Paper
Friday, 21 July 2006
This presentation is part of : Health Promotion Initiatives
Evaluation of a Self-Efficacy Enhancing Intervention for Taiwanese Persons' Self-Management of Type 2 Diabetes
Shu Fang Vivienne Wu, RN1, Mary Courtney, PhD2, Helen Edwards, PhD2, Jan McDowell, PhD3, Lillie M. Shortridge-Baggett, RN, EdD, FAAN, FNAP4, and Pei-Jen Chang, PhD5. (1) School of Nursing, Queensland University of Technology, Brisbane, Australia, Brisbane, Australia, (2) School of Nursing, Queensland University of Technology, Brisbane, Queensland, Australia, (3) Institute of Health and Biomedical Innovation, Brisbane, Queensland, Australia, Centre for Health Research (Nursing), Queensland University of Technology, Kelvin Grove, Queensland, Australia, Brisbane, Australia, (4) Center for Nursing Research, Clinical Practice, and International Affairs, Pace University, Pleasantville, NY, USA, (5) Nursing Faculty, Nursing Faculty, National Taipei College of Nursing, Taipei, Taiwan, Taipei, Taiwan
Learning Objective #1: The learner will increase their knowledge of a Self-Efficacy Enhancing Intervention Program (SEEIP) designed for use with people who have diabetes.
Learning Objective #2: The learner will understand the basic premise of the model underlying self-efficacy.
Statement of the problem
Improving self-management of type 2 diabetes is an ongoing challenge for health-care providers and governments. Two-thirds of diabetic patients lack the ability to control their disease appropriately. One way to address this problem is through enhancing people’s self-efficacy (confidence) towards self-management of diabetes.

 Subjects/setting and methodology

A randomized controlled trial was undertaken to evaluate the effectiveness of the SEEIP. Participants included 144 Taiwanese people with type 2 diabetes (n=72 for each group) who were recruited from a diabetes outpatient clinic in Taiwan. Self-efficacy towards management of diabetes and self-care behavior was measured at three time-points: pre-intervention, 3 and 6 months post-intervention.  

 Intervention
Both control and intervention groups received a standard diabetic educational program. In addition to receiving a standard diabetic educational program the intervention group received the following additional interventions: (1) a 10-minute videotape (2) a “Diabetes Self-Care” booklet (3) four efficacy- enhancing counselling sessions (4) and a telephone follow-up.

 Data Analysis
Results of Student's t-test, analysis of variance and c2 tests were used to analyse group differences. Analyses of repeated relationships were performed by repeated ANOVA.

 Results
The main effect of time of measurement of self-efficacy towards management of diabetes was significant (Wilk’s Λ=.81, F (2,141) = 16.58, p =.000). The main effect of time of measurement of self-care behaviour was significant (Wilk’s Λ=.89, F (2,141) = 9.05, p =.000). The interaction effect of group by time for self-care behaviour was also significant, Wilk’s Λ=.87, F (2,141) =10.32, p =.000).

 Conclusions
The SEEIP was found to improve Taiwanese peoples’ self-efficacy towards self-management of type 2 diabetes.

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See more of The 17th International Nursing Research Congress Focusing on Evidence-Based Practice (19-22 July 2006)