A recent study, the Diabetes Complications and Control Trial (DCCT), demonstrated intensive therapy to manage blood glucose levels significantly reduced the incidence of some debilitating complications (DCCT, 1993). Self-care management is an integral part of any diabetic's care. Yet, research has demonstrated as many as 80% of known diabetics are noncompliant to a prescribed regimen.The purpose of this study was to examine self-efficacy in low-income insulin dependent diabetics. The framework for the study was the concept of self-efficacy as developed by Bandura (1977). The instruments used was the Insulin Management Diabetes Self-Efficacy Scale (IMDSES), (Hurley, 1990) and a researcher developed Demographics and Diabetes History Questionnaire. Data analysis included correlations between self-efficacy and ethnicity, educational level, years since diagnosis and years of experience with diabetes complications.Permission was received from the clinic administration to conduct this study at Matthew 25 Health and Dental Clinic in Northeast Indiana. This clinic serves the uninsured and the underinsured of the area. Procedures for the protection of human subjects were followed.A convenience sample of 82 ethnically mixed, low income individuals was surveyed. Relationships between total self-efficacy, diet self-efficacy, insulin self-efficacy and self-efficacy and the general ability to care for self were examined. These self-efficacy scales were also examined in relation to ethnicity, education, years of diagnosis and complication experiences. Result indicated Hispanics were significantly lower in insulin self-efficacy than African Americans.Correlations performed demonstrated that education correlated positively with insulin selfefficacy and the number of complications correlated negatively with insulin self-efficacy. Hispanics have a lower mean level of education and a greater number of complications. This could possibly explain why Hispanics have lower insulin self-efficacy than African Americans.The findings of this study evidenced a relationship between insulin self-efficacy, education, and experiences with complications. / School of Nursing
| Identifer | oai:union.ndltd.org:BSU/oai:cardinalscholar.bsu.edu:handle/185945 |
| Date | January 1997 |
| Creators | Rossman, Helen C.P |
| Contributors | Ball State University. School of Nursing., Russell, Kathleen M. |
| Source Sets | Ball State University |
| Detected Language | English |
| Format | 107 leaves ; 28 cm. |
| Source | Virtual Press |
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