Table 4.
Self-Reported Diabetes Self-Efficacy and Self-Management Before, During, and After SMS-DMCare Pilot (n = 18) a,b
| Pre-SMS-DMCare (n = 18) | During SMS-DMCare (n = 18) | p value | 1 month after SMS-DMCare (n = 17) | p value | |
|---|---|---|---|---|---|
| I feel confident in my ability to manage my diabetes | .002 | .008 | |||
| Strongly agree | 4 | 14 | 11 | ||
| Agree | 5 | 2 | 4 | ||
| Neutral | 4 | 0 | 0 | ||
| Disagree | 1 | 1 | 0 | ||
| Strongly disagree | 3 | 0 | 1 | ||
| I feel capable of handling my diabetes | <.001 | .004 | |||
| Strongly agree | 3 | 13 | 12 | ||
| Agree | 8 | 4 | 3 | ||
| Neutral | 1 | 0 | 1 | ||
| Disagree | 3 | 0 | 0 | ||
| Strongly disagree | 2 | 0 | 1 | ||
| I am able to do my own routine diabetes care. | .001 | .005 | |||
| Strongly agree | 6 | 12 | 10 | ||
| Agree | 3 | 5 | 5 | ||
| Neutral | 3 | 0 | 2 | ||
| Disagree | 3 | 0 | 0 | ||
| Strongly disagree | 2 | 0 | 0 | ||
| I am able to meet the challenge of controlling my diabetes. | .001 | .006 | |||
| Strongly agree | 3 | 11 | 9 | ||
| Agree | 7 | 6 | 6 | ||
| Neutral | 3 | 0 | 1 | ||
| Disagree | 2 | 0 | 0 | ||
| Strongly disagree | 2 | 0 | 1 | ||
| Number of feet checks per week | 2.1 | 6.2 | .003 | 4.9 | <.001 |
| Number of medication doses missed per week | 1.9 | 0.6 | .001 | 0.8 | .001 |
a
Measures of self-efficacy taken from the diabetes self-efficacy scale developed by Skaff and colleagues.19
b
P values represent comparisons between baseline and pilot period and baseline and 1 month post-pilot.