title: Development and validation of the Lifestyle Self-Efficacy Scale for Latinos with Diabetes (LSESLD).
abstract: OBJECTIVE
  To develop and validate a self-efficacy measure of diabetes self-management, the Lifestyle Self-Efficacy Scale for Latinos with Diabetes (LSESLD), designed for low-income, Spanish-speaking Latinos with diabetes.
  
  
  METHODS
  Quantitative and qualitative methods.
  
  
  METHODS
  Community health centers in central and western Massachusetts.
  
  
  METHODS
  Low-income Latinos (N = 252) enrolled in a randomized diabetes self-management intervention trial.
  
  
  METHODS
  Construct validity, internal consistency, sensitivity to change over time.
  
  
  RESULTS
  The LSESLD demonstrated good internal consistency (Cronbach's alpha = .85), reasonable construct validity (moderate, significant associations between the LSESLD and validated measures of diabetes knowledge, dietary intake, physical activity, blood glucose self-monitoring, and HbA1c values), and sensitivity to intervention-related changes over time.
  
  
  CONCLUSIONS
  The LSESLD is a reliable and valid research instrument assessing self-efficacy related to diabetes self-management among low-income, Spanish-speaking populations.
authors.affiliation: Division of Preventive & Behavioral Medicine, University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, MA 01655, USA. Monica.Wang@umassmed.edu
authors.forename: Monica L
authors.initials: ML
authors.lastname: Wang
authors.affiliation: Division of Preventive & Behavioral Medicine, University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, MA 01655, USA.
authors.forename: Stephenie C
authors.initials: SC
authors.lastname: Lemon
authors.affiliation: Psychiatry Department, Baystate Medical Center, Worcester, MA, USA.
authors.forename: Garry
authors.initials: G
authors.lastname: Welch
authors.affiliation: Division of Preventive & Behavioral Medicine, University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, MA 01655, USA.
authors.forename: Milagros C
authors.initials: MC
authors.lastname: Rosal
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D015190:Blood Glucose Self-Monitoring; D003924:Diabetes Mellitus, Type 2 / Q000208:ethnology* / Q000517:prevention & control*; D005260:Female; D006630:Hispanic or Latino; D006801:Humans; D008019:Life Style; D008297:Male; D008875:Middle Aged; D011203:Poverty; D011594:Psychometrics; D012648:Self Care; D020377:Self Efficacy; D011795:Surveys and Questionnaires