{"id":"https://openalex.org/W7202298776","doi":"https://doi.org/10.1097/jcn.0000000000001380","title":"Mediating Role of Diabetes Self-Efficacy in the Relationship Between Knowledge and Self-Management in Individuals With Diabetes: A Cross-Sectional, Correlational Study","display_name":"Mediating Role of Diabetes Self-Efficacy in the Relationship Between Knowledge and Self-Management in Individuals With Diabetes: A Cross-Sectional, Correlational Study","publication_year":2026,"publication_date":"2026-08-12","ids":{"openalex":"https://openalex.org/W7202298776","doi":"https://doi.org/10.1097/jcn.0000000000001380","pmid":"https://pubmed.ncbi.nlm.nih.gov/42585591"},"language":"en","primary_location":{"id":"doi:10.1097/jcn.0000000000001380","doi":"https://doi.org/10.1097/jcn.0000000000001380","is_oa":false,"landing_page_url":"https://doi.org/10.1097/jcn.0000000000001380","pdf_url":null,"source":{"id":"https://openalex.org/S132854162","display_name":"The Journal of Cardiovascular Nursing","issn_l":"0889-4655","issn":["0889-4655","1550-5049"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-2","ki-jl-1","medline","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Cardiovascular Nursing","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5073952228","display_name":"Seongkum Heo","orcid":"https://orcid.org/0000-0002-7073-3029","observed_orcids":["https://orcid.org/0000-0002-7073-3029"]},"institutions":[{"id":"https://openalex.org/I12832649","display_name":"Gachon University","ror":"https://ror.org/03ryywt80","country_code":"KR","type":"education","lineage":["https://openalex.org/I12832649"]},{"id":"https://openalex.org/I143302722","display_name":"University of Kentucky","ror":"https://ror.org/02k3smh20","country_code":"US","type":"education","lineage":["https://openalex.org/I143302722"]},{"id":"https://openalex.org/I150149174","display_name":"Mercer University","ror":"https://ror.org/04bk7v425","country_code":"US","type":"education","lineage":["https://openalex.org/I150149174"]}],"countries":["KR","US"],"is_corresponding":false,"raw_author_name":"Seongkum Heo","raw_affiliation_strings":["Seongkum Heo, PhD, RN, Professor, Georgia Baptist College of Nursing, Mercer University, Atlanta, Georgia. Tammy Barb\u00e9, PhD, RN, Dean, Georgia Baptist College of Nursing, Mercer University, Atlanta, Georgia. Justus Randolph, PhD, Professor, Georgia Baptist College of Nursing, Mercer University, Atlanta, Georgia. JinShil Kim, PhD, RN, Professor, College of Nursing, Gachon University, Yeonsu-gu, Incheon, South Korea. JungHee Kang, PhD, MPH, RN, Assistant Professor, College of Nursing, University of Kentucky, Lexington, Kentucky"],"raw_orcid":"https://orcid.org/0000-0002-7073-3029","affiliations":[{"raw_affiliation_string":"Seongkum Heo, PhD, RN, Professor, Georgia Baptist College of Nursing, Mercer University, Atlanta, Georgia. Tammy Barb\u00e9, PhD, RN, Dean, Georgia Baptist College of Nursing, Mercer University, Atlanta, Georgia. Justus Randolph, PhD, Professor, Georgia Baptist College of Nursing, Mercer University, Atlanta, Georgia. JinShil Kim, PhD, RN, Professor, College of Nursing, Gachon University, Yeonsu-gu, Incheon, South Korea. JungHee Kang, PhD, MPH, RN, Assistant Professor, College of Nursing, University of Kentucky, Lexington, Kentucky","institution_ids":["https://openalex.org/I12832649","https://openalex.org/I143302722","https://openalex.org/I150149174"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5040744269","display_name":"Tammy Barb\u00e9","orcid":"https://orcid.org/0000-0003-3307-1959","observed_orcids":["https://orcid.org/0000-0003-3307-1959"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Tammy Barb\u00e9","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5137963475","display_name":"JUSTUS RANDOLPH","orcid":"https://orcid.org/0000-0001-6733-5380","observed_orcids":["https://orcid.org/0000-0001-6733-5380"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Justus Randolph","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5147046941","display_name":"JinShil Kim","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"JinShil Kim","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5058282525","display_name":"JungHee Kang","orcid":"https://orcid.org/0000-0003-2533-9900","observed_orcids":["https://orcid.org/0000-0003-2533-9900"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"JungHee Kang","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":3,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10793","display_name":"Diabetes Management and Education","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10793","display_name":"Diabetes