Self-efficacy as a mediator variable for adolescents' adherence to treatment for insulin-dependent diabetes mellitus
Self-efficacy as a mediator variable for adolescents' adherence to treatment for insulin-dependent diabetes mellitus
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DOI：
10.1207/s15326888chc2901_4
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发表时间：
2000-12-01
影响因子：
0.9
通讯作者：
DeBell, WK
中科院分区：
文献类型：
--
作者：
Ott, J;Greening, L;DeBell, WK
班杜拉（1982）的自我效能理论被用来解释自我效能管理儿科疾病的过程，可以提高。被诊断为胰岛素依赖型糖尿病（IDDM）的青少年（N = 143）完成了对IDDM治疗依从性、糖尿病护理自我效能、糖尿病护理个人责任以及父母表现出的支持性和非支持性糖尿病特异性行为的测量。自我效能感作为中介变量进行了测试，用于假设治疗依从性与2种提高自我效能感的方法之间的关系，包括掌握经验（即，治疗的责任）和社会说服（即，支持和不支持的父母行为）。回归分析显示，支持自我效能作为一个中介变量掌握经验和坚持治疗之间的关系。自我效能也是一个中介变量之间的关系不支持父母的行为和青少年的不遵守血糖监测，但不遵守其他组成部分的治疗或整体遵守。然而，自我效能感并不是父母支持行为与依从性之间关系的重要中介变量。
Bandura's (1982) self-efficacy theory was applied to explain the process by which self-efficacy for managing pediatric diseases can be enhanced. Adolescents (N = 143) diagnosed with insulin-dependent diabetes mellitus (IDDM) completed measures of adherence to IDDM treatment, self-efficacy for diabetes care, personal responsibility for diabetes care, and a measure of supportive and nonsupportive diabetes-specific behaviors exhibited by their parents. Self-efficacy was tested as a mediator variable for hypothesized relations between adherence to treatment and 2 methods proposed to enhance self-efficacy, including mastery experience (i.e., responsibility for treatment) and social persuasion (i.e., supportive and nonsupportive parental behaviors). Regression analyses revealed support for self-efficacy as a mediator variable for the relation between mastery experience and adherence to treatment. Self-efficacy was also a mediator variable for the relation between nonsupportive parental behaviors and adolescents' nonadherence to blood glucose monitoring but not for nonadherence to other components of treatment or for overall adherence. Self-efficacy, however, was not a significant mediator for the relation between supportive parental behaviors and adherence.