This study examines the extent to which locus of control and social support are linked to self-efficacy with regard to disease management in HIV-positive adults. Perceived ability to effectively manage illness was measured with the Self-Efficacy for Managing Chronic Disease Scale. Scores from the Multidimensional Scale of Perceived Social Support and the Multidimensional Locus of Control Scale were used as predictors. The gender-balanced sample (N = 69) of HIV+ adults was primarily African-American (65.3%) and European American (30.5%), with a mean age of 47 years (SD = 8.37). Correlational analyses suggested significant positive relationships between self-efficacy, social support, and locus of control due to powerful others. A regression analysis found that the model accounted for 23% of the variance in self-efficacy (adj. R-squared =.23, F (5, 63) = 4.81, p < .01), with social support (β = .37, t = 3.28, p < .01) and locus of control (β = .25, t = 2.26, p < .05) both significant predictors. Results suggest that social support and locus of control contribute to the belief that HIV can be managed. Interestingly, an external locus of control contributed to this belief, perhaps due to the perception of a physician, religious icon, or partner as a "powerful other." Results suggest that a strong supportive relationship with a trusted other along with enhanced social support typically associated with group-based interventions may improve health outcomes by increasing self-efficacy in disease management in HIV-positive adults.
| Identifer | oai:union.ndltd.org:unt.edu/info:ark/67531/metadc68003 |
| Date | 05 1900 |
| Creators | Lopez, Eliot Jay |
| Contributors | Vosvick, Mark A., Guarnaccia, Charles A., Watkins, C. Edward |
| Publisher | University of North Texas |
| Source Sets | University of North Texas |
| Language | English |
| Detected Language | English |
| Type | Thesis or Dissertation |
| Format | Text |
| Rights | Public, Copyright, Lopez, Eliot Jay, Copyright is held by the author, unless otherwise noted. All rights reserved. |
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