Confidence to self-manage in diabetes: An all-Wales cross-sectional population study

Rollings, Jasmine, Thuvesholmen, Nichola M., Woolley, Katherine E., Puntoni, Sarah, Cox, Sally, Platts, Julia, Shaw, Alexander ORCID: https://orcid.org/0000-0001-5741-7526, Newman, Christian and Withers, Kathleen 2026. Confidence to self-manage in diabetes: An all-Wales cross-sectional population study. Journal of Diabetes Research 2026 (1) , e5566273. 10.1155/jdr/5566273

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Abstract

Diabetes is a leading cause of morbidity and mortality in Wales, and concerningly, the prevalence of diabetes and the associated healthcare costs continue to rise. Effective self-management is essential in diabetes care to avoid poor outcomes; however, little is known about how confidence to self-manage impacts outcomes.Research and designThis study examines the association between confidence to self-manage and wellbeing and emergency and elective admissions in a large sample of people with diabetes surveyed in Wales over the age of 45 years (N = 2941). Where possible, multilevel regression modelling was used to account for patients being nested within GP practises; otherwise, logistic regression modelling was applied.ResultsAfter controlling for various individual and situational factors, confidence to self-manage was found to be strongly associated with better wellbeing (B = 12.43; 95% CI: 11.19-13.67) and with reduced odds of having an emergency hospital admission (OR = 0.79; 95% CI: 0.65-0.95) but not an elective hospital admission (OR = 0.95; 95% CI: 0.81-1.13) in the year following survey completion. Other individual level factors such as being unable to work and having more chronic conditions were associated with poorer wellbeing and having an emergency admission.ConclusionsThese findings indicate that higher levels of confidence to self-manage were associated with better wellbeing and reduced odds of emergency hospital admission among diabetic people aged over 45 years in Wales. Therefore, healthcare providers, policymakers and patients should engage with and develop strategies to enhance confidence and self-management in diabetes.

Item Type:	Article
Date Type:	Published Online
Status:	Published
Schools:	Schools > Medicine Research Institutes & Centres > Cardiff University Brain Research Imaging Centre (CUBRIC)
Additional Information:	License information from Publisher: LICENSE 1: Title: cc by, Type: cc by
Publisher:	Wiley
ISSN:	2314-6745
Date of First Compliant Deposit:	13 April 2026
Date of Acceptance:	20 January 2026
Last Modified:	13 Apr 2026 12:00
URI:	https://orca.cardiff.ac.uk/id/eprint/186341

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