The major problem in diabetes management is the
patient’s attitude towards their illness, because they have
different ideas and beliefs. Patients who gain knowledge
about self-care disease management do not always implement
the desired behavioral changes. Azimah et al. (2009)
state that educational sessions for diabetes patients attending
health centers need to be reviewed and improved, just as
important are the counseling skills of the educators, which
also need careful attention.
Self-efficacy concepts are beliefs about individuals’
capabilities to produce designated levels of performance
that exercise influence over events that affect their lives
(Bandura, 1994). Self-efficacy theory provides a scientific
rationale for strategies that have the potential to enhance
individuals’ self-confidence in their ability to undertake
behavioral change (Wu et al., 2007). This definition makes it
clear that an individual’s self-efficacy is related to specific
situations and tasks, such as self-care management in type 2
diabetes (Lenz & Shortridge-Baggett, 2002).