Diabetes Care, Vol 7, Issue 6 566-574, Copyright © 1984 by American Diabetes Association

ARTICLES

Relationship between health locus of control, health value, and social support and compliance of persons with diabetes mellitus

EA Schlenk and LK Hart

Thirty insulin-dependent outpatients were interviewed during one of their diabetes clinic visits. Questionnaires were used to measure the independent variables of health locus of control, health value, and perceived social support. Self-report and direct observation were used to measure the dependent variable, compliance with insulin administration, diet, exercise, hypoglycemia management, self-monitoring of blood glucose (SMBG), and foot care prescriptions. All patients complied with at least 70% of the points measured; half the group complied with at least 80% of the regimen. However, no one complied with all the behaviors deemed essential for good control. The group was most compliant with SMBG, hypoglycemia management, and insulin administration and least compliant with foot care and exercise. A statistically significant relationship was found between compliance and social support (P less than 0.001), powerful others health locus of control (PHLC) (P less than 0.01), and internal health locus of control (IHLC) (P less than 0.05). A multiple regression analysis found that social support and PHLC accounted for at least 50% of the variance in compliance scores. The multiple-R of the independent variables with compliance reached a significance level of P less than 0.005. However, only the two variables of social support and PHLC added significantly (P less than 0.05) to prediction accuracy. The multiple-R of these two variables used as a set reached the significance level of P less than 0.001.
CiteULike    Del.icio.us    Digg    Reddit    Technorati    What's this?

This article has been cited by other articles:

				E. J. Burker, D. M. Evon, J. Galanko, and T. Egan Health Locus of Control Predicts Survival after Lung Transplant J Health Psychol, September 1, 2005; 10(5): 695 - 704. [Abstract] [PDF]

				M. P. Gallant The Influence of Social Support on Chronic Illness Self-Management: A Review and Directions for Research Health Educ Behav, April 1, 2003; 30(2): 170 - 195. [Abstract] [PDF]

				C. E. Golin, M. DIMatteo, B. Leaks, N. Duan, and L. Gelberg A Diabetes-Specific Measure of Patient Desire to Participate in Medical Decision Making The Diabetes Educator, November 1, 2001; 27(6): 875 - 886. [Abstract] [PDF]

				A. R. Williamson, A. E. Hunt, J. F. Pope, and N. M. Tolman Recommendations of Dietitians for Overcoming Barriers to Dietary Adherence in Individuals With Diabetes The Diabetes Educator, March 1, 2000; 26(2): 272 - 279. [Abstract] [PDF]

				P. S. Via and J. Salyer Psychosocial Self-Efficacy and Personal Characteristics of Veterans Attending a Diabetes Education Program The Diabetes Educator, September 1, 1999; 25(5): 727 - 737. [Abstract] [PDF]

				S. Boehm, E. A. Schlenk, M. M. Funnell, H. Powers, and D. L. Ronis Predictors of Adherence to Nutrition Recommendations in People With Non- Insulin-Dependent Diabetes Mellitus The Diabetes Educator, January 1, 1997; 23(2): 157 - 165. [PDF]

				B. J. Bailey Mediators of Depression in Adults with Diabetes Clin Nurs Res, February 1, 1996; 5(1): 28 - 42. [Abstract] [PDF]

				L. M. Tillotson and M. S. Smith Locus of Control, Social Support, and Adherence to the Diabetes Regimen The Diabetes Educator, January 1, 1996; 22(2): 133 - 139. [PDF]

				P. A. Quackenbush, S. A. Brown, and S. P. Duchin The Influence of Demographic and Treatment Variables on the Health Beliefs of Adults with Diabetes The Diabetes Educator, January 1, 1996; 22(3): 231 - 236. [PDF]

				B. A. Boyer, C. Lerman, T. E. Shipley JR, J. McBrearty, A. Quint, and E. Goren Discordance Between Physician and Patient Perceptions in the Treatment of Diabetes Mellitus: A Pilot Study of the Relationship to Adherence and Glycemic Control The Diabetes Educator, January 1, 1996; 22(5): 493 - 499. [PDF]

				C. A. Hernandez The Experience of Living With Insulin-Dependent Diabetes: Lessons for the Diabetes Educator The Diabetes Educator, January 1, 1995; 21(1): 33 - 37. [PDF]

				M. J. Price An Experiential Model of Learning Diabetes Self-Management Qual Health Res, February 1, 1993; 3(1): 29 - 54. [Abstract] [PDF]

				B. J. Bailey and A. Kahn Apportioning Illness Management Authority: How Diabetic Individuals Evaluate and Respond to Spousal Help Qual Health Res, February 1, 1993; 3(1): 55 - 73. [Abstract] [PDF]

				T. E. Burroughs, S. L. Pontious, and J. V. Santiago The Relationship Among Six . Psychosocial Domains, Age, Health Care Adherence, and Metabolic Control in Adolescents with IDDM The Diabetes Educator, January 1, 1993; 19(5): 396 - 402. [PDF]

				D. Charron-Prochownik, M. H. Becker, M. B. Brown, W.-M. Liang, and S. Bennett Understanding Young Children's Health Beliefs and Diabetes Regimen Adherence The Diabetes Educator, January 1, 1993; 19(5): 409 - 418. [PDF]

				R. K. Polly Diabetes Health Beliefs, Self-Care Behaviors, and Glycemic Control Among Older Adults With Non-Insulin-Dependent Diabetes Mellitus The Diabetes Educator, January 1, 1992; 18(4): 321 - 327. [PDF]

				M. Nagasawa, M. C. Smith, J. H. Barnes JR, and J. E. Fincham Meta-Analysis of Correlates of Diabetes Patients' Compliance With Prescribed Medications The Diabetes Educator, January 1, 1990; 16(3): 192 - 200. [PDF]

				D. J. Drozda, V. A. Dawson, D. J. Long, L. S. Freson, and Marka. Sperling Assessment of the Effect of a Comprehensive Diabetes Management Program on Hospital Admission Rates of Children With Diabetes Mellitus The Diabetes Educator, January 1, 1990; 16(5): 389 - 393. [PDF]

				R. W. Sanson-Fisher, E. M. Campbell, S. Redman, and Deborahj. Hennrikus Patient-Provider Interactions and Patient Outcomes The Diabetes Educator, January 1, 1989; 15(2): 134 - 138. [PDF]

				J. W Anderson and Nancyj. Gustafson Adherence to High-Carbohydrate, High-Fiber Diets The Diabetes Educator, January 1, 1989; 15(5): 429 - 434. [PDF]

				Gaila. D'Eramo-Melkus and P. Demas Patient Perceptions of Diabetes Treatment Goals The Diabetes Educator, January 1, 1989; 15(5): 440 - 443. [PDF]