title: Behavioral Analysis of Chinese Adult Patients with Type 1 Diabetes on Self-monitoring of Blood Glucose.
abstract: BACKGROUND
  The information-motivation-behavioral skills (IMB) model of health behavior is an effective tool to evaluate the behavior of diabetes self-management. The purpose of this study was to explore behavioral factors affecting the practice of self-monitoring of blood glucose (SMBG) within the frame of IMB model of health behavioral among adult patients with type 1 diabetes in a single diabetes clinic in China.
  
  
  METHODS
  A questionnaire with three subscales on SMBG information, motivation, and behavioral skills based on IMB model was developed. Validity and reliability of the measures were examined and guaranteed. Adult patients with type 1 diabetes visiting our diabetes clinic from January to March 2012 (n = 55) were consecutively interviewed. The self-completion questionnaires were administered and finished at face-to-face interviews among these patients. Both descriptive and correlational analyses were made.
  
  
  RESULTS
  Fifty-five patients finished the questionnaires, with the median duration of diabetes 4.5 years and the median of SMBG frequency 2.00. Specific SMBG information deficits, motivation obstacles, and behavioral skill limitations were identified in a substantial proportion of participants. Scores of SMBG motivation (r = 0.299, P= 0.026) and behavioral skills (r = 0.425, P= 0.001) were significantly correlated with SMBG frequency. The multiple correlation of SMBG information, SMBG motivation, and SMBG behavioral skills with SMBG frequency was R = 0.411 (R2 = 0.169, P= 0.023).
  
  
  CONCLUSIONS
  Adult patients with type 1 diabetes in our clinic had substantial SMBG information deficits, motivation obstacles, and skill limitations. This information provided potential-focused education targets for diabetes health-care providers.
authors.affiliation: Department of Endocrinology and Metabolic Disease, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong 510630; Guangdong Diabetes Center, Guangzhou, Guangdong 510630; Guangdong Provincial Key Laboratory of Diabetology, Guangzhou, Guangdong 510630, China.
authors.forename: Zhao-Yi
authors.initials: ZY
authors.lastname: Qin
authors.affiliation: Department of Endocrinology and Metabolic Disease, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong 510630; Guangdong Diabetes Center, Guangzhou, Guangdong 510630; Guangdong Provincial Key Laboratory of Diabetology, Guangzhou, Guangdong 510630, China.
authors.forename: Jin-Hua
authors.initials: JH
authors.lastname: Yan
authors.affiliation: Department of Endocrinology and Metabolic Disease, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong 510630; Guangdong Diabetes Center, Guangzhou, Guangdong 510630; Guangdong Provincial Key Laboratory of Diabetology, Guangzhou, Guangdong 510630, China.
authors.forename: Dai-Zhi
authors.initials: DZ
authors.lastname: Yang
authors.affiliation: Department of Endocrinology and Metabolic Disease, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong 510630; Guangdong Diabetes Center, Guangzhou, Guangdong 510630; Guangdong Provincial Key Laboratory of Diabetology, Guangzhou, Guangdong 510630, China.
authors.forename: Hong-Rong
authors.initials: HR
authors.lastname: Deng
authors.affiliation: Department of Endocrinology and Metabolic Disease, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong 510630; Guangdong Diabetes Center, Guangzhou, Guangdong 510630; Guangdong Provincial Key Laboratory of Diabetology, Guangzhou, Guangdong 510630, China.
authors.forename: Bin
authors.initials: B
authors.lastname: Yao
authors.affiliation: Department of Endocrinology and Metabolic Disease, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong 510630; Guangdong Diabetes Center, Guangzhou, Guangdong 510630; Guangdong Provincial Key Laboratory of Diabetology, Guangzhou, Guangdong 510630, China.
authors.forename: Jian-Ping
authors.initials: JP
authors.lastname: Weng
mesh_terms: D000328:Adult; D001786:Blood Glucose; D015190:Blood Glucose Self-Monitoring / Q000523:psychology*; D002681:China; D003922:Diabetes Mellitus, Type 1; D005260:Female; D006801:Humans; D008297:Male; D009042:Motivation; D010349:Patient Compliance / Q000523:psychology; D010353:Patient Education as Topic; D012648:Self Care / Q000523:psychology; D011795:Surveys and Questionnaires; D055815:Young Adult
chemical_list: D001786:Blood Glucose