Evaluating Parents' Self-Efficacy for Diabetes Management in Pediatric Type 1 Diabetes

评估家长对1型糖尿病患儿糖尿病管理的自我效能

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Abstract

OBJECTIVE: To examine the factor structure and construct validity of the Maternal Self-Efficacy for Diabetes Management Scale (MSED) in 135 youth ( Mage  = 13.50 ±  1.83 years), with type 1 diabetes mellitus. METHOD: The study used exploratory factor analysis (EFA) to examine the factor structure and correlations to examine relationships among MSED factors and select parent and child diabetes-related health behaviors and outcomes. RESULTS: EFA identified an 11-item three-factor solution (χ 2 (25, n  = 133)  = 40.22, p  < .03, RMSEA = 0.07, CFI = 0.98, TLI = 0.97), with factors corresponding to parents' perceived ability to manage their child's diabetes (MSED-M), problem-solve issues surrounding glycemic control (MSED-P), and teach their child about diabetes care (MSED-T). Correlational analyses revealed significant associations between the MSED-M and MSED-T and parent-reported optimism and youth's diabetes-specific self-efficacy. The MSED-T was also associated with glycated hemoglobin and self-monitoring blood glucose. CONCLUSIONS: Results provide preliminary evidence for the reliability and validity of a three-factor solution of the MSED.

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