Clinical and socio-demographic determinants of inadequate self-care in adults with type 1 diabetes mellitus: The leading role of self-care confidence
Journal article
Caruso, Rosario, Rebora, Paola, Dellafiore, Federica, Fabrizi, Diletta, Riegel, Barbara, Ausili, Davide and Di Mauro, Stefania. (2019). Clinical and socio-demographic determinants of inadequate self-care in adults with type 1 diabetes mellitus: The leading role of self-care confidence. Acta Diabetologica. 56, pp. 151 - 161. https://doi.org/10.1007/s00592-018-1259-z
Authors | Caruso, Rosario, Rebora, Paola, Dellafiore, Federica, Fabrizi, Diletta, Riegel, Barbara, Ausili, Davide and Di Mauro, Stefania |
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Abstract | Aims To describe self-care maintenance, monitoring, and management behaviors in adults with type 1 diabetes (T1DM), and to identify clinical and socio-demographic determinants of inadequate self-care. Methods A cross-sectional study was conducted in two diabetes outpatient clinics in Italy. Clinical and socio-demographic characteristics were collected from the medical records of 181 consecutively enrolled T1DM patients. The Self-Care of Diabetes Inventory was used to measure self-care maintenance, self-care monitoring, self-care management and self-care confidence. A standardized 0–100 score was used for each self-care dimension. A score < 70 was considered inadequate self-care. Three multiple logistic regression models were run to find determinants of inadequate self-care maintenance, monitoring, and management. Results The majority of patients had adequate self-care maintenance (74%; n = 134), self-care monitoring (68.5%; n = 124) and self-care confidence (87.3%; n = 158), while self-care management was adequate for only a minority (34.8%; n = 63). The odds of inadequate self-care maintenance increased by 4.5 times when self-care confidence was inadequate (OR adjusted 4.589; 95% CI 1.611–13.071; p = 0.004). The odds of inadequate self-care monitoring increased four times when patients had inadequate self-care confidence (OR adjusted 4.116; 95% CI 1.457–11.628; p = 0.008). Inadequate self-care confidence increased the odds of performing inadequate self-care management more than five times (OR adjusted 5.313; 95% CI 1.143–24.686; p = 0.033). Conclusions Self-care management is commonly inadequate in adults with T1DM. Self-care confidence is the most important determinant of self-care behaviors in this population. Educational interventions are recommended to improve self-care confidence in adults with T1DM. |
Keywords | self-care; self-management; self-efficacy; diabetes mellitus; type 1 diabetes mellitus; risk factors; health education |
Year | 2019 |
Journal | Acta Diabetologica |
Journal citation | 56, pp. 151 - 161 |
Publisher | Springer-Verlag Italia Srl |
ISSN | 0940-5429 |
Digital Object Identifier (DOI) | https://doi.org/10.1007/s00592-018-1259-z |
Scopus EID | 2-s2.0-85057864609 |
Page range | 151 - 161 |
Research Group | Mary MacKillop Institute for Health Research |
Publisher's version | File Access Level Controlled |
Place of publication | Germany |
https://acuresearchbank.acu.edu.au/item/87z1z/clinical-and-socio-demographic-determinants-of-inadequate-self-care-in-adults-with-type-1-diabetes-mellitus-the-leading-role-of-self-care-confidence
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