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June 7, 2026Diabetes

Stronger diabetes knowledge links to better self-management, both directly and through higher self-efficacy.

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Why the study?

Poor diabetes self-management is prevalent, but the relationships between diabetes knowledge, self-management, and the mediating role of self-efficacy have rarely been examined.

Population

228 adults with type 1 or 2 diabetes residing in the U.S

Comparison

Levels of diabetes knowledge and self-efficacy

Design

Cross-sectional, correlational study

Key result

Stronger diabetes knowledge was directly associated with better diabetes self-management (direct effect 0.779; 95% CI 0.401-1.157) and indirectly through higher diabetes self-efficacy.

Authors

SHSeongkum HeoTBTAMMY D. BARBEJRJUSTUS RANDOLPH

Discussion

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Overview

May inform diabetes education targeting knowledge and self-efficacy; leaves open causal effects on self-management.

Key Points

  • To determine the association between diabetes knowledge and self-management and examine diabetes self-efficacy's mediating role.
  • Cross-sectional correlational design using baseline data from two studies.
  • Participants included adults with type 1 or 2 diabetes from the U.S.
  • Data collected via REDCap, with analyses done using PROCESS macro.
  • Overall self-management was poor (mean score 18.0 out of 35.0).
  • Stronger diabetes knowledge positively influenced self-management (direct effect = .779, 95% CI = .401, 1.157).
  • Diabetes self-efficacy mediated the relationship between diabetes knowledge and self-management (indirect effect = .193, bootstrap CI = .078, .333).

Study Design

Type

Cross-Sectional (n=228)

Structured PICO

P
Population
228 adults with type 1 or 2 diabetes residing in the U.S. assessed in a cross-sectional study to evaluate the relationship between diabetes knowledge, self-efficacy, and self-management.
O
Outcome
Diabetes self-managementpatient reported

Main Result

Effect estimate: direct effect 0.779 (95% CI 0.401, 1.157)

Diabetes knowledge is directly and indirectly (via self-efficacy) associated with better diabetes self-management, highlighting potential targets for future interventions.

Cite This Study

Heo et al. (2026) conducted a cross-sectional in Type 1 or 2 diabetes (n=228). Diabetes knowledge was evaluated on Diabetes self-management (direct effect 0.779, 95% CI 0.401, 1.157). Stronger diabetes knowledge was directly associated with better diabetes self-management (direct effect 0.779; 95% CI 0.401-1.157) and indirectly through higher diabetes self-efficacy.

synapsesocial.com/papers/6a250bca7def13d035e1bd84https://doi.org/10.2337/db26-1618-p
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