title: Risk perception and self-management in urban, diverse adults with type 2 diabetes: the improving diabetes outcomes study.
abstract: OBJECTIVE
  The relationship between risk perceptions and diabetes self-care remains ambiguous. This study aimed to assess baseline, 1-year follow-up, and change score relationships among perceived risk, diabetes self-care, and glycemic control for adult individuals participating in a behavioral intervention that improved glycemic control relative to the active control.
  
  
  METHODS
  One-year randomized trial compared a behavioral telephonic intervention with a print only intervention. Participants (N = 526) are members of a union/employer sponsored health benefit plan, with HbA(1c) ≥ 7.5 %, prescribed at least one oral diabetes medication. Participants rated perceived risk of diabetes and its complications and diabetes self-care at baseline and 1 year. Data were collected in a large urban area in the USA.
  
  
  RESULTS
  There were no relationships between risk perceptions and glycemic control during the study. Baseline perceived risk predicted follow-up self-care. Additionally, participants assigned to the intervention group showed significant changes in dietary and exercise adherence at high levels of risk knowledge and low levels of optimistic bias.
  
  
  CONCLUSIONS
  Perceived risk relates to dietary, exercise, and medication adherence in diabetes. The perceived risk construct might foster a more coherent conceptualization of the relationship between one's diabetes, possible complications, and diabetes self-care behaviors.
authors: Ferkauf Graduate School of Psychology, Yeshiva University, New York, NY, USA, erica.shreck@gmail.com.
authors: Erica
authors: E
authors: Shreck
authors: Jeffrey S
authors: JS
authors: Gonzalez
authors: Hillel W
authors: HW
authors: Cohen
authors: Elizabeth A
authors: EA
authors: Walker
mesh_terms: D003924:Diabetes Mellitus, Type 2 / Q000150:complications / Q000523:psychology / Q000628:therapy*; D005260:Female; D006442:Glycated Hemoglobin / Q000378:metabolism; D006801:Humans; D006943:Hyperglycemia / Q000523:psychology / Q000628:therapy*; D007004:Hypoglycemic Agents / Q000627:therapeutic use; D008297:Male; D008875:Middle Aged; D012306:Risk; D012309:Risk-Taking; D012648:Self Care; D012959:Socioeconomic Factors; D013689:Telephone
chemical_list: D006442:Glycated Hemoglobin; D007004:Hypoglycemic Agents
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