%0 Journal Article
%T Predictors of dietary self-efficacy in high glycosylated hemoglobin A1c type 2 diabetic patients.
%A Köbling T
%A Váradi Z
%A Katona É
%A Somodi S
%A Kempler P
%A Páll D
%A Zrínyi M
%J J Int Med Res
%V 48
%N 6
%D Jun 2020
%M 32588697
%F 1.573
%R 10.1177/0300060520931284
%X <B>OBJECTIVE: </B>To predict dietary self-efficacy behaviors in high glycosylated hemoglobin A1c (HbA1c) patients using type D personality (TDP) and other psychosocial measures.<BR><B>METHODS: </B>A cross-sectional, predictive research design was implemented. Participants were type 2 diabetes mellitus patients diagnosed more than 2 years prior to the study. Data were collected for demographics, dietary self-efficacy and psychological measures. Spearman's rank-order correlation was used to test for relationships, the Mann-Whitney test was used to test for differences and multiple linear regression was used to examine predictors of dietary self-efficacy.<BR><B>RESULTS: </B>Lower dietary self-efficacy was strongly correlated with greater social isolation (r = 0.93) and moderately correlated with more mental health problems (r = 0.20) and higher TDP scores (r = 0.17). Higher HbA1c was inversely related to self-reported physical health (r = -0.19). Social and emotional isolation and time since diagnosis predicted dietary self-efficacy (greater isolation was associated with more dietary management difficulties).<BR><B>CONCLUSIONS: </B>Regression outcomes suggested that a 10% decrease in social isolation improves dietary self-efficacy by 30%, a significant boost to therapeutic adherence. We recommend assessment of social isolation to improve dietary self-efficacy and achieve better patient adherence to therapy.