Li Yang1, Yan Liang2, Kun Li3, Qiuli Zhao4, Dan Cui5, Xuemei Zhu4. 1. School of Nursing, Qingdao University, 15 Ningde Road, Qingdao, Shandong, 266071, People's Republic of China. Yang-li81@163.com. 2. School of Nursing, Zhejiang Chinese Medical University, Hangzhou, 310053, Zhejiang Province, China. 3. Department of Statistics, The 2nd Affiliated Hospital of Harbin Medical University, 246 XueFu Road, Harbin, 150086, Heilongjiang Province, China. likun1978188@163.com. 4. School of Nursing, Harbin Medical University, Harbin, 150086, Heilongjiang Province, China. 5. Department of Nursing, The 2nd Affiliated Hospital of Harbin Medical University, Harbin, 150086, Heilongjiang Province, China.
Abstract
BACKGROUND: It has previously been established that patients who have strong barriers to their diet self-management are more likely to have weak social support; however, the key mechanisms underlying the association between these two variables have not yet been established. This study aims to examine the potential role that diet self-efficacy plays in the relationship between social support and diet behavior in patients with type 2 diabetes mellitus (T2DM). METHODS: It was a cross-sectional survey. Three hundred-eighty patients diagnosed with T2DM were recruited for this study from five community health centers in China. The Chronic Disease Resource Scale (CIRS), Cardiac Diet Self-efficacy Scale (CDSE), and Food Control Behavior Scale (FCBS) were used to estimate participants' utilization of social resources, diet self-efficacy, and diet self-management, respectively. The data were analyzed utilizing structural equation modelling. RESULTS: The results suggest that both higher levels of social support and diet self-efficacy are related to higher levels of diet self-management. The mediating effect that diet self-efficacy has on the relationship between social support and diet self-management was significant (β = .30, p < .05), explaining 55.68% of the total effect of social support on diet self-management. CONCLUSIONS: Diet self-efficacy plays a mediating role in the association between social support and diet behavior in patients with type 2 diabetes mellitus.
BACKGROUND: It has previously been established that patients who have strong barriers to their diet self-management are more likely to have weak social support; however, the key mechanisms underlying the association between these two variables have not yet been established. This study aims to examine the potential role that diet self-efficacy plays in the relationship between social support and diet behavior in patients with type 2 diabetes mellitus (T2DM). METHODS: It was a cross-sectional survey. Three hundred-eighty patients diagnosed with T2DM were recruited for this study from five community health centers in China. The Chronic Disease Resource Scale (CIRS), Cardiac Diet Self-efficacy Scale (CDSE), and Food Control Behavior Scale (FCBS) were used to estimate participants' utilization of social resources, diet self-efficacy, and diet self-management, respectively. The data were analyzed utilizing structural equation modelling. RESULTS: The results suggest that both higher levels of social support and diet self-efficacy are related to higher levels of diet self-management. The mediating effect that diet self-efficacy has on the relationship between social support and diet self-management was significant (β = .30, p < .05), explaining 55.68% of the total effect of social support on diet self-management. CONCLUSIONS: Diet self-efficacy plays a mediating role in the association between social support and diet behavior in patients with type 2 diabetes mellitus.
Entities:
Keywords:
Diabetes mellitus, type 2; Diet; Self efficacy; Self-management; Social support
Authors: Rebekah J Walker; Brittany L Smalls; Melba A Hernandez-Tejada; Jennifer A Campbell; Leonard E Egede Journal: Ethn Dis Date: 2014 Impact factor: 1.847