title: Predictors of adherence to nutrition recommendations in people with non-insulin-dependent diabetes mellitus.
abstract: The purpose of this study was to determine how the components of psychosocial adjustment to diabetes predict adherence to nutrition recommendations based on self-reported successful completion of contingency contracts. The relationships between the components of psychosocial adjustment and adherence to nutrition recommendations were examined in a convenience sample of patients with non-insulin-dependent diabetes mellitus participating in a contingency contracting intervention with nurses. Patients completed a standardized instrument, the Diabetes Care Profile, at the time they were enrolled into this randomized clinical trial. High and low levels of adherence to nutrition recommendations were identified by a median split of the number of contingency contracts completed for adherence to nutrition recommendations. Subjects who reported higher regimen adherence and a higher support ratio (received more diabetes-specific social support than desired) were significantly less likely to engage in contingency contracting for adherence to nutrition recommendations.
authors.affiliation: The School of Nursing, University of Michigan, Ann Arbor, Michigan (Drs Boehm, Schlenk, and Ronis and Ms Powers)
authors.forename: S
authors.initials: S
authors.lastname: Boehm
authors.affiliation: The School of Nursing, University of Michigan, Ann Arbor, Michigan (Drs Boehm, Schlenk, and Ronis and Ms Powers)
authors.forename: E A
authors.initials: EA
authors.lastname: Schlenk
authors.affiliation: The Michigan Diabetes Research and Training Center, School of Medicine, University of Michigan, Ann Arbor (Ms Funnell)
authors.forename: M M
authors.initials: MM
authors.lastname: Funnell
authors.affiliation: The School of Nursing, University of Michigan, Ann Arbor, Michigan (Drs Boehm, Schlenk, and Ronis and Ms Powers)
authors.forename: H
authors.initials: H
authors.lastname: Powers
authors.affiliation: The De­partment of Veteran's Affairs, University of Michigan, Ann Arbor (Dr Ronis)
authors.forename: D L
authors.initials: DL
authors.lastname: Ronis
mesh_terms: D000223:Adaptation, Psychological; D003924:Diabetes Mellitus, Type 2 / Q000178:diet therapy* / Q000523:psychology*; D003927:Diet, Diabetic / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009723:Nurse-Patient Relations; D010349:Patient Compliance; D010358:Patient Participation; D011237:Predictive Value of Tests; D012944:Social Support; D011795:Surveys and Questionnaires