Role of Maternal Self-Efficacy, Environment, and Management Behaviors Purpose

The purpose of this study was to examine the relation-ships between maternal environment (child behavior and coping resources), diabetes self-efficacy, diabetes man-agement behaviors, and child glycemic control. Methods Study participants were recruited from 3 outpatient clinics in the Midwest and included 41 mothers of children with type 1 diabetes, ages 6 to 10. All participants completed the following measures: Coping Resources Inventory, Behavioral Assessment System for Children-Parent Report, Maternal Self-Efficacy for Diabetes Scale, Diabetes Management Scale—Parent, and 24-hour dia-betes behavior recall. Downloaded glucose data and child HgbA1c were obtained by chart review. Stepwise multiple regression was used to determine the influence of maternal environment on maternal diabetes self-efficacy and diabetes management behavior. Pearson product moment correlations were used to determine if relation-ships existed between maternal self-efficacy, diabetes management behaviors, and child metabolic control. Results Coping resources contributed significantly to mothers’ diabetes self-efficacy. No significant relationship was found between the mothers ’ environment and diabetes manage-ment behavior. Self-efficacy did not predict maternal dia-betes management behaviors. The blood glucose testin