CONCLUSION
The study revealed that the patients in the intervention group had higher scores in self-efficacy and self-care behavior and
had a lower usage of health services. Thus, the SEEIP could be regarded as a valid and effective program for persons with
diabetes. Facilitating personal self-efficacy in an individual’s ability to manage a self-care regimen is viewed as an effective solution for diabetes management in Taiwan. This study, through transforming theory into clinical plans, demonstrated that it is possible to apply a self-efficacy enhancing training program for individuals with diabetes and to strengthen their confidence in their ability to self-care and change their behavior. It is suggested that a self-efficacy enhancing program should be included in the clinical care of persons with type 2 diabetes. The next step could be to
develop a self-instructional training program for diabetes educators to enhance their knowledge, skills, and self-efficacy. The usefulness of self-efficacy in patient education should be incorporated into nursing curricula for nursing students and into continuing education for practicing nurses. A qualitative research study is required in order to clarify their individual needs. The replication of this study in various settings or with other populations and adding other outcome measures (such as HbA1c) also would be useful.