Predictors of adherence to nutrition recommendations in people with non-insulin-dependent diabetes mellitus.
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.
Boehm
S
S
The School of Nursing, University of Michigan, Ann Arbor, Michigan (Drs Boehm, Schlenk, and Ronis and Ms Powers)
Schlenk
E A
EA
The School of Nursing, University of Michigan, Ann Arbor, Michigan (Drs Boehm, Schlenk, and Ronis and Ms Powers)
Funnell
M M
MM
The Michigan Diabetes Research and Training Center, School of Medicine, University of Michigan, Ann Arbor (Ms Funnell)
Powers
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H
The School of Nursing, University of Michigan, Ann Arbor, Michigan (Drs Boehm, Schlenk, and Ronis and Ms Powers)
Ronis
D L
DL
The De­partment of Veteran's Affairs, University of Michigan, Ann Arbor (Dr Ronis)
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