Self-efficacy, problem solving, and social-environmental support are associated with diabetes self-management behaviors.
Self-efficacy, problem solving, and social-environmental support are associated with diabetes self-management behaviors.
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DOI：
10.2337/dc09-1746
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发表时间：
2010-04
期刊：
影响因子：
16.2
通讯作者：
Faber AJ
中科院分区：
文献类型：
--
作者：
King DK;Glasgow RE;Toobert DJ;Strycker LA;Estabrooks PA;Osuna D;Faber AJ
评估社会心理和社会环境变量与糖尿病自我管理和糖尿病控制之间的关联。基线数据来自一项2型糖尿病自我管理随机试验，纳入463名BMI升高的成年人（M = 34.8 kg/m2），用于研究人口统计学、心理社会和社会环境变量;饮食、运动和服药行为;以及生物学结局之间的关系。自我效能、解决问题和社会环境支持与饮食和运动独立相关，分别增加了23%和19%的方差。只有饮食有助于解释BMI（β =-0.17，P = 0.0003）和自测健康状况（β = 0.25，P < 0.0001）的差异;只有服药行为有助于血脂比（总HDL）（β =-0.20，P = 0.0001）和A1 C（β =-0.21，P < 0.0001）。干预措施应侧重于提高自我效能，解决问题和社会环境的支持，以改善糖尿病的自我管理。
To evaluate associations between psychosocial and social-environmental variables and diabetes self-management, and diabetes control. Baseline data from a type 2 diabetes self-management randomized trial with 463 adults having elevated BMI (M = 34.8 kg/m2) were used to investigate relations among demographic, psychosocial, and social-environmental variables; dietary, exercise, and medication-taking behaviors; and biologic outcomes. Self-efficacy, problem solving, and social-environmental support were independently associated with diet and exercise, increasing the variance accounted for by 23 and 19%, respectively. Only diet contributed to explained variance in BMI (β = −0.17, P = 0.0003) and self-rated health status (β = 0.25, P < 0.0001); and only medication-taking behaviors contributed to lipid ratio (total–to–HDL) (β = −0.20, P = 0.0001) and A1C (β = −0.21, P < 0.0001). Interventions should focus on enhancing self-efficacy, problem solving, and social-environmental support to improve self-management of diabetes.
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影响因子：
3
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