The use of diabetes-specific perceived control and health belief measures to predict treatment choice and efficacy in a feasibility study of continuous subcutaneous insulin infusion pumps

Bradley, Clare; Gamsu, D. S.; Moses, Jennifer; Knight, Graham; Boulton, Andrew J.M.; Drury, John H.; Ward, John D.

doi:10.1080/08870448708400320

Cited by 34 publications

(16 citation statements)

References 14 publications

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“…Therefore, four constructs can be obtained from this model: perceived susceptibility, perceived severity, perceived benefits and perceived barriers. The selection of this model to analyze the perceptions on use of SP in pregnancy is based on its previous use to predict a number of health related conditions [37,38].…”

Section: Introductionmentioning

confidence: 99%

Perceptions on use of sulfadoxine–pyrimethamine in pregnancy and the policy implications for malaria control in Uganda

2006

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Section: Introductionmentioning

confidence: 99%

Perceptions on use of sulfadoxine–pyrimethamine in pregnancy and the policy implications for malaria control in Uganda

2006

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“…When comparing the results of the present study with those of the study by Bradley et al (1987), the differences between the two approaches have to be considered. In the study by Bradley et al (1987), patients were offered a choice of CT, ICT or CSII.…”

Section: Discussionmentioning

confidence: 92%

“…There were no significant differences between ICT and CSII patients, indicating that the high "intensity" (cf. Bradley et al, 1987) TYPE I DIABETES MELLITUS 389 required for blood glucose monitoring and the active role played by the patient of both these regimens is of higher psychological relevance than the different "modes" (cf. Bradley et al, 1987) of injections (CT, ICT) versus infusion pumps (CSII).…”

Section: Discussionmentioning

confidence: 99%

“…Bradley et al, 1987) TYPE I DIABETES MELLITUS 389 required for blood glucose monitoring and the active role played by the patient of both these regimens is of higher psychological relevance than the different "modes" (cf. Bradley et al, 1987) of injections (CT, ICT) versus infusion pumps (CSII). However, there seems to be a highly consistent pattern of the ICT group scores falling between the CT and CSII group scores.…”

Section: Discussionmentioning

confidence: 99%

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Associations between type of treatment and illness-specific locus of control in type 1 diabetes patients

Kohlmann

Schuler

Petrak

et al. 1993

Psychology & Health

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This study examined differences in diabetes-specific locus of control beliefs of 112 insulin-treated Type 1 diabetes patients undergoing either conventional therapy (CT). intensified conventional therapy (ICT) or continuous subcutaneous insulin infusion (CSII). Compared to CT with its adherence to a strici regimen, ICT and CSII allow a much greater flexibility in riming of meal5 and daily activities. On the other hand, such flexibility requires a much more active role of the patient. The hypotheses of higher internality and lower powerful others locus of control beliefs in ICT and CSll patients than in CT patients could be supported for powerful others locus of control only. A one-year follow-up replicated this finding. Furthermore, high powerful others locus of control was associated with low diabetes-related knowledge and poor glycaemic control. The relevance o f the patients' experience with the respective treatment is examined in view of the results and implications for studies on the feasibility of diabctcs regimens are discussed.

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“…The application of behavioural change models to the development and maintenance of new and appropriate behaviours is influenced by a wide range of psychosocial variables, including: [8][9][10][11] health beliefs about potential benefits from and barriers to desired behaviours perception of the 'locus of control': is the outcome dependent on oneself (internal), control provided by others or by chance (external) emotional status quality of life satisfaction with treatment role of important others intention to change.…”

Section: The Workhops' Experiencementioning

confidence: 99%

Self-management in diabetes: training implications for professional carers

2003

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-A workshop was convened to examine factors determining patient self-management and implications for those providing care. It was attended by 15 doctors and 15 nurses with considerable expertise in education for those with diabetes. Discussion included: the experience of training programmes to date factors determining effective patient selfmanagement the implications for training of professionals, skills required, their current availability and proposals for their development.The conclusions were that training and experience of these skills are both inadequate. Programmes of training, which are equally applicable to the management of other chronic diseases, should be embedded in the system of care and delivered at local level. Regional or national programmes are required to develop trainers in all districts able to deliver and maintain local programmes. This critical element of care in diabetes must be adequately funded if self-care standards are to be improved and expensive complications prevented. KEY WORDS: behavioural modification, diabetes, patient education, professional skills, trainingPioneering work in the 1980s 1,2 promoted patient education to enable successful outcomes in diabetes self-management. Despite significant advances in the technology of diabetes care, most patients still do not achieve optimal control of their blood glucose, blood pressure or weight. 3,4 Frustrated clinicians search for technological solutions, despite evidence that the difficulty is as much psychological as pharmacological, and many remain untrained in the educational process and communication skills that could improve their patients' self-management. Several years ago the education section of the British Diabetes Association (now Diabetes UK) produced a consensus document emphasising the need for such training but the response has been muted and slow.A workshop was convened in November 2001 in Barford under the auspices of the Diabetes Education Study Group (UK) to test the opinions of 30 experienced specialists in diabetes education to examine the: factors responsible for the deficiencies in self-care knowledge, attitudes and skills required of professionals who provide care training requirements to achieve the highest standards of these attributes. The workshops' experienceDiabetes Education Study Group workshops began in Ipswich in 1981 and still continue once or twice a year. In the first few years participants were, in the main, senior doctors and nurses. The workshops were widely acclaimed, many participants acknowledging the important contribution new insights made in changing their attitudes to and delivery of care. Over time, participants have been arriving with less experience, often still in training, but few from primary care. The terminology used has changed considerably, suggesting a greater acceptance of the need for a patient or learner centred approach. However, observing participants during patient consultation exercises shows that this approach is not always sustained in practice. Enthusiasm, p...

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The use of diabetes-specific perceived control and health belief measures to predict treatment choice and efficacy in a feasibility study of continuous subcutaneous insulin infusion pumps

Cited by 34 publications

References 14 publications

Perceptions on use of sulfadoxine–pyrimethamine in pregnancy and the policy implications for malaria control in Uganda

Perceptions on use of sulfadoxine–pyrimethamine in pregnancy and the policy implications for malaria control in Uganda

Associations between type of treatment and illness-specific locus of control in type 1 diabetes patients

Self-management in diabetes: training implications for professional carers

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