title: Effect of diabetes self-efficacy on glycemic control, medication adherence, self-care behaviors, and quality of life in a predominantly low-income, minority population.
abstract: OBJECTIVE
  This study examined the effect of self-efficacy on glycemic control, self-care behaviors, and quality of life in low-income, minority adults with diabetes.
  
  
  METHODS
  Data on 378 participants were examined. Multiple linear regression assessed associations between self-efficacy, hemoglobin A1c, medication adherence, diabetes knowledge, self-care behaviors and quality of life.
  
  
  RESULTS
  Self-efficacy had modest correlations with glycemic control (r = -.250, P < .001), medication adherence (r = -.352, P < .001), diabetes knowledge (r = .118, P = .039), diet (r = .420, P < .001), exercise (r = .220, P < .001), blood sugar testing (r = .213, P < .001), foot care (r = .121, P = .032), and mental health related quality of life (r = .137, P = .017). In the regression model, self-efficacy was significantly associated with glycemic control (3 = -.104, 95% CI: -.157, -.051), medication adherence (3 = -.067, 95% CI: -.090, -.044), diet (3 = .150, 95% CI: .108, .191), exercise (-3 = 113, 95% CI: .065, .161), blood sugar testing (3 = .107, 95% CI: .049, .164) and mental health related quality of life (3 = .112, 95% CI: .051, .173).
  
  
  CONCLUSIONS
  Higher self-efficacy was associated with improved glycemic control, medication adherence, self-care behavior and mental health related quality of life.
  
  
  CONCLUSIONS
  Emphasis on self-efficacy is relevant for educational interventions developed for low-income, minority populations.
authors: Rebekah J
authors: RJ
authors: Walker
authors: Brittany L
authors: BL
authors: Smalls
authors: Melba A
authors: MA
authors: Hernandez-Tejada
authors: Jennifer A
authors: JA
authors: Campbell
authors: Leonard E
authors: LE
authors: Egede
mesh_terms: D000293:Adolescent; D000328:Adult; D001741:Black or African American / Q000523:psychology; D000368:Aged; D003924:Diabetes Mellitus, Type 2 / Q000208:ethnology / Q000523:psychology* / Q000628:therapy; D005260:Female; D006442:Glycated Hemoglobin / Q000378:metabolism; D007722:Health Knowledge, Attitudes, Practice / Q000208:ethnology; D006801:Humans; D008297:Male; D055118:Medication Adherence / Q000208:ethnology*; D008875:Middle Aged; D008913:Minority Groups / Q000523:psychology*; D011203:Poverty / Q000208:ethnology / Q000523:psychology; D011788:Quality of Life; D012648:Self Care; D020377:Self Efficacy; D044465:White People / Q000523:psychology; D055815:Young Adult
chemical_list: D006442:Glycated Hemoglobin