The success of long term maintenance therapy for diabetes, as for persons with any chronic illness, depends largely on the extent to which they comply with their specific therapeutic regimen. Based on comprehensive reviews (Blackwell, 1976), no more than 50 percent of patients on long-term medication adhere to their prescribed regimen. For the diabetic this can result in severe complications or death. / In order to better understand the compliance process, researchers suggest that attention needs to be given to a variety of psychological factors. The purpose of this study was to examine the relationship between the predictor variables of stress, health locus of control, social support, and health attitudes and beliefs and the criterion variable of compliance by Type I diabetics. / Eighty-seven Type I diabetics participated in this study. These subjects completed a series of self-report instruments to measure the predictor variables. The instruments used to measure these specific variables included the Hassles Scale (Kanner, Coyne, Schaefer, & Lazarus, 1981), the Schedule of Recent Events (Holmes & Rahe, 1967), the Multidimensional Health Locus of Control Scale (Wallston & Wallston, 1978), the Diabetes Family Behavior Checklist (Schafer, McCaul, & Glasgow, 1986), and the Diabetes Health Belief Scale (Harris, Linn, Skyler, & Sandifer, 1987). The Three Day Inventory (Brogdon, Peterson, & Gill, 1987) and the Diabetes Compliance Instrument (Schlenk & Hart, 1984) was used to assess the criterion variable of compliance. / Canonical correlations were conducted to test whether a multivariate relationship existed between the predictor variables (stress, health locus of control, family support, and health beliefs and attitudes) and the three criterion variables (compliance to diet, medication, and exercise). These analyses revealed significant relationships between all sets of predictor and criterion variables with the exception of the health locus of control variable. Post hoc multiple regression analyses were conducted for each hypothesis that was found to be statistically significant. The results of the multiple regression analyses indicated that the following predictor variables were most important in predicting compliance: (a) perceived benefits (health beliefs and attitudes), (b) stress (as measured by the Hassles Scale) and, (c) negative family support. / Source: Dissertation Abstracts International, Volume: 50-01, Section: A, page: 0099. / Major Professor: Gary W. Peterson. / Thesis (Ph.D.)--The Florida State University, 1988.
| Identifer | oai:union.ndltd.org:fsu.edu/oai:fsu.digital.flvc.org:fsu_77927 |
| Contributors | Brogdon, Lynda A., Florida State University |
| Source Sets | Florida State University |
| Language | English |
| Detected Language | English |
| Type | Text |
| Format | 199 p. |
| Rights | On campus use only. |
| Relation | Dissertation Abstracts International |
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