The moderating effect of social cognitive factors on self-management activities and HbA1c in Thai adults with type-2 diabetes.
Somsak Thojampa, Barbara Mawn
PMID 31406715WHAT IT FOUND
In Thai adults with type 2 diabetes, higher self-management scores were linked to lower HbA1c.
Social support, self-efficacy, and Buddhist values were each associated with the strength of that link.
Key findings
01Higher total self-management activity scores were associated with lower HbA1c values.
02Social support, self-efficacy, and Buddhist values each significantly moderated the association between self-management activities and HbA1c.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study was cross-sectional, so it cannot show that self-management, social support, self-efficacy, or Buddhist values caused lower HbA1c. It used a convenience sample from diabetes clinics, so the people studied may not represent all adults with type 2 diabetes. Most participants were female, married, Buddhist, and had only primary school, so the results may not apply to other groups. Non-Buddhists did not complete the Buddhist values questionnaire, so that moderator was not assessed for everyone.
The easy way to misread this
Do not conclude that increasing self-management, social support, self-efficacy, or Buddhist values will lower HbA1c. The study measured adults at one time point and cannot show that these factors caused the lower HbA1c.