PMID- 31710631
OWN - NLM
STAT- MEDLINE
DCOM- 20200318
LR  - 20221207
IS  - 1932-6203 (Electronic)
IS  - 1932-6203 (Linking)
VI  - 14
IP  - 11
DP  - 2019
TI  - The association between self-efficacy and self-management behaviors among Chinese 
      patients with type 2 diabetes.
PG  - e0224869
LID - 10.1371/journal.pone.0224869 [doi]
LID - e0224869
AB  - BACKGROUND: Self-management is the cornerstone of diabetes care, however, despite 
      the numerous recommendations available for self-management, type-2 diabetes 
      mellitus (T2DM) patients' performance is suboptimal in China. This study aimed to 
      explore the association between self-efficacy and self-management behaviors among 
      Chinese T2DM patients, which might provide evidence to inform effective 
      self-management interventions for these patients. METHODS: A cross-sectional 
      survey was conducted using a multi-stage stratified randomized sampling in 
      Shandong Province, China. The Diabetes Empowerment Scale-Short Form (DES-SF) was 
      used to measure patients' self-efficacy to manage diabetes. Latent class analysis 
      (LCA) was used to explore the observed classes of self-management behaviors 
      (dietary control, physical exercise, regular medication and self-monitoring of 
      blood glucose). A two-class solution for self-management behaviors was tested to 
      be the fittest based on LCA; we labelled active and inactive self-management 
      groups. Univariate and multivariate logistic regression analysis were used to 
      examine the associations between self-efficacy and self-management behaviors. 
      RESULTS: A total of 2166 T2DM patients were included in the analysis. The mean 
      DES-SF score was 31.9 (standard deviation: 5.2). The estimated proportions of 
      T2DM in the active and inactive groups were 54.8% and 45.2%, respectively. The 
      multivariate logistic regression showed that higher DES-SF score was 
      significantly associated with higher possibility of active self-management 
      behaviors (odds ratio = 1.06; 95% confidence interval: 1.04-1.08). CONCLUSIONS: 
      Self-efficacy in managing diabetes is associated with self-management behaviors 
      among Chinese T2DM patients. To improve self-management behaviors, multiple 
      strategies should be conducted to improve patients' self-efficacy.
FAU - Yao, Jingjing
AU  - Yao J
AUID- ORCID: 0000-0002-9985-0405
AD  - School of Health Care management, NHC Key Laboratory of Health Economics and 
      Policy Research, Shandong University, Jinan, China.
FAU - Wang, Haipeng
AU  - Wang H
AD  - School of Health Care management, NHC Key Laboratory of Health Economics and 
      Policy Research, Shandong University, Jinan, China.
FAU - Yin, Xiao
AU  - Yin X
AD  - Jinan Central Hospital, Jinan, China.
FAU - Yin, Jia
AU  - Yin J
AD  - School of Health Care management, NHC Key Laboratory of Health Economics and 
      Policy Research, Shandong University, Jinan, China.
FAU - Guo, Xiaolei
AU  - Guo X
AD  - Shandong Center for Disease Control and Prevention, Jinan, China.
FAU - Sun, Qiang
AU  - Sun Q
AUID- ORCID: 0000-0003-3056-2322
AD  - School of Health Care management, NHC Key Laboratory of Health Economics and 
      Policy Research, Shandong University, Jinan, China.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20191111
PL  - United States
TA  - PLoS One
JT  - PloS one
JID - 101285081
SB  - IM
MH  - Adult
MH  - Aged
MH  - *Asian People
MH  - Diabetes Mellitus, Type 2/*drug therapy
MH  - Female
MH  - Humans
MH  - Latent Class Analysis
MH  - Logistic Models
MH  - Male
MH  - Middle Aged
MH  - Probability
MH  - *Self Efficacy
MH  - *Self-Management
PMC - PMC6844544
COIS- The authors have declared that no competing interests exist.
EDAT- 2019/11/12 06:00
MHDA- 2020/03/19 06:00
PMCR- 2019/11/11
CRDT- 2019/11/12 06:00
PHST- 2019/05/17 00:00 [received]
PHST- 2019/10/23 00:00 [accepted]
PHST- 2019/11/12 06:00 [entrez]
PHST- 2019/11/12 06:00 [pubmed]
PHST- 2020/03/19 06:00 [medline]
PHST- 2019/11/11 00:00 [pmc-release]
AID - PONE-D-19-13967 [pii]
AID - 10.1371/journal.pone.0224869 [doi]
PST - epublish
SO  - PLoS One. 2019 Nov 11;14(11):e0224869. doi: 10.1371/journal.pone.0224869. 
      eCollection 2019.