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内容記述 |
Introduction: To find out the relationship between diabetes, self-control and each phase of: Prochaska and DiClemente’s five Stages of Change model, a test of the validity of the Seino’s: Self-Control Scale (SSCS) was conducted. Additionally, the most relevant factor of SSCS: associated with hemoglobin A1c was determined.: Methods: A cross-sectional study of 272 outpatients with and without type 1 or type 2 diabetes: at one hospital in Tokyo was conducted in 2019. The research was a questionnaire survey: consisting of SSCS, the Stages of Change, and the self-report of HbA1c.: Results: Using confirmatory factor analysis, SSCS revealed six factors the same as the previous: study in both with and without diabetes. The factors identified were Facing Reality, Prioritizing,: Impulse Control, Resolving Problems, Anxiety Control, and Social Support . Using multiple linear: regression analysis for these six factors while setting HbA1c as an outcome, the SSCS factors: associated with HbA1c varied across the Stages of Change.: Discussion: Results showed SSCS was validated. Based on finding Self-Control factors that are: associated with HbA1c level at the different Stages of Change, we propose the designing: intervention plans for behavior change in the Preparation, Action, and Maintenance stages. This: study represents an important first step in understanding self-control through the Stages of: Change among patients with type 1 and type 2 diabetes.: Keywords : diabetes, self-control, behavior, transtheoretical model, stages of change,: outpatients |
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