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The Influence of Individualised Supports on the Self-Efficacy of Employed Diabetics in Hawai'i: Findings from a Mixed Method Study

Published online by Cambridge University Press:  23 February 2012

Denise L. Uehara ,
Christy M. Nishita ,
Tammy Tom  and
Landry Fukunaga
Denise L. Uehara*
Affiliation:
University of Hawai'i at Mānoa, Center on Disability Studies, United States
Christy M. Nishita
Affiliation:
University of Hawai'i at Mānoa, Center on Disability Studies, United States
Tammy Tom
Affiliation:
University of Hawai'i at Mānoa, Center on Disability Studies, United States
Landry Fukunaga
Affiliation:
University of Hawai'i at Mānoa, Center on Disability Studies, United States
*
Address for correspondence: Denise L. Uehara, University of Hawai'i at Mānoa Center on Disability Studies 1776 University Avenue Honolulu, HI 96822duehara@hawaii.edu

Abstract

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Self-management is a key component of diabetes care and enhancing patient self-efficacy is an important factor. Typical diabetes education programs include strategies to increase self-efficacy, but little information exists about the effectiveness of such programs within Asian and Pacific populations. The Hawai'i Demonstration to Maintain Independence and Employment was a federally funded, community-based randomised trial in which treatment group participants received individualised life coaching and pharmacist counselling over a 12-month period. The study measured changes in diabetes self-efficacy among treatment and control group participants using repeated measures analysis of covariance. Focus group findings provided a comprehensive picture of participants' perception of their experiences in the trial and more specifically the individualised intervention. There was a significant effect of the intervention on diabetes self-efficacy at the p < .01 level [F(1, 187) = 10.40, p = .002]. These findings demonstrate the efficacy of individually tailored approaches to diabetes self-management within a diverse, employed sample.

Keywords

self-efficacylife coachingpharmacist counselingdiabetesmixed-methods
Type
Articles
Information
Journal of Pacific Rim Psychology , Volume 5 , Issue 2 , December 2011 , pp. 65 - 74
Copyright
Copyright © Cambridge University Press 2011

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