HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Purchase Article View Shopping Cart Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Request Permissions Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Skinner, T. C. Articles by Hampson, S. E. Search for Related Content PubMed PubMed Citation Articles by Skinner, T. C. Articles by Hampson, S. E. Social Bookmarking                What's this?

Personal Models of Diabetes in Relation to Self-Care, Well-Being, and Glycemic Control

A prospective study in adolescence

¹ Department of Psychology, University of Bath, Bath
² Department of Psychology, University of Surrey, Surrey, U.K.

OBJECTIVE—Personal models of diabetes have been shown to be proximal determinants of self-care behavior in adults with diabetes, both cross-sectionally and prospectively. This study set out to test the predictive utility of this approach in adolescents with diabetes.

RESEARCH DESIGN AND METHODS—Participants were recruited from four regional hospitals in southern England (n = 54). They completed questionnaires assessing diabetes self-care, well-being, and personal models of diabetes (perceived impact, perceived seriousness, and short- and long-term treatment effectiveness) at baseline and 1-year follow-up. GHb assays performed as part of the patients’ usual diabetes care were used to assess glycemic control.

RESULTS—After controlling for baseline anxiety, change in perceived impact of diabetes prospectively predicted adolescents’ anxiety (ß = -0.21; t = -2.65; P < 0.01). After controlling for baseline dietary self-care, change in perceived effectiveness of the diabetes treatment regimen to control diabetes predicted dietary self-care (ß = -0.39; t = -3.28; P < 0.0005). Poorer dietary self-care and being female were predictive of poorer glycemic control (r² = 0.29; F = 2.74; P < 0.005).

CONCLUSIONS—This study provides further support for the role of personal models of illness in determining responses to illness. As adolescents take responsibility for the management of their diabetes, parents, clinicians, educators, and interventionists should consider these adolescents’ beliefs about their diabetes and its treatment as key factors influencing self-care, emotional well-being, and glycemic control.

Abbreviations: DCCT, Diabetes Control and Complications Trial

CiteULike    Del.icio.us    Digg    Reddit    Technorati    What's this?

This article has been cited by other articles:

				D. Chyun, K. O. Lacey, D. M. Katten, S. Talley, W. J. Price, J. A. Davey, and G. D. Melkus Glucose and Cardiac Risk Factor Control in Individuals With Type 2 Diabetes: Implications for Patients and Providers The Diabetes Educator, November 1, 2006; 32(6): 925 - 939. [Abstract] [Full Text] [PDF]

				H M Pattison, S Moledina, and T G Barrett The relationship between parental perceptions of diabetes and glycaemic control Arch. Dis. Child., June 1, 2006; 91(6): 487 - 490. [Abstract] [Full Text] [PDF]

				K. I. Taylor, K. M. Oberle, R. A. Crutcher, and P. G. Norton Promoting Health in Type 2 Diabetes: Nurse-Physician Collaboration in Primary Care Biol Res Nurs, January 1, 2005; 6(3): 207 - 215. [Abstract] [PDF]

				J. Silverstein, G. Klingensmith, K. Copeland, L. Plotnick, F. Kaufman, L. Laffel, L. Deeb, M. Grey, B. Anderson, L. A. Holzmeister, et al. Care of Children and Adolescents With Type 1 Diabetes: A statement of the American Diabetes Association Diabetes Care, January 1, 2005; 28(1): 186 - 212. [Full Text] [PDF]

				M. Graue, T. Wentzel-Larsen, E. Bru, B. R. Hanestad, and O. Sovik The Coping Styles of Adolescents With Type 1 Diabetes Are Associated With Degree of Metabolic Control Diabetes Care, June 1, 2004; 27(6): 1313 - 1317. [Abstract] [Full Text] [PDF]

				K. A. Edgar and T. C. Skinner Illness Representations and Coping as Predictors of Emotional Well-being in Adolescents with Type 1 Diabetes J. Pediatr. Psychol., October 1, 2003; 28(7): 485 - 493. [Abstract] [Full Text] [PDF]

				E. B. Fisher, E. A. Walker, A. Bostrom, B. Fischhoff, D. Haire-Joshu, and S. B. Johnson Behavioral Science Research in the Prevention of Diabetes : Status and opportunities Diabetes Care, March 1, 2002; 25(3): 599 - 606. [Abstract] [Full Text] [PDF]