School Nurses’ Diabetes-Related Attitudes and Self-efficacy in Diabetes Education and Management

This study explored relationships between school nurses’ diabetes-related attitudes, self-efficacy in diabetes management and education, and care practices. One-hundred fourteen school nurses who have taken care of students with type 1 diabetes in public schools comprised this descriptive study sample. Participants completed online surveys. School nurses’ diabetes-related attitudes were not related to their self-efficacy in diabetes education, but nurses’ attitudes towards the psychosocial impact of diabetes were significantly related to their self-efficacy in diabetes management, and the number of students with diabetes was a significant contributor to this relationship. Nurses’ full-time status and the type of school they worked in were significantly related to their self-efficacy in providing diabetes education. School nurses’ positive attitudes about providing care for students with diabetes were related to having a higher level of self-efficacy in providing diabetes management. Based on the findings, recommendations are made for health consolidated schools and full-time school nurses.

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School Nurses’ Perceptions of Self-Efficacy in Providing Diabetes Care

The Journal of School Nursing ◽

10.1177/10598405050220040701 ◽

2006 ◽

Vol 22 (4) ◽

pp. 223-228 ◽

Cited By ~ 18

Author(s):

Kelly L. Fisher

Keyword(s):

Diabetes Care ◽

School System ◽

Self Efficacy ◽

Diabetes Education ◽

School Nurses ◽

School Age ◽

Glucose Meter ◽

Nurses Perceptions ◽

Blood Glucose Meter

The purpose of this study was to measure school nurses’ perceived self-efficacy in providing diabetes care and education to children and to identify factors that correlate with higher self-efficacy levels in the performance of these tasks. The results of this study revealed that the surveyed school nurses perceived a moderate level of self-efficacy in providing diabetes education. Significant findings in this study were positive relationships between self-efficacy and 3 variables: (a) participating in the care of children with diabetes, (b) having type 1 diabetes children in the school system, and (c) supervising children with blood glucose meter testing. There was a significant relationship between higher self-efficacy scores and having a diabetes curriculum. However, only nine school nurses reported having a diabetes curriculum. School nurses can benefit by understanding what factors increase self-efficacy related to diabetes education designed to enhance school-age children’s knowledge of diabetes and its management.

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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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Who Needs Diabetes Education? A Qualitative Analysis of Emerging Adults With Type 1 Diabetes

The Science of Diabetes Self-Management and Care ◽

10.1177/26350106211051297 ◽

2021 ◽

Vol 47 (6) ◽

pp. 436-446

Author(s):

Margot E. Porter ◽

Michelle L. Litchman ◽

Ernest G. Grigorian ◽

Julia E. Blanchette ◽

Nancy A. Allen

Keyword(s):

Type 1 Diabetes ◽

Emerging Adults ◽

Online Community ◽

Diabetes Management ◽

Diabetes Education ◽

Further Education ◽

Transitional Period ◽

Primary Care Clinics ◽

Glycemic Management

Background The purpose of this study is to explore the diabetes self-management education (DSME) needs of emerging adults with type 1 diabetes mellitus (T1DM) because addressing these needs may facilitate optimal glycemic management during this challenging transitional period. Methods A hybrid qualitative design was utilized. Emerging adults and parents of emerging adults were recruited from endocrinology and primary care clinics and through a Utah-specific T1DM online community. Interviews were conducted to asses needs to achieve target A1C. Data were interpreted thematically. Results Emerging adults with T1DM (N = 33) and parents of emerging adults with T1DM (N = 17) were interviewed. Three main themes emerged: (1) mixed desire for personal DSME; (2) I don’t need the education, others do; and (3) health care provider (HCP) attributes that make a difference. Associated subthemes were reported. Conclusions Emerging adults reported that further education for themselves was not needed, although newly diagnosed individuals would benefit from increased training in diabetes management. Although many emerging adults had a supportive social network, they endorsed the need for greater public education to avoid diabetes misinformation. Emerging adults felt more connected with HCPs that had diabetes-specific training (ie, endocrinologist) or those who personally live with T1DM.

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Identification of Psychological Factors Associated with Adherence to Self-Care Behaviors amongst Patients with Type 1 Diabetes

Journal of Diabetes Research ◽

10.1155/2019/6271591 ◽

2019 ◽

Vol 2019 ◽

pp. 1-9 ◽

Cited By ~ 3

Author(s):

Dácil Alvarado-Martel ◽

M. Ángeles Ruiz Fernández ◽

Maribel Cuadrado Vigaray ◽

Armando Carrillo ◽

Mauro Boronat ◽

...

