Schensul
J J
JJ
The Institute for Community Research, Hart­ ford, Connecticut (Dr Schensul)
Dickinson
J K
JK
The University of Connecticut School of Nursing, Storrs (Dr Bernal and Ms Dickinson)
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001294:Attitude to Health / Q000208:ethnology*; D003430:Cross-Sectional Studies; D003922:Diabetes Mellitus, Type 1 / Q000208:ethnology* / Q000517:prevention & control*; D003927:Diet, Diabetic; D005163:Factor Analysis, Statistical; D005260:Female; D006630:Hispanic or Latino / Q000193:education / Q000523:psychology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011340:Problem Solving; D012648:Self Care / Q000523:psychology*; D020377:Self Efficacy; D011795:Surveys and Questionnaires