The Relationship between Diabetes Self-efficacy and Diabetes Self-care in American Indians and Alaska Natives.

The objective of the present study was to investigate how American Indian/Alaska Natives' (AI/ANs') attitudes and beliefs might influence how they experience and manage diabetes, with particular attention paid to their attitudes about disease causality. An AI/AN sample of 119 participants completed an anonymous survey that examined the impact of judgments of personal responsibility for disease onset, anger, self-blame, social support, and diabetes self-efficacy on diabetes self-care. Our primary model was tested using structural equation modeling. Results indicated that, while many participants considered themselves almost entirely responsible for their disease onset, this judgment did not predict anger. Anger was strongly related to self-blame and social support, while diabetes self-efficacy was strongly related to diabetes self-care. These psychosocial variables accounted for 70% of the variability in self-reported disease management.