Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2010 Apr;79(1):49-54.
doi: 10.1016/j.pec.2009.07.016. Epub 2009 Aug 21.

Validation of an Information-Motivation-Behavioral Skills model of diabetes self-care (IMB-DSC)

Chandra Y Osborn  1 , Leonard E Egede
Affiliations

Validation of an Information-Motivation-Behavioral Skills model of diabetes self-care (IMB-DSC)

Chandra Y Osborn et al. Patient Educ Couns. 2010 Apr.

Abstract

Objective: Comprehensive behavior change frameworks are needed to provide guidance for the design, implementation, and evaluation of diabetes self-care programs in diverse populations. We applied the Information-Motivation-Behavioral Skills (IMB) model, a well-validated, comprehensive health behavior change framework, to diabetes self-care.

Methods: Patients with diabetes were recruited from an outpatient clinic. Information gathered pertained to demographics, diabetes knowledge (information); diabetes fatalism (personal motivation); social support (social motivation); and diabetes self-care (behavior). Hemoglobin A1C values were extracted from the patient medical record. Structural equation models tested the IMB framework.

Results: More diabetes knowledge (r=0.22 p<0.05), less fatalistic attitudes (r=-0.20, p<0.05), and more social support (r=0.27, p<0.01) were independent, direct predictors of diabetes self-care behavior; and through behavior, were related to glycemic control (r=-0.20, p<0.05).

Conclusions: Consistent with the IMB model, having more information (more diabetes knowledge), personal motivation (less fatalistic attitudes), and social motivation (more social support) was associated with behavior; and behavior was the sole predictor of glycemic control.

Practice implications: The IMB model is an appropriate, comprehensive health behavior change framework for diabetes self-care. The findings indicate that in addition to knowledge, diabetes education programs should target personal and social motivation to effect behavior change.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Confirmatory Factor Analysis of Diabetes Self-Care Behaviors (Measurement Model). Note: Overall model fit, χ2(9, N = 130) = 15.60, p = 0.08, CFI = 0.90, RMSEA = 0.07 (90% CI: 0.00 - 0.14). For tests of significance of individual factor loadings, *p < 0.05, **p < 0.01 and ***p < 0.001.
Figure 2
Figure 2
Estimated Information—Motivation—Behavioral Skills model of Diabetes Self-care (Full). Note: Coefficients are standardized path coefficients. Overall model fit, χ2(14, N = 130) = 17.92, p = 0.21, CFI = 0.95, RMSEA = 0.05 (90% CI: 0.00 - 0.10). For tests of significance of individual paths, tp = 0.09, *p < 0.05, **p < 0.01 and ***p < 0.001.
Figure 3
Figure 3
Estimated Information—Motivation—Behavioral Skills model of Diabetes Self-care (Trimmed). Note: Coefficients are standardized path coefficients. Overall model fit, χ2(17, N = 130) = 18.27, p = 0.37, CFI = 0.98, RMSEA = 0.02 (90% CI: 0.00 - 0.08). For tests of significance of individual paths, *p < 0.05, **p < 0.01 and ***p < 0.001.
See this image and copyright information in PMC

References

    1. U.S. Department of Health and Human Services, Centers for Disease Control and Prevention; Atlanta, GA: 2008. National diabetes fact sheet: general information and national estimates on diabetes in the United States, 2007.
    1. The effect of intensive treatment of diabetes on the development and progression of long-term complications in insulin-dependent diabetes mellitus. The Diabetes Control and Complications Trial Research Group. The New England journal of medicine. 1993;329(14):977–986. - PubMed
    1. Effect of intensive blood-glucose control with metformin on complications in overweight patients with type 2 diabetes (UKPDS 34). UK Prospective Diabetes Study (UKPDS) Group. Lancet. 1998;352(9131):854–865. - PubMed
    1. Intensive blood-glucose control with sulphonylureas or insulin compared with conventional treatment and risk of complications in patients with type 2 diabetes (UKPDS 33). UK Prospective Diabetes Study (UKPDS) Group. Lancet. 1998;352(9131):837–853. - PubMed
    1. Norris SL, Engelgau MM, Narayan KM. Effectiveness of self-management training in type 2 diabetes: a systematic review of randomized controlled trials. Diabetes care. 2001;24(3):561–587. - PubMed

Publication types

MeSH terms