Journal of Behavioral Medicine

, Volume 14, Issue 1, pp 71–86

Problem solving and diabetes self-care

  • Deborah J. Toobert
  • Russell E. Glasgow

DOI: 10.1007/BF00844769

Cite this article as:
Toobert, D.J. & Glasgow, R.E. J Behav Med (1991) 14: 71. doi:10.1007/BF00844769


An important objective of diabetes care is to provide patients with self-regulation skills. For patients to assume responsibility for their own regimens, they need to have good problem-solving skills to cope with ongoing personal, social, and environmental barriers to adherence. Therefore, a Diabetes Problem Solving Interview for adults was developed and evaluated with 126 non-insulin-dependent outpatients. Interviewers elicited problem-solving strategies patients would use to cope with a variety of situations potentially interfering with dietary, exercise, and glucose testing adherence. Interviews were tape recorded and coded by trained raters to produce scores on both overall problem-solving skill ratings and frequency of use of different types of strategies. Results revealed only minor influences of patient characteristics on problem-solving measures. Prospective analyses revealed that problem-solving measures were significant and independent predictors of levels of dietary and exercise self-care at a 6-month follow-up.

Key words

diabetesself-careproblem solvingadherencedietexercise

Copyright information

© Plenum Publishing Corporation 1991

Authors and Affiliations

  • Deborah J. Toobert
    • 1
  • Russell E. Glasgow
    • 1
  1. 1.Oregon Research InstituteEugene