Purpose
The purpose of this study was to investigate associations between self-management and diabetes knowledge, diabetesrelated attitudes, family support, and self-efficacy in adolescents with type 1 diabetes mellitus based on the information-motivation- behavior skills model.
Methods
Data collection was conducted between March 18 and September 30, 2018. Patients (N=87) aged 12 to 19 years were recruited from the outpatient clinic of S children’s hospital and an online community for patient with type 1 diabetes mellitus. Data were analyzed using descriptive statistics, the independent t-test, one-way ANOVA, Pearsons correlation, and hierarchical multiple linear regression with SPSS IBM 23.0, with the two-tailed level of significance set at 0.05.
Results
The mean score of self-management in adolescents with type 1 diabetes mellitus was 61.23±10.00 out of 80. The regression analysis showed that self-efficacy and family support significantly explained 56.9% of the variance in self-management (F=21.38, p<.001). Self-efficacy (β=.504, p<.001) and family support (β=.188, p<.001) were significant predictors of self-management.
Conclusion
It is necessary to develop individual interventions to improve self-efficacy and family support for adolescents with type 1 diabetes mellitus to help them enhance their self-management.

Citations

• A Pilot Randomized Control Trial to Prevent HIV/STIs in Hispanic Young Heterosexual Couples
  David Pérez-Jiménez, Patricia Noboa-Ortega, José A. Maldonado-Martínez
  Hispanic Journal of Behavioral Sciences.2025; 47(3): 255.     CrossRef
• Effectiveness of Pharmacist-Delivered Caregiver Education on Medication Use in a Type 1 Diabetes Camp for Children and Adolescents
  Hyeon Su Kim, Eunji Kim, Ji Eun Lee, Won Hye Choi, In Hye Gu, Eun Jung Hwang
  The Journal of Korean Diabetes.2025; 26(2): 122.     CrossRef
• Factors influencing the perception of shared decision-making among parents of children with type 1 diabetes mellitus: A cross-sectional study guided by the Ottawa Decision Support Framework
  In Hyeong Choi, In Young Cho
  Journal of Pediatric Nursing.2025; 85: 346.     CrossRef
• Factors affecting health promotion behavior of school-aged children in South Korea: a cross-sectional study
  Bo Ra Lim, Dong Hee Kim, Chung Min Cho
  Child Health Nursing Research.2025; 31(3): 165.     CrossRef
• Preferences for Text Messaging Supports During Youth Transition to Adult Mental Health Services: Theory-Informed Modified e-Delphi Study
  Negar Vakili, Janet A Curran, Roisin Walls, Debbie Phillips, Alanna Miller, Christine Cassidy, Lori Wozney
  JMIR Formative Research.2024; 8: e51690.     CrossRef
• User evaluation of a mobile education application for the management of metabolic syndrome among cancer survivors
  Ji-Su Kim, Minhae Kim, Yeji Seo
  European Journal of Oncology Nursing.2023; 63: 102276.     CrossRef
• Managing the unmanageable through interdependence in adolescents living with type 1 diabetes and their parents: A constructivist grounded theory
  Pamela Farthing, Jill M.G. Bally, Marie Dietrich Leurer, Lorraine Holtslander, Munier A. Nour, Donna Rennie
  Journal of Pediatric Nursing.2022; 67: e191.     CrossRef
• Psychometric Evaluation of the Korean Version of PROMIS Self-Efficacy for Managing Symptoms Item Bank: Item Response Theory
  Mona Choi, Chang Gi Park, Soomin Hong
  Asian Nursing Research.2022; 16(4): 187.     CrossRef
• The effects of diabetes knowledge, self-efficacy, and depression on self-management in older patients with diabetes in the community: A cross-sectional study
  Hyeok Gyu Park, Myoung Jin Kwon
  Journal of Korean Gerontological Nursing.2022; 24(4): 389.     CrossRef
• Effect of Information-Motivation-Behavioral Model Based on Protection Motivation Theory on the Psychological Resilience and Quality of Life of Patients with Type 2 DM
  Xiaoli Yao, Linlin Zhang, Jiwei Du, Lei Gao
  Psychiatric Quarterly.2021; 92(1): 49.     CrossRef
• What Affects Quality of Life for People with Type 1 Diabetes?: A Cross-Sectional Observational Study
  Mi-Kyoung Cho, Mi-Young Kim
  International Journal of Environmental Research an.2021; 18(14): 7623.     CrossRef