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Perceptions of control and social cognitive theory understanding adherence to a diabetes treatment regimen /

by 1978- Hutton, Stacy Lynn

Abstract (Summary)
Stacy L. Hutton Perceptions of Control and Social Cognitive Theory: Understanding Adherence to a Diabetes Treatment Regimen Thesis is under the direction of Shannon L. Mihalko, Ph.D., Assistant Professor of Health and Exercise Science Adherence to the diabetes treatment regimen is considered one of the greatest obstacles to self-management. The current study integrated Social Cognitive Theory (SCT) and generalized perceptions of control (internal locus of control and perceived control) as its theoretical basis for understanding adherence to the diabetes regimen. This crosssectional study included 16 adults (10 female, 6 male) over the age of 55 who had type 2 diabetes and had recently completed diabetes education. Spearman correlations (rs) were used to examine the relationships among SCT, internal locus of control and perceived control with adherence to the diabetes regimen, as measured by HbA1c. Although there were no statistically significant correlations between these constructs and adherence, several recommendations have been suggested for future research. Additional analysis revealed significant (p < .05) inverse correlations between time since diabetes education (weeks) and self-efficacy (r = -.607), as well as outcome expectations (rs = -.568). Specifically, both self-efficacy and outcome expectations decreased following diabetes education, indicating the need for interventions to target these predicators for long term adherence. Increasing adherence to the diabetes regimen will decrease the risk for chronic complications, thereby improving quality of life for individuals with diabetes. vii
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School:Wake Forest University

School Location:USA - North Carolina

Source Type:Master's Thesis

Keywords:non insulin dependent diabetes control psychology self efficacy

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