Research Article

Sociodemographic and Clinical Predictors of Self-Management among People with Poorly Controlled Type 1 and Type 2 Diabetes: The Role of Illness Perceptions and Self-Efficacy

Table 3

Predicting adherence to recommended self-management behaviours from psychosocial variables (illness perceptions or self-management-related self-efficacy).

Predictor variable (SE)95% CI-value

(1) Predicting self-management from illness perceptions
Diet recommendations and illness perceptions0.13
 Constant 5.43 (2.05)1.37–9.480.01
 Consequences 0.04 (0.08)−0.13–0.210.650.06
 Timeline −0.26 (0.20)−0.64–0.130.19−0.13
 Personal control 0.01 (0.08)−0.15–0.170.930.01
 Treatment control 0.03 (0.09)−0.15–0.170.730.04
 Identity −0.10 (0.07)−0.24–0.030.13−0.16
 Concern −0.06 (0.08)−0.22–0.090.42−0.09
 Understand 0.21 (0.08)0.05–0.370.010.27
 Emotional response 0.07 (0.07)−0.07–0.210.330.12
Exercise recommendations and illness perceptions0.140.11
 Constant 4.27 (2.76)1.21–9.750.13
 Consequences 0.02 (0.12)−0.23–0.260.900.02
 Timeline −0.36 (0.26)−0.88–0.160.18−0.13
 Personal control −0.09 (0.12)−0.33–0.140.43−0.10
 Treatment control 0.29 (0.13)0.02–0.560.030.27
 Identity −0.16 (0.09)−0.35–0.020.08−0.19
 Concern −0.08 (0.11)−0.30–0.150.50−0.08
 Understand 0.05 (0.11)−0.17–0.270.650.05
 Emotional response0.17 (0.10)−0.03–0.360.090.22
SMBG recommendations and illness perceptions0.14
 Constant −4.77 (3.11)−10.94–1.400.13
 Consequences 0.10 (0.13)−0.15–0.360.420.11
 Timeline 0.66 (0.30)0.07–1.250.030.20
 Personal control −0.04 (0.13)−0.29–0.210.75−0.04
 Treatment control 0.22 (0.15)−0.08–0.510.150.18
 Identity 0.15 (0.10)−0.05–0.350.150.15
 Concern −0.19 (0.12)−0.43–0.050.11−0.18
 Understand 0.15 (0.12)−0.10–0.390.240.12
 Emotional response0.05 (0.11)−0.16–0.270.620.06
Foot care recommendations and illness perceptions0.18
 Constant 3.52 (2.73)−1.90–8.940.20
 Consequences 0.15 (0.11)−0.07–0.380.170.18
 Timeline −0.39 (0.26)−0.91–0.120.13−0.14
 Personal control 0.25 (0.11)0.04–0.460.020.25
 Treatment control −0.17 (0.13)−0.42–0.070.17−0.17
 Identity 0.09 (0.09)−0.08–0.260.310.10
 Concern −0.09 (0.10)−0.29–0.120.41−0.09
 Understand 0.28 (0.11)0.06–0.49≤0.010.26
 Emotional response0.06 (0.09)−0.12–0.250.500.08
Overall self-management recommendations and illness perceptions0.22
 Constant 1.93 (1.44)−0.92–4.790.18
 Consequences 0.03 (0.07)−0.10–0.160.660.06
 Timeline −0.06 (0.14)−0.33–0.210.65−0.04
 Personal control 0.02 (0.06)−0.10–0.150.710.04
 Treatment control 0.10 (0.07)−0.05–0.240.180.16
 Identity −0.05 (0.05)−0.15–0.050.30−0.11
 Concern −0.07 (0.06)−0.18–0.050.30−0.13
 Understand 0.19 (0.06)0.08–0.31≤0.0010.33
 Emotional response0.10 (0.05)−0.001–0.200.050.23
() Predicting self-management recommendations from self-efficacy (PDSMS score)
Diet recommendations and PDSMS score0.03
 Constant 3.50 (0.58)2.35–4.65<0.001
 Diabetes self-efficacy0.04 (0.02)−0.001–0.080.050.18
Exercise recommendations and PDSMS score0.03
 Constant 0.88 (0.93)−0.96–2.730.34
 Diabetes self-efficacy0.06 (0.03)−0.00–0.130.050.19
SMBG recommendations and PDSMS score0.01
 Constant 3.46 (1.06)1.36–5.560.001
 Diabetes self-efficacy0.04 (0.04)−0.04–0.120.290.10
Foot care recommendations and PDSMS score0.03
 Constant 1.28 (0.94)−0.58–3.140.18
 Diabetes self-efficacy0.06 (0.03)−0.01–0.130.070.17
Overall SMG recommendations and PDSMS score0.08
 Constant 2.23 (0.48)1.27–3.18<0.001
 Diabetes self-efficacy0.05 (0.02)0.02–0.09<0.010.29

value ≤ 0.05; value ≤ 0.01; value ≤ 0.001.