Evaluating parents' self-efficacy for diabetes management in pediatric type 1 diabetes

Amy E. Noser, Susana R. Patton, Jason Van Allen, Michael B. Nelson, Mark A. Clements

Research output: Contribution to journalArticlepeer-review

16 Scopus citations


Objective To examine the factor structure and construct validity of the Maternal Self-Efficacy for Diabetes Management Scale (MSED) in 135 youth (Mage=13.50 6 1.83 years), with type 1 diabetes mellitus. Method The study used exploratory factor analysis (EFA) to examine the factor structure and correlations to examine relationships among MSED factors and select parent and child diabetes-related health behaviors and outcomes. Results EFA identified an 11-item three-factor solution (v2 (25, n=133)=40.22, p<.03, RMSEA=0.07, CFI=0.98, TLI=0.97), with factors corresponding to parents' perceived ability to manage their child's diabetes (MSED-M), problem-solve issues surrounding glycemic control (MSED-P), and teach their child about diabetes care (MSED-T). Correlational analyses revealed significant associations between the MSED-M and MSED-T and parent-reported optimism and youth's diabetes-specific self-efficacy. The MSED-T was also associated with glycated hemoglobin and self-monitoring blood glucose. Conclusion Results provide preliminary evidence for the reliability and validity of a three-factor solution of the MSED.

Original languageEnglish
Pages (from-to)296-303
Number of pages8
JournalJournal of Pediatric Psychology
Issue number3
StatePublished - 2017


  • Adherence
  • Adolescents
  • Assessment
  • Diabetes
  • Parents


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