title: Diabetes self-efficacy strongly influences actual control of diabetes in patients attending a tertiary hospital in India.
abstract: A cross-sectional survey of 507 in- and out-patients, with diagnosed Type 2 diabetes mellitus (T2DM) was undertaken to study the relationships between personal, disease and treatment-related factors and diabetes control in a tertiary care hospital. On multivariate logistic regression analysis, self-efficacy (odds ratio (OR) =2.94; 95% confidence interval (CI) =1.92-4.54); P<0.001) was the single most important determinant of current diabetes control (HbA1c ≤7%), along with absence of hyperglycemic symptoms in the past year (OR=1.83; 95% CI=1.15-2.93, P<0.01), current treatment with oral medication (OR=1.77; 95% CI=1.17-2.66; P<0.007), and adherence to dietary restrictions (OR=2.7; 95% CI=1.28-5.88; P<0.009). Self-efficacy was itself influenced by educational status, employment, availability of family support, and positive mental attitudes. Our findings suggest that health care delivery inputs, patients' personal characteristics including education and attitude, and family support for care are complexly processed to determine patients' ability to manage their disease, which ultimately influences disease outcomes.
authors: Department of Obstetrics and Gynaecology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, 119228, Singapore. obgkv@nus.edu.sg
authors: Kavita
authors: K
authors: Venkataraman
authors: Anjur Tupil
authors: AT
authors: Kannan
authors: Om Prakash
authors: OP
authors: Kalra
authors: Jasvinder Kaur
authors: JK
authors: Gambhir
authors: Arun Kumar
authors: AK
authors: Sharma
authors: K R
authors: KR
authors: Sundaram
authors: V
authors: V
authors: Mohan
mesh_terms: D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D003924:Diabetes Mellitus, Type 2 / Q000523:psychology* / Q000628:therapy*; D005260:Female; D006442:Glycated Hemoglobin / Q000032:analysis; D006761:Hospitals; D006801:Humans; D007194:India; D008297:Male; D008875:Middle Aged; D012044:Regression Analysis; D020377:Self Efficacy; D012944:Social Support; D012959:Socioeconomic Factors; D016896:Treatment Outcome
chemical_list: D006442:Glycated Hemoglobin; C517652:hemoglobin A1c protein, human