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Health Education Research Advance Access originally published online on April 5, 2007
Health Education Research 2008 23(1):170-179; doi:10.1093/her/cym014
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© 2007 The Author(s).
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/2.0/uk/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

An Internet-based diabetes self-care intervention tailored to self-efficacy

Silje C. Wangberg

Norwegian Centre for Telemedicine, University Hospital of Northern Norway, PO Box 35, N-9038 Tromsø, Norway

E-mail: silje.camilla.wangberg{at}telemed.no

The main objective of this study was to assess whether self-efficacy (SE) could function as a moderator of the effect of a tailored Internet-based intervention aimed at increasing self-reported diabetes self-care behaviours. In a two-group, 1-month interval pre-test–post-test randomized controlled trial, participants (N = 64) were assigned at random to either a group that received an intervention on the area of self-care (blood glucose monitoring, diet management or physical activity) for which the reported SE was lowest (LSE group) or to a group that received an intervention on area of self-care for which the reported SE was highest (HSE group). Improvements in self-care were observed for both groups, but the HSE group improved more. Self-care also increased for those areas that the intervention did not target. Furthermore, SE levels decreased from baseline to follow-up. This study suggests that SE can function as a moderator in a behavioural intervention for diabetes self-care, and hence that initial level of SE provides relevant information for tailoring such interventions.

Received on May 5, 2006; accepted on January 26, 2007


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