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The Influence of Individualised Supports on the Self-Efficacy of Employed Diabetics in Hawai'i: Findings from a Mixed Method Study

Published online by Cambridge University Press:  23 February 2012

Denise L. Uehara ,
Christy M. Nishita ,
Tammy Tom  and
Landry Fukunaga
Denise L. Uehara*
Affiliation:
University of Hawai'i at Mānoa, Center on Disability Studies, United States
Christy M. Nishita
Affiliation:
University of Hawai'i at Mānoa, Center on Disability Studies, United States
Tammy Tom
Affiliation:
University of Hawai'i at Mānoa, Center on Disability Studies, United States
Landry Fukunaga
Affiliation:
University of Hawai'i at Mānoa, Center on Disability Studies, United States
*
Address for correspondence: Denise L. Uehara, University of Hawai'i at Mānoa Center on Disability Studies 1776 University Avenue Honolulu, HI 96822[email protected]

Abstract

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Self-management is a key component of diabetes care and enhancing patient self-efficacy is an important factor. Typical diabetes education programs include strategies to increase self-efficacy, but little information exists about the effectiveness of such programs within Asian and Pacific populations. The Hawai'i Demonstration to Maintain Independence and Employment was a federally funded, community-based randomised trial in which treatment group participants received individualised life coaching and pharmacist counselling over a 12-month period. The study measured changes in diabetes self-efficacy among treatment and control group participants using repeated measures analysis of covariance. Focus group findings provided a comprehensive picture of participants' perception of their experiences in the trial and more specifically the individualised intervention. There was a significant effect of the intervention on diabetes self-efficacy at the p < .01 level [F(1, 187) = 10.40, p = .002]. These findings demonstrate the efficacy of individually tailored approaches to diabetes self-management within a diverse, employed sample.

Keywords

self-efficacylife coachingpharmacist counselingdiabetesmixed-methods
Type
Articles
Information
Journal of Pacific Rim Psychology , Volume 5 , Issue 2 , December 2011 , pp. 65 - 74
Copyright
Copyright © Cambridge University Press 2011

