Abstract
Objective The aims of this study were to translate and psychometrically evaluate the Thai version of diabetes management self-efficacy scale (T-DMSES) and to examine its association with HbA1c control in diabetic individuals. Methods This study recruited patients from outpatient diabetes clinics of both community and university hospitals. The first phases of this study involved translation of the existing DMSES into Thai, and in the second phase, we evaluated its psychometric properties. The construct validity was evaluated using confirmatory factor analysis. Criterion validity of DMSES was subsequently evaluated by examining DMSES's association with HbA1c control. Results The T-DMSES contains 20 items across four factors. Confirmatory factor analysis demonstrated the construct validity of T-DMSES (χ2 = 645.142, df = 164, p < 0.001, CFI = 0.98, RMSEA = 0.065, TLI = 0.977, and AGFI = 0.981). The T-DMSES was also shown to be criterion valid with most subscales highly associated with HbA1c control. Conclusion The T-DMSES was shown to have good psychometric properties. It is likely to provide valuable insights into the epidemiology of diabetes management self-efficacy and may also prove useful in evaluating interventions for raising diabetes management self-efficacy, which in turn, improve both patient self-management and blood sugar control.
Highlights
Diabetes represents a major burden, and it is estimated that approximately 366 million people currently live with this condition worldwide and that the prevalence of diabetes will increase considerably in the coming decades [1]
Type 2 diabetes mellitus (T2DM) is a disease where patient self-care can substantially reduce the risk or delay the onset of chronic T2DM complications such as cardiovascular disease, nephropathy, retinopathy, and neuropathy, all of which lead to substantial morbidity and mortality [4]
The above process is defined as diabetes self-management (DSM)
Summary
Diabetes represents a major burden, and it is estimated that approximately 366 million people currently live with this condition worldwide and that the prevalence of diabetes will increase considerably in the coming decades [1]. Type 2 diabetes mellitus (T2DM) is a disease where patient self-care can substantially reduce the risk or delay the onset of chronic T2DM complications such as cardiovascular disease, nephropathy, retinopathy, and neuropathy, all of which lead to substantial morbidity and mortality [4]. Unlike many other chronic diseases, diabetes progression can be slowed considerably by patients’ adherence to taking medications as prescribed, monitoring their diet and blood glucose levels, engaging in physical activity, and caring for their feet [5]. Such activities need to be incorporated into daily life allowing patients to better control their disease and prolong the onset of complications [6]. Successful diabetes management relies on the longterm cooperation of patients in obtaining regular medical care and adhering to treatment plans [7,8,9]
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
