Psychosocial Self-efficacy and its Association with Selected Potential Factors Among Adults with Type 1 Diabetes: A Cross-Sectional Survey Study

IF 3.8 3区 医学 Q2 Medicine
Divya Anna Stephen, Anna Nordin, Unn-Britt Johansson, Jan Nilsson
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Abstract

Introduction

The management of type 1 diabetes, a non-preventable chronic disease, leads to a high physical and psychological burden on the individual. Digital health technology can improve a person’s psychosocial self-efficacy and thereby contribute to improved diabetes self-care. The aim of this study was to explore associations between psychosocial self-efficacy and demographic-, disease specific-, well-being as well as digital health technology (DHT) related factors among adults with type 1 diabetes.

Methods

A primarily web-based cross sectional survey was conducted among adults with type 1 diabetes in Sweden (n = 301). Psychosocial self-efficacy was assessed using the Swedish version of the Diabetes Empowerment Scale, Swe-DES-23. The survey also contained questions related to demographic-, disease specific-, well-being as well as digital health technology related variables.

Results

Higher well-being scores and lower HbA1c levels were associated with higher psychosocial self-efficacy in multiple linear regression analysis. In multivariate analysis, gender, body mass index, well-being scores, and HbA1c levels showed association with psychosocial self-efficacy. None of the DHT factors were found associated with psychosocial self-efficacy.

Conclusions

In this study, higher well-being score and lower self-reported HbA1c levels were associated with higher psychosocial self-efficacy in both univariate- and multivariate analysis and accounted for 30% of the variation in psychosocial self-efficacy in the regression model. Thus, measures to improve psychosocial self-efficacy in adults with type 1 diabetes may help maintain their psychological well-being and blood glucose control.

Abstract Image

1 型糖尿病患者的社会心理自我效能感及其与部分潜在因素的关系:一项横断面调查研究
导言:1 型糖尿病是一种不可预防的慢性疾病,其治疗给患者带来沉重的身心负担。数字健康技术可以提高患者的社会心理自我效能,从而有助于改善糖尿病患者的自我护理。本研究旨在探讨 1 型糖尿病成人患者的社会心理自我效能感与人口统计学、特定疾病、幸福感以及数字医疗技术(DHT)相关因素之间的关系。方法 主要对瑞典的 1 型糖尿病成人患者(n = 301)进行了一项基于网络的横断面调查。采用瑞典版糖尿病赋权量表(Swe-DES-23)对社会心理自我效能进行评估。在多元线性回归分析中,较高的幸福感得分和较低的 HbA1c 水平与较高的社会心理自我效能相关。在多变量分析中,性别、体重指数、幸福感得分和 HbA1c 水平与心理社会自我效能感相关。结论 在本研究中,在单变量和多变量分析中,较高的幸福感得分和较低的自我报告 HbA1c 水平与较高的社会心理自我效能相关,并占回归模型中社会心理自我效能变异的 30%。因此,提高 1 型糖尿病成人患者的社会心理自我效能的措施可能有助于维持他们的心理健康和血糖控制。
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来源期刊
Diabetes Therapy
Diabetes Therapy Medicine-Endocrinology, Diabetes and Metabolism
CiteScore
6.90
自引率
7.90%
发文量
130
审稿时长
6 weeks
期刊介绍: Diabetes Therapy is an international, peer reviewed, rapid-publication (peer review in 2 weeks, published 3–4 weeks from acceptance) journal dedicated to the publication of high-quality clinical (all phases), observational, real-world, and health outcomes research around the discovery, development, and use of therapeutics and interventions (including devices) across all areas of diabetes. Studies relating to diagnostics and diagnosis, pharmacoeconomics, public health, epidemiology, quality of life, and patient care, management, and education are also encouraged. The journal is of interest to a broad audience of healthcare professionals and publishes original research, reviews, communications and letters. The journal is read by a global audience and receives submissions from all over the world. Diabetes Therapy will consider all scientifically sound research be it positive, confirmatory or negative data. Submissions are welcomed whether they relate to an international and/or a country-specific audience, something that is crucially important when researchers are trying to target more specific patient populations. This inclusive approach allows the journal to assist in the dissemination of all scientifically and ethically sound research.
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