Older Adult Self-Efficacy Study of Mobile Phone Diabetes Management

Abstract The purpose of this study was to explicate the underlying mechanisms of the role of health literacy (HL) in diabetes management process involving a group of Korean Americans with type 2 diabetes mellitus (DM). We used data from a randomized clinical trial of an HL-focused diabetes self-management intervention (n = 250). A series of path analyses identified the level of self-efficacy and self-care skills as a significant mediator between HL and glucose control (HbA1C) and quality of life for the target population. In addition, education and acculturation were revealed as the most significant correlates of HL for this new immigrant group. Despite inconsistent empirical findings regarding the statistically significant effect of HL on glucose control, this study confirmed the apriority hypothesis that HL indirectly influences health outcome through mediators such self-care skills as self-efficacy. This study highlighted the importance of HL in chronic disease management for people with limited HL.

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417: Mobile phone diabetes management: Impact on physician prescribing behavior for patients with comorbid heart disease

Journal of Clinical Lipidology ◽

10.1016/j.jacl.2008.08.420 ◽

2008 ◽

Vol 2 (5) ◽

pp. S195

Keyword(s):

Heart Disease ◽

Mobile Phone ◽

Diabetes Management ◽

Prescribing Behavior ◽

Physician Prescribing Behavior ◽

Physician Prescribing

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Combining CGM and an Online Peer Support Community for Hispanic Adults with T2D: A Feasibility Study

Journal of Diabetes Science and Technology ◽

10.1177/19322968211032278 ◽

2021 ◽

pp. 193229682110322

Author(s):

Michelle L. Litchman ◽

Ashley Ng ◽

Ana Sanchez-Birkhead ◽

Nancy A. Allen ◽

Bruno Rodriguez-Gonzales ◽

...

Keyword(s):

Peer Support ◽

Feasibility Study ◽

Self Efficacy ◽

Diabetes Management ◽

Qualitative Interviews ◽

Glucose Monitoring ◽

Participant Satisfaction ◽

Hispanic Community ◽

Clinical Measures ◽

Study Participants

Background: Previous research has identified that people with type 2 diabetes (T2D) within the Hispanic community would benefit from an online peer support community (OPSC) and continuous glucose monitoring (CGM) data to facilitate diabetes self-management. Methods: A mixed-methods feasibility study enrolled Hispanic, Spanish-speaking adults with T2D, not on insulin. Participants were provided with CGM and access to an OPSC for 12 weeks. Feasibility was assessed by number of eligible participants who enrolled, attrition, quantity of CGM data, validated clinical measures of self-efficacy, quality of life and adverse events. Engagement in the OPSC was measured using objective metrics on the online platform. Qualitative interviews were conducted upon conclusion of the intervention to assess feasibility, acceptability, participant satisfaction, and key recommendations for improvement. Results: Of 46 participants screened, 39 were eligible and 26 completed the study. Participants significantly improved self-efficacy scores. Posts in the OPSC related to goal setting had the highest engagement followed by mid-week and end of week check-in posts respectively. Participant interviews described challenges accessing the OPSC platform as a barrier to engagement. Despite this, all participants were satisfied with the intervention. Key recommendations for improvement included providing greater variety of and individualized education and the use of a peer support platform that is easily accessible. Conclusions: The CGM + OPSC intervention tailored to the Hispanic community with T2D was feasible, acceptable and satisfactory and improved participant self-efficacy for diabetes management which may lead to improved clinical outcomes.

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Self-efficacy scale for Brazilians with type 1 diabetes

Sao Paulo Medical Journal ◽

10.1590/s1516-31802007000200006 ◽

2007 ◽

Vol 125 (2) ◽

pp. 96-101 ◽

Cited By ~ 7

Author(s):

Daniela Alves Gastal ◽

Ricardo Tavares Pinheiro ◽

Débora Potter Vazquez

Keyword(s):

Type 1 Diabetes ◽

Psychometric Properties ◽

Self Efficacy ◽

Diabetes Management ◽

Public Health Problem ◽

Public Healthcare ◽

Southern Brazil ◽

Good Glycemic Control ◽

Diabetes Patients

CONTEXT AND OBJECTIVE: Diabetes is a public health problem and good glycemic control is able to prevent or contain its complications. Self-efficacy is a key factor in successfully achieving behavior goals. The aim of this study was to analyze the psychometric properties of the insulin management diabetes self-efficacy scale (IMDSES) on type 1 diabetes patients from southern Brazil. DESIGN AND SETTING: Validation study in two cities in southern Brazil. METHODS: The psychometric properties of IMDSES were evaluated in a population of type 1 diabetes patients (n = 213), from September to December 2004, who were attended within the Brazilian public healthcare system. Principal component analysis was conducted to develop the subscales. Cronbach’s alpha was used as the reliability coefficient. RESULTS: The analysis of psychometric properties resulted in an IMDSES consisting of 20 items and three subscales: diet (alpha: 0.83), insulin (alpha: 0.92) and general management (alpha: 0.78) and accounted for 53% of the variance. Criteria validity was investigated through two parameters: glycohemoglobin, which showed significant association with self-efficacy on the insulin subscale (p = 0.04), and the variable "adherence", which was significantly associated with self-efficacy on two subscales (p < 0.05). CONCLUSIONS: This study shows that the IMDSES is valid and reliable, and can be used to measure results from diabetes educational programs and to measure self-efficacy relating to diabetes management, for possible interventions.

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Structural Relationship among Mobile Phone Dependence, Self-Efficacy, Time Management Disposition, and Academic Procras-tination in College Students

Iranian Journal of Public Health ◽

10.18502/ijph.v50i11.7582 ◽

2021 ◽

Author(s):

Peng Sheng Chen ◽

Jing Li ◽

Seung-Yong Kim

Keyword(s):

Factor Analysis ◽

Mobile Phone ◽

Mobile Phones ◽

Time Management ◽

Self Efficacy ◽

Academic Procrastination ◽

Self Regulated Learning ◽

Regulated Learning ◽

Negative Effect ◽

The Relationship

Background: We aimed to investigate the relationship among mobile phone dependence, self-efficacy for self-regulated learning, time management disposition, and academic procrastination in Chinese students majoring in physical education. In addition, we explored the mediating roles of self-efficacy for self-regulated learning and time management disposition in the relationship between mobile phone dependence and academic procrastination. Methods: We adopted a random sampling method to identify 324 physical education majors at five universities in Shaanxi Province, China in 2020. Data were analyzed via exploratory factor analysis, confirmatory factor analysis, correlation analysis, structural equation model analysis, and path analysis. Results: Mobile phone dependence had significant positive effects on academic procrastination (P<0.001) and self-efficacy for self-regulated learning (P<0.05) but a significant negative effect on time management disposition (P<0.001). Self-efficacy for self-regulated learning had a significant positive effect on academic procrastination (P<0.001), while time management disposition had a significant negative effect on academic procrastination (P<0.01). Notably, self-efficacy for self-regulated learning and time management disposition mediated the relationship between mobile phone dependence and academic procrastination (P<0.05). Conclusion: In addition to its direct effect on academic procrastination, mobile phone dependence exerts an indirect effect via time management disposition and self-regulated learning efficacy. Reducing students’ dependence on mobile phones is necessary for attenuating academic procrastination on university campuses. Thus, universities should aim to restrict the use of mobile phones in the classroom, actively cultivate students’ confidence in their self-regulated learning ability, and educate them regarding appropriate time values.

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