Perceived adherence to prescribed or recommended standards of care among adults with diabetes.
Adults with diabetes were surveyed to determine the extent to which respondents perceived specific preventive regimens (diet, exercise, weight control, and education) had been prescribed or recommended, adhered to their prescribed regimens, and identified barriers to nonadherence.



Surveys were mailed to 2 samples of adults diagnosed with diabetes. The clinic sample was from health department clinics (n = 264); the agency sample was from a nonprofit agency serving people with diabetes (n = 111).



Of the 4 preventive measures under investigation, diet plans and weight reduction were perceived as most commonly recommended by health professionals; exercise schedules were the least commonly recommended. Diabetes self-management education was reportedly recommended more often among the agency sample. In terms of adherence, approximately half of both samples were able to lose weight. A smaller portion of the clinic sample was able to get needed foods and exercise, and maintain weight loss. The most frequently cited reasons for nonadherence were cost, transportation, and other health conditions.



Improvement in the implementation of preventive behaviors is needed, particularly exercise schedules. Barriers to care, such as costs and transportation, may need special consideration.
Jorgensen
Wendy A
WA
Interdisciplinary Graduate Program, College of Nursing, Ohio State University, Columbus, Ohio
Polivka
Barbara J
BJ
The College of Nursing, Ohio State University, Columbus, Ohio (Drs Polivka and Lennie)
Lennie
Terry A
TA
The College of Nursing, Ohio State University, Columbus, Ohio (Drs Polivka and Lennie)
D000328:Adult; D000368:Aged; D001294:Attitude to Health; D003430:Cross-Sectional Studies; D003920:Diabetes Mellitus / Q000517:prevention & control* / Q000523:psychology*; D003927:Diet, Diabetic; D015444:Exercise; D005260:Female; D019983:Guideline Adherence / Q000592:standards*; D015438:Health Behavior; D007722:Health Knowledge, Attitudes, Practice; D006297:Health Services Accessibility / Q000592:standards; D006801:Humans; D008297:Male; D008875:Middle Aged; D009820:Ohio; D010349:Patient Compliance / Q000523:psychology*; D010353:Patient Education as Topic; D017410:Practice Guidelines as Topic / Q000592:standards*; D012648:Self Care / Q000523:psychology / Q000592:standards*; D011795:Surveys and Questionnaires; D015431:Weight Loss