Mediating role diet self-efficacy plays in the relationship between social support and diet self-management for patients with type 2 diabetes

Archives of Public Health

Dan Cui¹  Kun Li²  Xuemei Zhu³  Qiuli Zhao³  Li Yang⁴  Yan Liang⁵ 

[1] Department of Nursing, The 2nd Affiliated Hospital of Harbin Medical University, 150086, Harbin, Heilongjiang Province, China;Department of Statistics, The 2nd Affiliated Hospital of Harbin Medical University, 246 XueFu Road, 150086, Harbin, Heilongjiang Province, China;School of Nursing, Harbin Medical University, 150086, Harbin, Heilongjiang Province, China;School of Nursing, Qingdao University, 15 Ningde Road, 266071, Qingdao, Shandong, People’s Republic of China;School of Nursing, Zhejiang Chinese Medical University, 310053, Hangzhou, Zhejiang Province, China;

关键词: Diabetes mellitus, type 2;    Self efficacy;    Diet;    Self-management;    Social support;   

DOI  :  10.1186/s13690-021-00533-3

来源: Springer

【 摘 要 】

BackgroundIt 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).MethodsIt 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.ResultsThe 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.ConclusionsDiet self-efficacy plays a mediating role in the association between social support and diet behavior in patients with type 2 diabetes mellitus.

【 授权许可】

CC BY