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
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
收藏
页码:300 / 307
页数:8
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