Management and Education","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10560","display_name":"Diabetes Management and Research","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12480","display_name":"Health and Wellbeing Research","score":0.0,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/diabetes-self-efficacy","display_name":"diabetes self-efficacy","score":0.9169999957084656},{"id":"https://openalex.org/keywords/diabetes-knowledge","display_name":"diabetes knowledge","score":0.9580000042915344},{"id":"https://openalex.org/keywords/diabetes-self-management","display_name":"diabetes self-management","score":1.0},{"id":"https://openalex.org/keywords/mediation","display_name":"mediation","score":0.8270000219345093},{"id":"https://openalex.org/keywords/adults-with-diabetes","display_name":"adults with diabetes","score":0.7129999995231628},{"id":"https://openalex.org/keywords/diabetes-distress","display_name":"diabetes distress","score":0.7379999756813049},{"id":"https://openalex.org/keywords/depressive-symptoms","display_name":"depressive symptoms","score":0.9639999866485596},{"id":"https://openalex.org/keywords/self-esteem","display_name":"self-esteem","score":0.6800000071525574},{"id":"https://openalex.org/keywords/self-compassion","display_name":"self-compassion","score":0.9639999866485596},{"id":"https://openalex.org/keywords/resilience","display_name":"resilience","score":0.9869999885559082},{"id":"https://openalex.org/keywords/social-support","display_name":"social support","score":0.8899999856948853},{"id":"https://openalex.org/keywords/body-mass-index","display_name":"body mass index","score":0.9139999747276306}],"concepts":[{"id":"https://openalex.org/C555293320","wikidata":"https://www.wikidata.org/wiki/Q12206","display_name":"Diabetes mellitus","level":2,"score":0.9348000288009644},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6283000111579895},{"id":"https://openalex.org/C2779318504","wikidata":"https://www.wikidata.org/wiki/Q1438035","display_name":"Research design","level":2,"score":0.49070000648498535},{"id":"https://openalex.org/C2777180221","wikidata":"https://www.wikidata.org/wiki/Q3025883","display_name":"Type 2 diabetes","level":3,"score":0.34150001406669617},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.3197999894618988},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.3122999966144562},{"id":"https://openalex.org/C2780221984","wikidata":"https://www.wikidata.org/wiki/Q131191","display_name":"Body mass index","level":2,"score":0.30809998512268066},{"id":"https://openalex.org/C2776217022","wikidata":"https://www.wikidata.org/wiki/Q1100933","display_name":"Diabetes management","level":4,"score":0.3046000003814697},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.30149999260902405},{"id":"https://openalex.org/C44249647","wikidata":"https://www.wikidata.org/wiki/Q208498","display_name":"Confidence interval","level":2,"score":0.2833000123500824},{"id":"https://openalex.org/C142052008","wikidata":"https://www.wikidata.org/wiki/Q954027","display_name":"Cross-sectional study","level":2,"score":0.2750999927520752},{"id":"https://openalex.org/C205545832","wikidata":"https://www.wikidata.org/wiki/Q17156455","display_name":"Young adult","level":2,"score":0.2667999863624573},{"id":"https://openalex.org/C134018914","wikidata":"https://www.wikidata.org/wiki/Q162606","display_name":"Endocrinology","level":1,"score":0.2529999911785126},{"id":"https://openalex.org/C2986930172","wikidata":"https://www.wikidata.org/wiki/Q1116133","display_name":"Social knowledge","level":2,"score":0.25290000438690186},{"id":"https://openalex.org/C511355011","wikidata":"https://www.wikidata.org/wiki/Q12174","display_name":"Obesity","level":2,"score":0.2513999938964844}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1097/jcn.0000000000001380","doi":"https://doi.org/10.1097/jcn.0000000000001380","is_oa":false,"landing_page_url":"https://doi.org/10.1097/jcn.0000000000001380","pdf_url":null,"source":{"id":"https://openalex.org/S132854162","display_name":"The Journal of Cardiovascular Nursing","issn_l":"0889-4655","issn":["0889-4655","1550-5049"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-2","ki-jl-1","medline","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Cardiovascular Nursing","raw_type":"journal-article"},{"id":"pmid:42585591","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42585591","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Journal of cardiovascular