An application of Bandura's ‘Four Sources of Self-Efficacy’ to the self-management of type 2 diabetes in people with intellectual disability: An inductive and deductive thematic analysis

Maine, A., Dickson, A., Truesdale, M. and Brown, M. (2017) An application of Bandura's ‘Four Sources of Self-Efficacy’ to the self-management of type 2 diabetes in people with intellectual disability: An inductive and deductive thematic analysis. Research in Developmental Disabilities, 70, pp. 75-84. (doi: 10.1016/j.ridd.2017.09.004) (PMID:28918307)

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Abstract

Background: Little is known about the successful experiences and positive perceptions of people with intellectual disabilities (ID) self-managing Type 2 Diabetes (T2D). This study sought to address this gap using Bandura’s (1977) ‘Four Sources of Self-Efficacy’ as a framework of enquiry. Method: Semi-structured interviews were conducted with 10 adults with ID. Interviews were recorded, transcribed verbatim and analysed using inductive and deductive thematic analysis Results: Nine sub-themes were identified following analysis of the data: 1) Mastery through knowledge; 2) Mastery through tools and strategies; 3) Mastery through autonomy; 4) Influence of social setting; 5) Positive social comparisons; 6) Positive and negative self-statements; 7) Feedback from caregivers; 8) Adjustment experiences; 9) Symptom awareness. These were mapped onto Bandura’s (1977) Four Sources of efficacy enhancement model and were consistent with its proposed mechanisms. Conclusion: The Four Sources model serves as a useful mode of enquiry for exploring people with ID’s experiences and perceptions of self-managing diabetes. It also confirms the appropriateness of Self-efficacy as a potential intervention component for this population. However, additional support may be required for people with ID to reflect meaningfully on their experiences and thus have a sense of self-efficacy.

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Truesdale, Dr Maria
Authors: Maine, A., Dickson, A., Truesdale, M., and Brown, M.
College/School:College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > Mental Health and Wellbeing
Journal Name:Research in Developmental Disabilities
Publisher:Elsevier
ISSN:0891-4222
ISSN (Online):1873-3379
Published Online:15 September 2017

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