Self-efficacy as a mediator variable for adolescents' adherence to treatment for insulin-dependent diabetes mellitus

被引：78

作者：

Ott, J ^{[1
]}

Greening, L ^{[1
]}

Palardy, N ^{[1
]}

Holderby, A ^{[1
]}

DeBell, WK ^{[1
]}

机构：

[1] Univ Alabama, Dept Psychol, Tuscaloosa, AL 35487 USA

来源：

CHILDRENS HEALTH CARE | 2000年 / 29卷 / 01期

关键词：

D O I：

10.1207/S15326888CHC2901_4

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Bandura's (1982) self-efficacy theory was applied to explain the process by which self-efficacy for managing pediatric diseases can be enhanced. Adolescents (N = 143) diagnosed with insulin-dependent diabetes mellitus (IDDM) completed measures of adherence to IDDM treatment, self-efficacy for diabetes care, personal responsibility for diabetes care, and a measure of supportive and nonsupportive diabetes-specific behaviors exhibited by their parents. Self-efficacy was tested as a mediator variable for hypothesized relations between adherence to treatment and 2 methods proposed to enhance self-efficacy, including mastery experience (i.e., responsibility for treatment) and social persuasion (i.e., supportive and nonsupportive parental behaviors). Regression analyses revealed support for self-efficacy as a mediator variable for the relation between mastery experience and adherence to treatment. Self-efficacy was also a mediator variable for the relation between nonsupportive parental behaviors and adolescents' nonadherence to blood glucose monitoring but not for nonadherence to other components of treatment or for overall adherence. Self-efficacy, however, was not a significant mediator for the relation between supportive parental behaviors and adherence.

引用

页码：47 / 63

页数：17

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