nursing","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.9940000176429749,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":39,"referenced_works":["https://openalex.org/W2006078275","https://openalex.org/W2050636502","https://openalex.org/W2056930506","https://openalex.org/W2059262594","https://openalex.org/W2060946442","https://openalex.org/W2079851249","https://openalex.org/W2080792573","https://openalex.org/W2083737027","https://openalex.org/W2087484885","https://openalex.org/W2124304301","https://openalex.org/W2125070970","https://openalex.org/W2132322340","https://openalex.org/W2147791664","https://openalex.org/W2163893123","https://openalex.org/W2270165636","https://openalex.org/W2542733481","https://openalex.org/W2885173183","https://openalex.org/W2948686108","https://openalex.org/W2953411627","https://openalex.org/W2956086607","https://openalex.org/W2957606078","https://openalex.org/W2987421832","https://openalex.org/W3025636761","https://openalex.org/W3089144860","https://openalex.org/W3109050690","https://openalex.org/W3110550372","https://openalex.org/W3120629822","https://openalex.org/W3204080639","https://openalex.org/W3206097720","https://openalex.org/W4223594126","https://openalex.org/W4229008024","https://openalex.org/W4283073322","https://openalex.org/W4289688412","https://openalex.org/W4290932423","https://openalex.org/W4307842996","https://openalex.org/W4319825738","https://openalex.org/W4401755744","https://openalex.org/W4405187504","https://openalex.org/W4405765020"],"related_works":["https://openalex.org/W7163672082","https://openalex.org/W2923093675","https://openalex.org/W2020275922","https://openalex.org/W4400696455","https://openalex.org/W3087763623","https://openalex.org/W3127354705","https://openalex.org/W4380629168","https://openalex.org/W3133269533","https://openalex.org/W7219455231","https://openalex.org/W4310454049"],"abstract_inverted_index":{"BACKGROUND:":[0],"Poor":[1],"diabetes":[2,9,17,23,32,57,62,68,74,112,148,163,174,183,191,210,227,233,240,244,249],"self-management":[3,24,63,175,192,228],"is":[4],"prevalent":[5],"in":[6,13,94,117,247],"individuals":[7,42],"with":[8,43,61,111,189,226],"and":[10,15,26,50,65,84,103,119,171,202,230,236],"can":[11],"result":[12],"macro-":[14],"micro-cardiovascular":[16],"complications.":[18],"Diabetes":[19,222],"knowledge":[20,58,149,184,223,241],"may":[21,238],"impact":[22,30],"directly":[25,64,229],"indirectly":[27,66,231],"via":[28,67,232],"the":[29,124,142,161,172],"on":[31,100],"self-efficacy.":[33,234],"However,":[34],"these":[35],"relationships":[36],"have":[37],"rarely":[38],"been":[39],"examined":[40],"among":[41],"diabetes,":[44],"controlling":[45,70],"for":[46,71,123,127],"potential":[47],"psychosocial,":[48],"demographic,":[49],"clinical":[51],"covariates.":[52],"OBJECTIVE:":[53],"To":[54],"investigate":[55],"whether":[56],"was":[59,138,151,166,177,224],"associated":[60,225],"self-efficacy,":[69,245],"depressive":[72],"symptoms,":[73],"distress,":[75],"self-esteem,":[76],"self-compassion,":[77],"resilience,":[78],"social":[79],"support,":[80],"body":[81],"mass":[82],"index,":[83],"age.":[85],"METHODS:":[86],"Baseline":[87],"data":[88],"from":[89,108],"2":[90],"studies":[91],"were":[92,106],"used":[93,139],"this":[95],"cross-sectional,":[96],"correlational":[97],"study.":[98],"Data":[99],"all":[101],"study":[102],"demographic":[104],"variables":[105],"collected":[107],"228":[109],"adults":[110],"(mean":[113],"age:":[114],"56.5":[115],"years)":[116],"2023":[118],"2025.":[120],"PROCESS":[121],"Macro":[122],"Statistical":[125],"Package":[126],"Social":[128],"Sciences":[129],"(Model":[130],"4;":[131],"5000":[132],"bootstraps;":[133],"95%":[134,196,215],"confidence":[135],"intervals":[136],"[CIs])":[137],"to":[140,242],"examine":[141],"suggested":[143],"relationships.":[144],"RESULTS:":[145],"The":[146],"mean":[147,162,173],"score":[150,165,176],"10.7":[152],"out":[153],"of":[154,209],"13":[155],"(standard":[156],"deviation":[157],"[SD]":[158],"=":[159,169,180,194,199,213,218],"1.9);":[160],"self-efficacy":[164,211],"28.0":[167],"(SD":[168,179],"6.1);":[170],"18.0":[178],"6.3).":[181],"Stronger":[182],"showed":[185],"a":[186],"direct":[187],"relationship":[188,205],"better":[190],"(effect(B)":[193,212],"0.779,":[195],"bootstrap":[197,216],"CI":[198,217],"0.401,":[200],"1.157)":[201],"an":[203],"indirect":[204],"through":[206],"higher":[207],"levels":[208],"0.193,":[214],"0.078,":[219],"0.333).":[220],"CONCLUSIONS:":[221],"Clinicians":[235],"researchers":[237],"modify":[239],"improve":[243],"and,":[246],"turn,":[248],"self-management.":[250]},"counts_by_year":[],"updated_date":"2026-10-14T16:39:01.820549","created_date":"2026-08-13T00:00:00"}
