title: Relationships among self-care agency, self-efficacy, self-care, and glycemic control.
abstract: Costly complications of diabetes often arise from poor glycemic control. Appropriate diabetes self-care management may improve control. This study examined whether self-care management affects glycemic control and mediates relationships between self-efficacy and self-care agency with glycemic control. In a cross-sectional correlational design, data from a prior study of 141 insulin-requiring adults with type 1 or type 2 diabetes were examined using descriptive statistics, Pearson's correlation, and multiple hierarchical regression. Findings indicated that greater self-care agency and self-efficacy lead to greater self-care management, in turn leading to better glycemic control. Self-care management did not mediate between self-efficacy or self-care agency and glycemic control. Thus, beliefs or capabilities for self-care are insufficient to improve glycemic control; doing so requires self-care management.
authors.affiliation: North Carolina Agricultural and Technical State University, Greensboro, NC, USA. vdsousa@ncat.edu
authors.forename: Valmi D
authors.initials: VD
authors.lastname: Sousa
authors.forename: Jaclene A
authors.initials: JA
authors.lastname: Zauszniewski
authors.forename: Carol M
authors.initials: CM
authors.lastname: Musil
authors.forename: Patricia J
authors.initials: PJ
authors.lastname: Price Lea
authors.forename: Schenita A
authors.initials: SA
authors.lastname: Davis
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D003920:Diabetes Mellitus / Q000097:blood / Q000523:psychology / Q000628:therapy*; D005260:Female; D006442:Glycated Hemoglobin / Q000378:metabolism; D006801:Humans; D007389:Internal-External Control; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D012044:Regression Analysis; D012648:Self Care / Q000523:psychology*; D020377:Self Efficacy
chemical_list: D006442:Glycated Hemoglobin