ArticlePloS one2019
The association between self-efficacy and self-management behaviors among Chinese patients with type 2 diabetes.
Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers.
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Who cites it
43 citing papers in PubMed.
- Community interventions improve diabetes management and oral health in type 2 diabetes patients with chronic periodontitis.Scientific reports · 2025Trial
- Self-Efficacy, Self-Care, Glycaemic Control, and Quality of Life Among Adults With Type 2 Diabetes: A Scoping Review.Endocrinology, diabetes & metabolism · 2026Article
- The relationship between physical activity and quality of life among community-dwelling middle-aged and older adults with type 2 diabetes: a chain mediation model of psychological resilience and exercise self-efficacy.Frontiers in endocrinology · 2026Article
- Identification of Factors Associated with Glycemic Control Using the PRECEDE- PROCEED Model in Patients with Type 2 Diabetes: A Cross-Sectional Study.Diabetes, metabolic syndrome and obesity : targets and therapy · 2026Article
- Article
- Pathways Linking ICT Use to Chronic Disease Self-Management Among Older Adults with Comorbidities in Shanghai, China.Healthcare (Basel, Switzerland) · 2025Article
- Health literacy and self-care among patients with chronic kidney disease in a primary care setting.Singapore medical journal · 2025Article
- Changes in pre-diabetes and diabetes prevalence and diabetes self-management behaviors across socioeconomic spectra in rural southwest China: 2013-2022.BMC public health · 2025Article
- Type 2 Diabetes Self-Management Behaviors and Glycemic Control Under China's Diabetes Prevention and Control Action Program.International journal of public health · 2025Article
- Relationship between multimorbidity treatment burden and chronic disease self-efficacy in the elderly population of China.Frontiers in medicine · 2025Article
- Factors influencing chronic disease self-management behaviors: a national multilevel analysis in China.Frontiers in public health · 2025Article
- Article
- Socio-Clinical Correlations With Threat Perception and Self-Efficacy in People With Type 2 Diabetes.Diabetes spectrum : a publication of the American Diabetes Association · 2025Article
- The validity and reliability of the Indonesian version of the Diabetes Mellitus Self-Efficacy Scale (DMSES-I).Journal of research in nursing : JRN · 2024Article
- Hotspots and Global Trends of Nursing Research on Mobile Applications in Nursing From 2012 to 2023: A Bibliometric Analysis.Computers, informatics, nursing : CIN · 2024Article
- Self-efficacy of PLHIV for self-management at the University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia: a cross-sectional study.BMC primary care · 2024Article
- Implications on self-care behaviors among older Korean immigrants diagnosed with diabetes residing in the United States: a path analytical approach.Journal of diabetes and metabolic disorders · 2024Article
- Factors influencing self-management behaviors in persons with lupus nephritis: A cross-sectional study.Belitung nursing journal · 2024Article
- Self-Management and Its Associated Factors Among People Living With HIV at University of Gondar Comprehensive Specialized Hospital: A Cross-Sectional Study.BioMed research international · 2024Article
- Self-Care Practices and the Associated Socio-Demographic Variables of Persons With Type 2 Diabetes Mellitus (T2dm) in Southeast, Nigeria.Nutrition and metabolic insights · 2024Article
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Authors and funding
6 authors.
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Abstract
backgroundSelf-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.
methodsA 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.
resultsA 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).
conclusionsSelf-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.
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