Development and validation of the Lifestyle Self-Efficacy Scale for Latinos with Diabetes (LSESLD)

UMMS Affiliation

Department of Medicine, Division of Preventive and Behavioral Medicine

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Behavior and Behavior Mechanisms | Community Health | Community Health and Preventive Medicine | Nutritional and Metabolic Diseases | Public Health | Public Health Education and Promotion


OBJECTIVES: To develop and validate a self-efficacy measure of diabetes self-management, the Lifestyle Self-Efficacy Scale for Latinos with Diabetes (LSESLD), designed for low-income, Spanish-speaking Latinos with diabetes.

DESIGN: Quantitative and qualitative methods.

SETTING: Community health centers in central and western Massachusetts.

PARTICIPANTS: Low-income Latinos (N = 252) enrolled in a randomized diabetes self-management intervention trial.

MEASURES: Construct validity, internal consistency, sensitivity to change over time.

RESULTS: The LSESLD demonstrated good internal consistency (Cronbach's alpha = .85), reasonable construct validity (moderate, significant associations between the LSESLD and validated measures of diabetes knowledge, dietary intake, physical activity, blood glucose self-monitoring, and HbA1c values), and sensitivity to intervention-related changes over time.

CONCLUSION: The LSESLD is a reliable and valid research instrument assessing self-efficacy related to diabetes self-management among low-income, Spanish-speaking populations.


Diabetes, Self-Efficacy, Self- Management, Scale, Latinos, Low-income


Ethn Dis. 2013 Autumn;23(4):428-35. Link to article on publisher's website

Journal/Book/Conference Title

Ethnicity and disease

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