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Comparison of the role of self-efficacy and illness representations in relation to dietary self-care and diabetes distress in adolescents with type 1 diabetes
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Nouwen, Arie, Law, G. Urquhart, Hussain, Shakir, McGovern, Steven and Napier, Heidi (2009) Comparison of the role of self-efficacy and illness representations in relation to dietary self-care and diabetes distress in adolescents with type 1 diabetes. Psychology & Health, Vol.24 (No.9). pp. 1071-1084. doi:10.1080/08870440802254597 ISSN 0887-0446.
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Official URL: http://dx.doi.org/10.1080/08870440802254597
Abstract
This cross-sectional study examined the joint effects of self-efficacy and illness representations on dietary self-care and diabetes distress in adolescents with type 1 diabetes by comparing two theoretical models: the Self-regulation Model (Leventhal, H., Meyer, D., & Nerenz, D. (1980). The common-sense representations of illness danger. In S. Rachman (Ed.), Medical Psychology (Vol. 2, pp. 7-30). New York: Pergamon.) and Social Cognitive Theory (Bandura, A. (1997). Self efficacy: The exercise of control. New York: W. H. Freeman.). One hundred and fifty-one adolescents with type 1 diabetes completed self-report measures of dietary self-efficacy, illness representations, dietary self-care and diabetes distress. Data were analysed using structural equation modelling. The model best supported by the data (Leventhal's Self-regulation Model) showed that dietary self-efficacy, perceived consequences and treatment effectiveness had direct and independent effects on both dietary self-care and diabetes distress. Together with dietary self-efficacy, perceived short-term treatment effectiveness was a significant predictor of dietary self-care. Age was found to be a negative predictor of short-term treatment effectiveness beliefs. Diabetes distress was best predicted by self-efficacy and perceived consequences. It can be concluded that to target effectively dietary self-care and distress, clinicians should focus on key illness representation variables (perceived short-term treatment effectiveness and perceived consequences) in conjunction with self-efficacy.
| Item Type: | Journal Article | ||||
|---|---|---|---|---|---|
| Subjects: | R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine B Philosophy. Psychology. Religion > BF Psychology |
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| Divisions: | Faculty of Science, Engineering and Medicine > Science > Psychology | ||||
| Journal or Publication Title: | Psychology & Health | ||||
| Publisher: | Routledge | ||||
| ISSN: | 0887-0446 | ||||
| Official Date: | 2009 | ||||
| Dates: |
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| Volume: | Vol.24 | ||||
| Number: | No.9 | ||||
| Number of Pages: | 14 | ||||
| Page Range: | pp. 1071-1084 | ||||
| DOI: | 10.1080/08870440802254597 | ||||
| Status: | Peer Reviewed | ||||
| Publication Status: | Published | ||||
| Access rights to Published version: | Restricted or Subscription Access |
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