Objective:

To explain the effect of self-care barriers on disease empowerment in adults with diabetes.

Method:

Correlational-explanatory design, collected by convenient sampling in 657 adults with diabetes. We used a personal data card, the Self-Care Barriers Scale (α =0.78), and the Diabetes Empowerment Scale (α =0.89). Informed consent and legal requirements for the investigation were applied. Descriptive statistics were used, as well as inferential statistics such as the Spearman test and a model of structural equations.

Results:

Participants had an M=50.10 years, the majority being female (58.9%) and mature adult (37.6%). 56.5% have no empowerment in diabetes and had an M=82.12 in self-care barriers. Empowerment is related to age (r=-0,199), years of living with diabetes (r=-0,097), and barriers to self-care (r=0,302). Together, both are explained (- 0.34). The indicators of goodness were X2= 35,309 (8 g.l.), p<.0001, X2 relative= 4.41, and the practical indicators were BBNFI=.99, BBNFI=.98, CFI=.99, and RMSEA=.07, explaining 12% of the variance of diabetes empowerment.

Conclusion:

It is confirmed by the model of structural equations that self-care barriers positively and significantly influence 12% on the empowerment of diabetes.

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