{"doi":"10.1093/abm/kaaf088","title":"Self-efficacy, diabetes distress, self-management, and glycemic regulation: within-person pathways in type 1 diabetes","abstract":"BACKGROUND: Despite extensive research on the role of self-efficacy in behavioral performance across various domains, its specific influence on self-management behaviors in type 1 diabetes (T1D) remains unclear. While studies find inconsistent evidence on whether self-efficacy actively drives future behaviors or is instead shaped by prior performance, research directly examining these temporal relationships in T1D is limited. PURPOSE: This study aims to examine the within-person, bidirectional, temporal relationships among self-efficacy, diabetes distress, self-management behavior, and glycemic regulation in T1D using intensive longitudinal data. METHODS: The current analyses used data from the Function and Emotion in Everyday Life with Type 1 Diabetes study (N = 173). Participants wore a blinded continuous glucose monitor (CGM) for 14 days and completed 5-6 smartphone-based surveys daily. Data were analyzed using dynamic structural equation modeling. RESULTS: Diabetes self-efficacy, distress, and self-management were significantly related within-person. Morning self-efficacy predicted lower diabetes distress and better management, both of which improved CGM outcomes. Lagged analyses revealed that prior-day self-efficacy, distress, and self-management predicted next-morning self-efficacy, but prior-day glucose did not. Feedback from personal use of unblinded CGM did not influence these relationships. CONCLUSIONS: Findings support self-efficacy as both an influence on future T1D self-management behavior change and an outcome of prior emotional states and self-management performance. Results suggest that diabetes self-efficacy predicts short-term glycemic regulation primarily through its associations with changes in diabetes distress and self-management.","journal":"Annals of Behavioral Medicine","year":2025,"id":529321,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":2,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9592,"is_data_producer":false,"deposit_databanks":null,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2025-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":363515,"name":"Stefan Schneider","orcid":"0000-0002-4562-0524","position":1,"is_corresponding":false},{"id":389967,"name":"Claire J. Hoogendoorn","orcid":"0000-0003-4526-1952","position":2,"is_corresponding":false},{"id":1408105,"name":"Lauren Nandoo","orcid":"0009-0005-5357-3894","position":3,"is_corresponding":false},{"id":691346,"name":"Elizabeth A. Pyatak","orcid":"0000-0003-3280-8912","position":4,"is_corresponding":false},{"id":246569,"name":"Jeffrey S. Gonzalez","orcid":"0000-0002-8252-2077","position":0,"is_corresponding":true}],"reference_count":44,"raw_metadata":null,"created_at":"2026-07-19T02:50:56.971987Z","pmid":"41236802","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}