Related Experiment Video
Updated: May 6, 2026

Improving IV Insulin Administration in a Community Hospital
Published on: June 11, 2012
Self-efficacy in diabetic care and occurrence of adverse events in an ambulatory setting
Benjamas Sirikamonsathian1, Jiruth Sriratanaban, Narin Hiransuthikul
1Department of Preventive and Social Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand. sjiruth@gmail.com.
Objective:
To assess the relationship between patients' self-efficacy and the occurrence of adverse events in patients with insulin-using, type-2 diabetes mellitus in an ambulatory setting.
Design:
A prospective cohort study. Patients' risks were estimated by relative risk (RR) and analyzed by Poisson regression using the generalized estimating equation (GEE).
Setting:
Diabetic clinic at a university-affiliated, tertiary-care hospital in Bangkok, Thailand.
Participants:
One hundred and fifty-seven patients in the low self-efficacy group and 153 patients in the high self-efficacy group based on their pre-test scores, including self-efficacy in problem-solving and daily living.
Main Outcome Measures:
Adverse events defined as unplanned incidents related to medical management in diabetic care, leading to patient harm. Patient data were followed up every 3 months for 1 year.
Results:
The incident rate of adverse events in the low self-efficacy group was 2.12 incidents per 100 person-months, in comparison with 0.44 incidents per 100 person-months in the high self-efficacy group, resulting in adjusted RR of 4.75 (95% confidence interval (CI): 2.19-10.28). The use of long-acting insulin was also found to increase the risk of adverse events by 3.11 times (95% CI: 1.35-7.18) without interaction with patients' self-efficacies.
Conclusion:
To increase patients' self-efficacy by strengthening patient and family involvement may help prevent harmful events and improve patient safety in an ambulatory setting among chronically ill patients with type-2 diabetes mellitus.
More Related Videos
07:22Glycemic Impact on Knee Osteoarthritis Symptoms on Physical, Radiographic, and Inflammatory Markers among Individuals Aged 50 and Over with Diabetes
Published on: March 7, 2025
06:13Author Spotlight: Exploring the Impact of Reduced Resistance Exercise Volume on Metabolic Health
Published on: December 1, 2023
Related Concept Videos
Diabetes: Management and Pharmacotherapy
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
Complications of Diabetes Mellitus
Type I Diabetes III: Clinical Manifestations
Type II Diabetes Mellitus III: Clinical Manifestations and Diagnosis
Diabetic Retinopathy
Diabetes Mellitus: Type 2 and Gestational