PERSONAL MODELS OF DIABETES AMONG OLDER ADULTS - RELATIONSHIP TO SELF-MANAGEMENT AND OTHER VARIABLES

被引：133

作者：

HAMPSON, SE

GLASGOW, RE

FOSTER, LS

机构：

[1] Oregon Research Institute, Eugene, Oregon

来源：

DIABETES EDUCATOR | 1995年 / 21卷 / 04期

关键词：

D O I：

10.1177/014572179502100407

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The purpose of this study was to test whether older patients' personal models of diabetes predict their levels of self-management activities (dietary intake, physical activity, and blood glucose testing) and glycemic control. The Personal Models of Diabetes Interview (PMDI) was administered on two occasions to 78 patients (greater than or equal to 60 years) with noninsulin-dependent diabetes mellitus. Self-management behaviors, quality of life, and affect were assessed on the second occasion and at 4 months. Glycemic control was assessed at 4 months. Three constructs of the PMDI (cause, treatment effectiveness, and seriousness) were correlated significantly with several aspects of quality of life and with negative affect. Personal models, especially beliefs regarding treatment effectiveness, were predictive of dietary intake and physical activity but not blood glucose testing. Assessing patients' personal models is valuable for individualizing education and counseling for nutrition and physical activity, and selecting strategies consistent with patients' perspectives.

引用

页码：300 / 307

页数：8

共 41 条

[11]

Leventhal H., Diefenbach. The active side of illness cognition, pp. 246-272, (1991)

[12]

Leventhal H., Meyer D., Nerenz D., The common sense representation of illness danger, pp. 7-30, (1980)

[13]

Becker M.H., The health belief model and personal health behavior, (1974)

[14]

Harrison J.A., Mullen P.D., Green L.W., A meta-analysis of studies of the health belief model with adults, Health Educ Res, 7, pp. 107-116, (1992)

[15]

Brown S.A., Studies of educational interventions and outcomes in diabetic adults: a meta-analysis revisted, Patient Educ Couns, 16, pp. 189-215, (1990)

[16]

Glasgow R.E., Compliance to diabetes regimens: conceptualization, complexity, and determinants, pp. 209-221, (1991)

[17]

Glasgow R.E., Osteen V.L., Evaluating diabetes education: are we measuring the most important outcomes ?, Diabetes Care, 15, pp. 1423-1432, (1992)

[18]

Glasgow R.E., A practical working model of diabetes management and education, Diabetes Care, 18, pp. 117-126, (1995)

[19]

Johnson S.B., Methodological issues in diabetes research: measuring adherence, Diabetes Care, 15, 4, pp. 1658-1667, (1992)

[20]

Goodall T.A., Halford W.K., Self-management of diabetes mellitus: a critical review, Health Psychol, 10, pp. 1-8, (1991)

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