Keyword(s):

Type 1 Diabetes ◽

Self Efficacy ◽

Diabetes Management ◽

Self Care ◽

Therapeutic Education ◽

Anxiety And Depression ◽

Personality Variables ◽

Age Range ◽

Lower Adherence

Purpose. To explore the factors involved in adherence to self-care behaviors in patients with type 1 diabetes. Materials and Methods. Patients with type 1 diabetes (age range: 14-71 years) were invited to participate at seven Spanish hospitals. They completed a dossier which recorded sociodemographic and clinical variables and also measured personality variables, emotional state, beliefs, and concerns regarding the illness, by means of questionnaires. Results. A total of 428 patients with type 1 diabetes were included (58% women, age 36 (11.8) years, diabetes duration 18.3 (10.2) years, HbA1c 7.9 +/-1.3%). A total of 60.1% of patients found it difficult to follow the treatment recommendations for the care of their disease. The reasons given were mood (25.2%), lack of motivation (13.4%), work (12%), and economic difficulties (3.8%). Other personal reasons were reported by 5.7%. Motivation, training in diabetes management, importance the patient attributed to the disease, and self-efficacy were the variables that predicted adherence to self-care behaviors, together accounting for 32% of its variance. Anxiety and depression were highly prevalent in this study population (57.1% and 23.1%, respectively) and were associated with lower adherence. Conclusion. In the present study assessing patients with type 1 diabetes, motivation, training in diabetes management, beliefs regarding the disease, and self-efficacy were the main contributors to adherence to self-care behaviors. On the other hand, anxiety and depression were highly prevalent and associated with lower adherence. Thus, supplementing therapeutic education with strategies designed to raise levels of motivation, discussion of beliefs about the disease, and encouragement of self-efficacy might be a useful way to increase patient involvement in self-care.

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Evaluating Parents’ Self-Efficacy for Diabetes Management in Pediatric Type 1 Diabetes

Journal of Pediatric Psychology ◽

10.1093/jpepsy/jsw072 ◽

2016 ◽

pp. jsw072 ◽

Cited By ~ 3

Author(s):

Amy E. Noser ◽

Susana R. Patton ◽

Jason Van Allen ◽

Michael B. Nelson ◽

Mark A. Clements

Keyword(s):

Type 1 Diabetes ◽

Self Efficacy ◽

Diabetes Management ◽

Pediatric Type 1 Diabetes

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The Effect of Web-based Diabetes Education on the Metabolic Control, Self-efficacy and Quality of Life of Adolescents with Type 1 Diabetes Mellitus in Turkey

The Journal of Pediatric Research ◽

10.4274/jpr.galenos.2020.61214 ◽

2021 ◽

Vol 8 (2) ◽

pp. 131-138

Author(s):

Dijle Ayar ◽

Candan Öztürk ◽

Margaret Grey

Keyword(s):

Quality Of Life ◽

Diabetes Mellitus ◽

Type 1 Diabetes ◽

Type 1 Diabetes Mellitus ◽

Metabolic Control ◽

Self Efficacy ◽

Diabetes Education ◽

Web Based

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Development and evaluation of a culturally tailored education module for type 1 diabetes in a resource-constrained setting: protocol for a mixed-methods study

International Journal of Clinical Trials ◽

10.18203/2349-3259.ijct20212847 ◽

2021 ◽

Vol 8 (3) ◽

pp. 244

Author(s):

Latika Rohilla ◽

Devi Dayal ◽

Prahbhjot Malhi ◽

Bhavneet Bharti ◽

Sukhpal Kaur ◽

...

Keyword(s):

Type 1 Diabetes ◽

Mixed Methods ◽

Diabetes Management ◽

Resource Constraints ◽

Diabetes Education ◽

Mixed Methods Study ◽

Trial Registration ◽

Second Phase ◽

Culturally Tailored

Background: Diabetes education is the key to successful diabetes management. There is a need for an education module for type 1 diabetes (T1D) that is culture-specific and suited to resource constraints.Methods: A mixed-methods study will be conducted, in three phases, to develop and evaluate a culturally tailored diabetes education module for Indian children with T1D and their families. During the first phase, a qualitative study among health professionals and families of children with T1D for need assessment will be conducted. During the second phase, based on the themes from the last phase, an educational module will be developed. The third phase will involve an evaluation of the content, feasibility and effectiveness of the proposed module. The content evaluation will be done using the standardized 'suitability assessment of materials' checklist. For feasibility, a mixed-method approach will be used with iterative cycles of satisfaction scale, semi-structured interview and feasibility and observation checklist. The module will be revised after each cycle till no new changes are suggested. The effectiveness will be assessed by a quasi-experimental controlled trial assessing glycemic control, health-related quality of life, clinically important events and self-management practices in T1D children at baseline and three and six months.Conclusions: This study aims at development and validation of a novel culturally tailored diabetes education module for children with T1D, suited to their resource constraints. A module designed with the inputs from all stakeholders, and evaluated using iterative cycles, has the potential to suit the dynamic nature of diabetes management in children.Trial registration: Trial registration number is CTRI/2021/04/032739.

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