The greatest strengths of our study were findings that lack of confidence in diabetes self-care implementation and the negative emotional consequences of self-care implementation were associated with Hba1c and BMI, respectively.
Items loading on the first factor were interpreted as a "Lack of Confidence in Self-Care Implementation" (Lack of Confidence Subscale) and those on the second factor as "Negative Emotional Consequences of Self-Care Implementation" (Emotional Consequences Subscale).
Importantly, we were able to observe a significant positive correlation between the 1st subscale in our 2-factor solution, "Lack of Confidence in Self-Care Implementation" and Hba1c.
Moreover, our 2-factor solution revealed a significant positive association between our 2nd subscale, "Negative Emotional Consequences of Self-care Implementation" and BMI.
Lack of confidence in and negative emotional consequences of diabetes self-care implementation provide a better understanding of determinants of glycemic control and weight than an aggregate of the two scales.
Population health; telehealth; primary care; implementation science; applied genomics; health behavior; patient self-management; health policy.
Self Care Smart Phone Apps.
