Exploring the Relationship between Diabetes Mellitus, Depression, Self-Efficacy and Glycemic Control in an Urban, Minority Population

Groh, Carla, Kathy Moran, Brooke McConnell, and Angelia Lee

Background: Evidence suggests that depression and low self-efficacy are associated with worse glycemic control in adults with diabetes, but the relationship is poorly understood.  Moreover, many of the studies conducted have been with white and/or middle class samples.  This leaves a gap in the knowledge about the relationship of these variables in an urban/primarily minority population. 

Purpose: To determine if there is a relationship between depression, self-efficacy and glycemic control in diabetes patients in an urban setting and to identify strategies that improve outcomes.

Methods: A mixed-method design was used.  Volunteers were recruited from McAuley Health Center using the following criteria:  ≥18 years old; T1/T2 diabetes for ≥1 year; ability to read English; two documented A1c measurements; willingness to complete surveys and participate in a focus group.

Results: The most recent data will be presented on the study measures: depression and self-efficacy questionnaires, focus group themes, and A1c measures.

Significance: To expand the knowledge of the role that depression and self-efficacy has in glycemic control.