Ps. Via et J. Salyer, Psychosocial self-efficacy and personal characteristics of veterans attending a diabetes education program, DIABET EDUC, 25(5), 1999, pp. 727-737
PURPOSE
the purpose of this descriptive correlational study was to describe the per
ceived psychosocial self-efficacy, attitude toward having diabetes, baselin
e glucose level, and personal characteristics of male veterans with type 2
diabetes.
METHODS
The Diabetes Empowerment Scale (DES) was mailed to participants and collect
ed on the day of the program. Percent ideal body weight and glycosylated he
moglobin were measured. Comparisons were made by educational level, racial
origin, and type of medication regimen on the DES and its subscales.
RESULTS
Participants on oral medication versus insulin had higher scores in the cat
egories of Motivation to Change and Ability to Cope with Feelings. Particip
ants with less education had greater scores in Ability to Cope with Feeling
s and Obtain Support. No racial differences were seen on the measured score
s; a significant difference was seen between Caucasians and non-Caucasians
in baseline glycemic control.
CONCLUSIONS
Targeting intervention strategies early in the course of disease progressio
n may positively affect outcome. Longitudinal studies are needed to demonst
rate the impact of self-management training on psychosocial self-efficacy a
nd clinical outcomes.