Assessing and overcoming situational obstacles to dietary adherence in adolescents with IDDM.
OBJECTIVE
To develop and evaluate a tool for assessing selected aspects of dietary adherence in adolescents with diabetes mellitus (IDDM).


METHODS
The Situational Obstacles to Dietary Adherence Questionnaire (SODA) is a 30-item inventory that yields a total self-efficacy score and scales that measure cognitive and behavioral coping strategies. Alternative forms of the SODA were administered at the beginning and end of a summer camp for youngsters with IDDM in order to obtain evidence for its reliability and validity, and to evaluate the impact of an educational intervention. The program consisted of two 50-minute small group sessions intended to help adolescents with IDDM improve their ability to cope with challenging dietary situations. Using the method of anchored instruction, the campers first viewed a video about a teenager with diabetes who faces common situations that make diabetes self-management difficult. Group problem-solving sessions led by a registered dietitian were used to help campers learn more effective ways to solve dietary problems.


CONCLUSIONS
Results suggested that the SODA has reasonable reliability and validity. In addition, anchored instruction improved dietary self-efficacy and changed young adolescents' estimates of how often they would use selected cognitive and behavioral strategies to solve dietary problems.
Vanderbilt University, School of Medicine, Diabetes Research and Training Center, Nashville, Tennessee 37212, USA.
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DG
Schlundt
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M
Rea
M
M
Hodge
M E
ME
Flannery
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Kline
J
J
Meek
C
C
Kinzer
J W
JW
Pichert
D000293:Adolescent; D002165:Camping; D002648:Child; D003922:Diabetes Mellitus, Type 1 / Q000178:diet therapy* / Q000523:psychology*; D005247:Feeding Behavior; D005260:Female; D006266:Health Education; D006801:Humans; D008297:Male; D010349:Patient Compliance; D000297:Psychology, Adolescent; D015203:Reproducibility of Results; D011795:Surveys and Questionnaires