References

Anderson, R.M., Fitzgerald, J.T., Gruppen, L.D., Funnell, M.M., & Oh, M.S. (2003). The Diabetes Empowerment Scale-Short Form (DES-SF). Diabetes Care, 26, 1641–1643.CrossRefGoogle ScholarPubMed
Bandura, A. (1994). Self-efficacy. In Ramachaudran, V.S. (Ed.), Encyclopedia of human behavior (Vol. 4, pp. 71–81). New York: Academic Press. (Reprinted in H. Friedman [Ed.], Encyclopedia of mental health. San Diego: Academic Press, 1998). Retrieved from http://www.des.emory.edu/mfp/BanEncy.htmlGoogle Scholar
Der, G., & Everitt, B.S. (2009). A handbook of statistical analysis using SAS. Boca Raton, FL: Chapman & Hall.Google Scholar
Fera, T., Bluml, B.M., & Ellis, W.M. (2009). Diabetes Ten Cities challenge: Final economic and clinical results. Journal of the American Pharmacists Association, 49(3), e52–e60.CrossRefGoogle Scholar
Fukunaga, L., & Uehara, D. (2010, June). Innovations in Treatment Fidelity: Measuring Quality of Implementation for a Life Coaching and Pharmacist Counseling Intervention for Employed Diabetics. Poster presented at the 2010 AcademyHealth Annual Research Meeting, Boston, MA. Retrieved from http://manoa.hawaii.edu/livehealthy/Presentations/ADA2010/DMIEPoster.pdfGoogle Scholar
Johnston-Brooks, C.H., Lewis, M.A., & Garg, S. (2002). Self-efficacy impacts self-care and HbA1c in young adults with Type I diabetes. Psychosomatic Medicine, 64(1), 43–51.CrossRefGoogle ScholarPubMed
Knowles, M.S. (1984). Introduction: The art and science of helping adults learn. In Andragogy in action: Applying modern principles of adult learning. San Francisco: Jossey-Bass.Google Scholar
Koenigsberg, M.R., Bartlett, D., & Cramer, J.S. (2004). Facilitating treatment adherence with lifestyle changes in diabetes. American Family Physician, 69(2), 309–316.Google ScholarPubMed
Krichbaum, K., & Buethe, M. (2003). Exploring the connection between self-efficacy and effective diabetes self-management. Diabetes Educator, 29, 653–662.CrossRefGoogle ScholarPubMed
Little, R.J.A, & Rubin, D.B. (2002). Statistical analysis with missing data (2nd ed.). Hoboken, NJ: John Wiley & Sons, Inc.CrossRefGoogle Scholar
Mathematica Policy Research. (2009). Interim report on the Demonstration to Maintain Independence and Employment. Retrieved from http://www.mathematica-mpr.com/publications/PDFs/disability/dmie-interimrpt.pdfGoogle Scholar
Michigan Diabetes Research and Training Center. (2003). Diabetes Empowerment Scale-Short Form (DES-SF). Retrieved from: http://www.med.umich.edu/mdrtc/profs/survey.htmlGoogle Scholar
Nishita, C.M., Uehara, D.L., & Tom, T. (2011). Diabetes self-management support needs and concerns for the future among employed adults on Oahu. Hawaii Journal of Public Health, 3(1), 30–35.Google Scholar
Norris, S.L., Engelgau, M.M., & Narayan, K.M. (2001). Effectiveness of self-management training in Type 2 diabetes: a systematic review of randomized controlled trials. Diabetes Care, 24, 561–587.CrossRefGoogle ScholarPubMed
Sarkar, U., Fisher, L., & Schillinger, D. (2006). Is self-efficacy associated with diabetes self-management across race/ethnicity and health literacy? Diabetes Care, 29, 823–829.CrossRefGoogle Scholar
Satia, J.A., & Galanko, J.A. (2007). Intrinsic and extrinsic motivations for healthful dietary change in African Americans. American Journal of Health Behavior, 31(6), 643–655.CrossRefGoogle ScholarPubMed
Schafer, J.L. (1997). Analysis of incomplete multivariate data. London, UK: Chapman & Hall.CrossRefGoogle Scholar
Smith, D.E., Heckemeyer, C.M., Kraty, P.P., & Mason, D.A. (1997). Motivational interviewing to improve adherence to a behavioral weight-control program for older obese women with NIDDM. Diabetes Care, 20, 52–54.CrossRefGoogle ScholarPubMed
Smith West, D., DiLillo, V., Bursac, Z., Gore, S.A., & Greene, P.G. (2007). Motivational interviewing improves weight loss in women with Type 2 diabetes. Diabetes Care, 30(5), 1081–1087.CrossRefGoogle Scholar
Spigner-Littles, D., & Anderson, C. E. (1999). Constructivism: A paradigm for older learners. Educational Gerontology, 25, 203–209.Google Scholar
Sprague, M., Shultz, J., & Branen, L. (2006). Understanding patient experiences with goal setting for diabetes self-management after diabetes education. Family & Community Health, 29(4), 245–255.CrossRefGoogle ScholarPubMed
Stajkoric, A.D., & Luthans, F. (1998). Self-efficacy and work related performance: A meta-analysis. Psychological Bulletin, 124, 240–261.CrossRefGoogle Scholar
Taosaka, S. (2002). Let's talk story: Professional development in the Pacific. Retrieved from http://www.prel.org/products/re_/talkstory.htmGoogle Scholar
Walker, E. (1999). Characteristics of the adult learner. The Diabetes Educator, 25, 16–24.CrossRefGoogle ScholarPubMed
Welch, G., Rose, G., & Ernst, D. (2006). Motivational interviewing and diabetes: What is it, how is it used, and does it work? Diabetes Spectrum, 19(1), 5–11.CrossRefGoogle Scholar
Whittemore, R., Melkus, G.D., & Grey, M. (2002). Metabolic control, self-management and psychosocial adjustment in women with Type 2 diabetes. Journal of Clinical Nursing, 14, 195–203.CrossRefGoogle Scholar