Self-Care Behaviors in Insulin-Dependent Diabetes: Evaluative Tools and Their Associations with Glycemic Control

Clarified the relationships between self-care behaviors and illness-specific outcomes in approximately 270 youths with IDDM. Youths were assessed at three points in time using a semistructured interview measure and multiple indices of dietary intake and physical activity with two different methodolo...

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Bibliographic Details
Published in:Journal of pediatric psychology 1996-08, Vol.21 (4), p.467-482
Main Authors: Hanson, Cindy L., De Guire, Michelle J., Schinkel, Angie M., Kolterman, Orville G., Goodman, Joan P., Buckingham, Bruce A.
Format: Article
Language:English
Subjects:
adherence
Adolescent
Adult
Blood Glucose Self-Monitoring
California
Child
Child, Preschool
diabetes
Diabetes Mellitus, Type 1 - blood
Diabetes Mellitus, Type 1 - psychology
Diabetes Mellitus, Type 1 - therapy
diet
Feeding Behavior
Female
Humans
Insulin - administration & dosage
Male
Outcome and Process Assessment (Health Care) - statistics & numerical data
Patient Compliance
Predictive Value of Tests
Sampling Studies
Self Administration
Self Care - statistics & numerical data
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Summary:Clarified the relationships between self-care behaviors and illness-specific outcomes in approximately 270 youths with IDDM. Youths were assessed at three points in time using a semistructured interview measure and multiple indices of dietary intake and physical activity with two different methodologies (i.e., recalls, logs). Glycemic control was most strongly related to the semistructured Self-Care Adherence Interview (SCAI); and second to the overall quality of the youths' dietary intake. The SCAI also predicted glycemic control over time. Physical activity levels and specific nutritional components from the logs and recalls were generally unrelated to glycemic control.
ISSN:0146-8693
1465-735X
DOI:10.1093/jpepsy/21.4.467