Prediction of adherence and control in diabetes

This study aims to predict adherence to diabetic treatment regimens and sustained diabetic control. During two clinic visits that were 2 months apart, 63 adult outpatients completed measures of diabetic history, current treatment, diabetic control, adherence, and self-efficacy about adherence to tre...

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Bibliographic Details
Published in:Journal of behavioral medicine 1993-10, Vol.16 (5), p.509-522
Main Authors: KAVANAGH, D. J, WILSON, P. H
Format: Article
Language:English
Subjects:
Adaptation, Psychological
Adult
Aged
Aged, 80 and over
Biological and medical sciences
Blood Glucose Self-Monitoring - psychology
Diabetes Mellitus, Type 1 - blood
Diabetes Mellitus, Type 1 - psychology
Diabetes Mellitus, Type 1 - therapy
Diabetes Mellitus, Type 2 - blood
Diabetes Mellitus, Type 2 - psychology
Diabetes Mellitus, Type 2 - therapy
Diabetes. Impaired glucose tolerance
Diet, Diabetic - psychology
Endocrine pancreas. Apud cells (diseases)
Endocrinopathies
Exercise - psychology
Female
Glycated Hemoglobin A - metabolism
Humans
Male
Management. Various non-drug treatments. Langerhans islet grafts
Medical sciences
Middle Aged
Patient Compliance - psychology
Self Concept
Sick Role
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Summary:This study aims to predict adherence to diabetic treatment regimens and sustained diabetic control. During two clinic visits that were 2 months apart, 63 adult outpatients completed measures of diabetic history, current treatment, diabetic control, adherence, and self-efficacy about adherence to treatment. Results showed that self-efficacy was a significant predictor of later adherence to diabetes treatment even after past levels of adherence were taken into account. Posttest levels of adherence in turn were significantly associated with posttest %HbA1c after control for illness severity. A stepwise multiple regression to predict %HbA1c at post entered pretest measures of diabetic control, treatment type, and self-efficacy, which together predicted 50% of the variance. Results are related to self-efficacy theory and implications for practice are discussed.
ISSN:0160-7715
1573-3521
DOI:10.1007/bf00844820