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Prediction of adherence and control in diabetes

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Abstract

This study aims to predict adherence to diabetic treatment regimens and sustained diabetic control. During two clinic visits that were 2 months apart, 63 adult outpatients completed measures of diabetic history, current treatment, diabetic control, adherence, and self-efficacy about adherence to treatment. Results showed that self-efficacy was a significant predictor of later adherence to diabetes treatment even after past levels of adherence were taken into account. Posttest levels of adherence in turn were significantly associated with posttest %HbA1c after control for illness severity. A stepwise multiple regression to predict %HbA1c at post entered pretest measures of diabetic control, treatment type, and self-efficacy, which together predicted 50% of the variance. Results are related to self-efficacy theory and implications for practice are discussed.

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Authors and Affiliations

  1. University of Sydney, Sydney, Australia

    D. J. Kavanagh & S. Gooley

  2. Flinders University of South Australia, Australia

    P. H. Wilson

Authors
  1. D. J. Kavanagh
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  2. S. Gooley
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  3. P. H. Wilson
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Additional information

This research was conducted as partial fulfillment of the requirements for a Bachelor of Arts degree by the second author. Dr Wilson was then with the University of Sydney.

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Kavanagh, D.J., Gooley, S. & Wilson, P.H. Prediction of adherence and control in diabetes. J Behav Med 16, 509–522 (1993). https://doi.org/10.1007/BF00844820

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  • DOI: https://doi.org/10.1007/BF00844820

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