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A better model of diabetes self-management? Interactions between GP communication and patient self-efficacy in self-monitoring of blood glucose
- Source :
-
Patient Education & Counseling . Nov2009, Vol. 77 Issue 2, p260-265. 6p. - Publication Year :
- 2009
-
Abstract
- Abstract: Objective: The aim of this exploratory study was to investigate the interaction between patient self-efficacy and GP communication in explaining diabetes self-management in a disadvantaged region of Sydney, Australia. Methods: This study was undertaken in South West Sydney with the Fairfield Division of General Practice. We used a cross-sectional survey design to assess patients’ self-reported beliefs and behaviours about diabetes self-management. We used hierarchical multiple linear regression to test for interaction effects in diabetes self-management, following tests for clustering using multilevel modeling. Results: Of those eligible for survey, 105 patients completed the telephone survey (72%). There was a significant interaction between diabetes self-efficacy and GP communication in blood glucose testing; high-ratings of GP communication enhanced self-monitoring of blood glucose when patient self-efficacy was high but impeded self-monitoring of blood glucose when self-efficacy was low. There were no significant interaction effects for the general diet or exercise scales. Conclusion: This exploratory study suggests a complex relationship between patient self-efficacy and GP communication in self-monitoring of blood glucose. It is likely optimal diabetes self-management behaviours are produced by a fit between high patient self-efficacy and high quality GP communication. Practice implications: There is a risk that GPs who are sensitive to their patients’ low self-efficacy in self-monitoring of blood glucose may step in and take over the monitoring role and inadvertently reduce self-management. [Copyright &y& Elsevier]
Details
- Language :
- English
- ISSN :
- 07383991
- Volume :
- 77
- Issue :
- 2
- Database :
- Academic Search Index
- Journal :
- Patient Education & Counseling
- Publication Type :
- Academic Journal
- Accession number :
- 44828650
- Full Text :
- https://doi.org/10.1016/j.pec.2009.03.026