Illness perceptions and self efficacy beliefs in adolescents and young adults with insulin dependent diabetes mellitus

Griva, Konstadina; Myers, Lynn B.; Newman, Stanton

doi:10.1080/08870440008405578

Cited by 181 publications

(179 citation statements)

References 80 publications

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“…The value of self-efficacy in predicting self-care behaviors and outcomes in patients with diabetes is supported by several studies, in which self-efficacy was associated with self-reported adherence in adults (3)(4)(5)(6)(7)(8)(9) and adolescents (10,11), glycemic control (8,12,13), and better perceived general health, mental health, and social functioning (14).…”

mentioning

confidence: 78%

“…Although self-efficacy is not the only explanatory factor, it can add substantially to our understanding of self-care behavior: whereas self-judgements of efficacy may not presume individuals readiness to follow treatment recommendations, they must be present for treatment adherence to occur (13). Enhancing self-efficacy may increase patients' motivation for-and success with-behavioral efforts.…”

Section: Study 2: Test-retest Reliabilitymentioning

confidence: 99%

“…High levels of self-efficacy regarding a particular behavior do not automatically mean a person will engage in that behavior: patients do not perform several blood glucose tests per day simply because they feel able to do so (13). Appropriate skills, capabilities, knowledge, and incentives are required as well (44).…”

Section: Study 2: Test-retest Reliabilitymentioning

confidence: 99%

“…In some cases, the instrument relies heavily on diet-related items (4,15,19) or is concerned with psychosocial issues instead of self-care behavior (20). Measures for use in type 2 diabetic patients (12,21) and children and adolescents (22) are generally well validated and widely used by others (13,11,16). Advancing on these existing scales, we set out to develop a short instrument to assess self-efficacy in adults with type 1 diabetes, in Dutch as well as U.S. patients.…”

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confidence: 99%

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The Confidence in Diabetes Self-Care Scale

et al. 2003

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OBJECTIVE -To examine psychometric properties of the Confidence in Diabetes Self-Care (CIDS) scale, a newly developed instrument assessing diabetes-specific self-efficacy in Dutch and U.S. patients with type 1 diabetes.RESEARCH DESIGN AND METHODS -Reliability and validity of the CIDS scale were evaluated in Dutch (n ϭ 151) and U.S. (n ϭ 190) outpatients with type 1 diabetes. In addition to the CIDS scale, assessment included HbA 1c , emotional distress, fear of hypoglycemia, self-esteem, anxiety, depression, and self-care behavior. The Dutch sample completed additional measures on perceived burden and importance of self-care. Test-retest reliability was established in a second Dutch sample (n ϭ 62).RESULTS -Internal consistency (Cronbach's ␣ ϭ 0.86 for Dutch patients and 0.90 U.S. patients) and test-retest reliability (Spearman's r ϭ 0.85, P Ͻ 0.0001) of the CIDS scale were high. Exploratory factor analysis showed one strong general factor. Spearman's correlations between the CIDS scale and other measures were moderate and in the expected directions, and high HbA 1c levels were associated with low CIDS scores in the U.S. sample only. Low CIDS scores were positively associated with self-care but not with glycemic control in the original samples. CIDS scores in the U.S. and Dutch samples did not show any statistically significant differences. U.S. men had higher CIDS scores than U.S. women.CONCLUSIONS -The CIDS scale is a reliable and valid measure of diabetes-specific selfefficacy for use in patients with type 1 diabetes. High psychometric similarity allows for crosscultural comparisons. Diabetes Care 26:713-718, 2003E ffective self-regulation of diabetes is not just based on simple adherence to a prescribed regimen but requires active behavioral involvement of patients on a day-to-day basis. A key factor in attaining behavioral goals is self-efficacythe individual's confidence in his or her own ability to perform specific tasks required to reach a desired goal (1). To cope effectively with the complex demands of the diabetes treatment regimen, a sufficient sense of self-efficacy is required.

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mentioning

confidence: 78%

Section: Study 2: Test-retest Reliabilitymentioning

confidence: 99%

Section: Study 2: Test-retest Reliabilitymentioning

confidence: 99%

mentioning

confidence: 99%

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The Confidence in Diabetes Self-Care Scale

et al. 2003

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“…12 The IPQ 11 has been utilised in studies examining patients' adaptation to various conditions, such as heart disease, 13 rheumatoid arthritis, 14 chronic fatigue syndrome 15 and diabetes. 16 The IPQ subscales demonstrated good internal and test-retest reliability and good discriminant, construct and predictive validity. 12 For this study, items were modified to be appropriate to ED.…”

Section: Materials/scalesmentioning

confidence: 99%

Beliefs about illness and quality of life among men with erectile dysfunction

et al. 2004

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The objective of the study was to apply an illness representations framework to examine patients' beliefs about erectile dysfunction (ED) and the association between those beliefs and reported quality of life. A total of 41 patients attending two secondary care clinics at a teaching hospital completed questionnaires examining quality of life, sexual functioning, illness representations (cause, time-line, coherence, consequences, cure, control and emotion) and perceptions of masculinity. Masculinity, sexual function, emotions and beliefs about consequences were found to be significantly correlated with quality of life. Multiple regression analysis revealed a model that accounted for almost 35% of the variance in quality of life of ED patients. The strongest predictor of higher quality of life was better sexual functioning (b ¼ À0.342, Po0.05) followed by more positive beliefs about the effects of ED on masculinity (b ¼ 0.323, Po0.05). The results suggest that when assessing the quality of life of men with ED, patients' illness representations should be considered along with their level of sexual functioning and the effects of ED on masculinity. Patients may benefit from an intervention programme that includes an educational component, thereby providing patients with more information about treatment options and available support.

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The epidemiology of depression in diabetes

Winkley

2008

European Diabetes Nursing

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SummaryDepression is characterised by a period of low mood and loss of interest in everyday activities, and its prevalence in people with diabetes is thought to be twice as high as for those without the condition. Depression in diabetes is associated with a number of adverse outcomes such as increased morbidity, mortality and poor quality of life. As diabetes is increasingly common amongst the economically active, this has serious implications for health services and in the UK, the National Health Service (NHS) has recognised that depression in people with diabetes is a significant problem and recommends screening for depression in this group. Risk factors for depression in diabetes are almost identical to those in people without diabetes, but less is known about its course when people have diabetes, although the available evidence suggests it is more chronic. Research into the mechanisms by which depression is bad for people with diabetes suggests that biological, psychological and social factors play a part but the inter-relationships between these factors are likely to be complex and are not yet fully understood. Depression in people with diabetes can be treated successfully with pharmacological and psychological treatments at least in the short-term, but we do not yet know which treatments are successful in the long-term. Further research into the pathological mechanisms of depression and its treatment are needed if we are to continue to improve the health and lives of people with diabetes.Eur Diabetes Nursing 2008; 5(3): 91-96

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Illness perceptions and self efficacy beliefs in adolescents and young adults with insulin dependent diabetes mellitus

Cited by 181 publications

References 80 publications

The Confidence in Diabetes Self-Care Scale

The Confidence in Diabetes Self-Care Scale

Beliefs about illness and quality of life among men with erectile dysfunction

The epidemiology of depression in diabetes

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