Predictors of Adherence to Nutrition Recommendations in People With Non- Insulin-Dependent Diabetes Mellitus

SAGE Publications - Tập 23 Số 2 - Trang 157-165 - 1997
Susan Boehm1, Elizabeth A. Schlenk1, Martha M. Funnell2, Holly S. Powers1, David L. Ronis3
1The School of Nursing, University of Michigan, Ann Arbor, Michigan (Drs Boehm, Schlenk, and Ronis and Ms Powers)
2The Michigan Diabetes Research and Training Center, School of Medicine, University of Michigan, Ann Arbor (Ms Funnell)
3Department of Veteran's Affairs (Dr Ronis), Ann Arbor, Michigan

Tóm tắt

The purpose of this study was to determine how the components of psychosocial adjustment to diabetes predict adherence to nutrition recommendations based on self-reported successful completion of contingency contracts. The relationships between the components of psychosocial adjustment and adherence to nutrition recommendations were examined in a convenience sample of patients with non-insulin- dependent diabetes mellitus participating in a contingency contracting intervention with nurses. Patients completed a standardized instrument, the Diabetes Care Profile, at the time they were enrolled into this randomized clinical trial. High and low levels of adherence to nutrition recommendations were identified by a median split of the number of contingency contracts completed for adherence to nutrition recommendations. Subjects who reported higher regimen adherence and a higher support ratio (received more diabetes-specific social support than desired) were significantly less likely to engage in contingency contracting for adherence to nutrition recommendations .

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Tài liệu tham khảo

10.2337/diacare.17.5.490

10.2337/diacare.17.5.519

10.1111/j.2044-8260.1994.tb01090.x

10.1037/0022-006X.60.4.628

10.1037/0022-006X.50.6.993

10.1097/00005650-197501000-00002

10.1177/109019817400200403

10.1037/0278-6133.9.5.632

10.2337/diacare.3.5.594

10.1097/00007611-198502000-00011

10.2337/diacare.3.4.533

10.1037/0022-006X.55.2.139

10.1007/BF00844645

10.1037/0278-6133.8.3.285

10.2337/diacare.13.7.705

10.2337/diacare.9.6.614

10.2337/diacare.11.5.377

10.2337/diacare.9.2.179

10.2337/diacare.7.6.566

10.1097/00004703-199206000-00007

10.1097/00006199-199411000-00008

10.1177/014572178601200210

10.1037/0278-6133.6.1.1

10.2337/diacare.11.7.538

Steckel SB, 1982, Patient contracting

Weddington WW Jr, 1983, Hosp Community Psychiatry, 34, 702

Brigham T. Self-management: a radical behavioral perspective. In: Karoly P, Kamfer FH, eds. Self-management and behavior change: from theory to practice . New York: Pergamon Press, 1982:32-59.

Boehm S. Patient contracting. In: Bulechek GM, McCloskey JC, eds. Nursing interventions: essential nursing treatments. 2nd ed. Philadelphia: WB Saunders , 1992:425-33.

US Department of Health and Human Services, Public Health Service., 1986, Thc 1990 health objectives for the nation: a midcourse review

10.1177/019394599001200507

10.1016/S0897-1897(05)80008-4

Lynn MR, 1986, Nurs Res, 35, 382

Nunnally JC, 1978, Psychometric theory, 2

10.1016/S0897-1897(05)80097-7

Waltz CF, 1991, Measurement in nursing research, 2

10.1016/S0897-1897(88)80030-2

10.1097/00006199-198801000-00010

10.1097/00006199-198805000-00015

10.1002/nur.4770150210

10.1097/00006199-198801000-00012

10.1002/nur.4770040308

Lynn MA, 1985, Nurs Res, 34, 254

10.1097/00006199-198607000-00020

10.1177/105477389300200308

Harris RJ, 1985, A primer of multivariate statistics, 2

Agresti A., 1990, Categorical data analysis

10.2337/diacare.13.2.S66

10.1007/BF02888805

10.1016/0738-3991(92)90102-O

10.1177/014572178601200107

10.2337/diacare.14.4.335