Relationship Between Health Locus of Control, Health Value, and Social Support and Compliance of Persons with Diabetes Mellitus

Abstract

Thirty insulin-dependent outpatients were interviewed during one of their diabetes clinic visits. Questionnaires were used to measure the independent variables of health locus of control, health value, and perceived social support. Self-report and direct observation were used to measure the dependent variable, compliance with insulin administration, diet, exercise, hypoglycemia management, self-monitoring of blood glucose (SMBG), and foot care prescriptions. All patients complied with at least 70% of the points measured; half the group complied with at least 80% of the regimen. However, no one complied with all the behaviors deemed essential for good control. The group was most compliant with SMBG, hypoglycemia management, and insulin administration and least compliant with foot care and exercise. A statistically significant relationship was found between compliance and social support (P less than 0.001), powerful others health locus of control (PHLC) (P less than 0.01), and internal health locus of control (IHLC) (P less than 0.05). A multiple regression analysis found that social support and PHLC accounted for at least 50% of the variance in compliance scores. The multiple-R of the independent variables with compliance reached a significance level of P less than 0.005. However, only the two variables of social support and PHLC added significantly (P less than 0.05) to prediction accuracy. The multiple-R of these two variables used as a set reached the significance level of P less than 0.001.

Well-being of haemophilia patients: a model for direct and indirect effects of medical parameters on the physical and psychosocial functioning

“…From other studies it also appeared that patients who strongly believe that they must hold back from domg what they want are more prone to poor psychological adjustment (Turner et a/., 1987;Bombardier et al, 1990). Thus, an internal orientation can be viewed äs a necessary element in the adjustment to haemophilia, notwithstanding the fact that an orientation to powerful others might also be relevant äs it makes patients more amenable to prescnptions, recommendations, suggestions, or assistance by health care providers, family and friends (see Schlenk and Hart, 1984). In conclusion, a treatment Situation emphasizing personal control (i.e.…”

Race-Ethnic Differences in Factors Associated with Inhaled Steroid Adherence Among Adults with Asthma

“…Multiple behavioral models have been proffered to describe components contributing to patient medication adherence (11)(12)(13)(30)(31)(32). Accordingly, we adapted elements from Social Learning Theory, the Health Beliefs Model, and the Transtheoretical Model to develop, a priori, a model that we believed contained conceptually distinct elements potentially predictive of adherence (Figure 1).…”

“…These include but are not limited to patient perceptions about the necessity of treatment (10), concerns surrounding medication use (11), perceived control over one's health (12,13), and readiness take medications as prescribed (14).…”

Diabetic patients treated with dialysis: complications and quality of life

“…External control has been conceptualised as the belief that outside forces such as chance/luck, powerful others in one's network, or healthcare providers are responsible for health status and outcome. A combination of a high internal score and a low external score has been associated with better metabolic control and better adherence to diabetes self-care regimens [20][21][22][23].…”