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Dissertation
A model of adherence in type 2 diabetes mellitus: the role of psychosocial factors
Doctor of Philosophy (Ph.D.), Medical College of Pennsylvania and Hahnemann University
May 1999
DOI:
https://doi.org/10.17918/00009874
Abstract
Type 2 diabetes is identified by insulin resistance and beta cell dysfunction. Commonly, an individual with Type 2 diabetes will produce insulin, but it is ineffective in controlling blood glucose levels within the normal range. Epidemiological studies have indicated that Type 2 diabetes affects approximately 5 million people in the United States alone. The treatment of Type 2 diabetes involves a number of factors that invariably compel the patient to make life-long behavioral changes. These include following strict dietary and exercise regimens, as well as checking one's blood glucose levels and taking insulin. Through extensive research, it has been determined that many patients do not follow their prescribed treatment plans. Previous studies have alluded to varying psychosocial factors in explaining why certain individuals adhere more to their doctors' recommendations than others. The current study examined the role that a number of psychosocial variables may have played in affecting adherence behaviors in two populations of patients with Type 2 diabetes mellitus. The studies' psychosocial variables included the patient-practitioner relationship (PPR), coping style, social support, psychological distress, perceived stress, and SES. Ultimately, it was discovered that when individuals were satisfied with interpersonal aspects of their medical care they were receiving in their endocrinology clinics, they were more likely to adhere to treatment recommendations. Furthermore, it was discovered that when patients were less likely to utilize avoidance as a means by which to cope with their illness, they tended to adhere more to prescribed treatment regimens. It was also indicated that general satisfaction with medical care, as well as the perceived level of social support the patients felt they obtained, contributed to adherence practices.
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Details
- Title
- A model of adherence in type 2 diabetes mellitus
- Creators
- David J. Kutz
- Awarding Institution
- Medical College of Pennsylvania and Hahnemann University
- Degree Awarded
- Doctor of Philosophy (Ph.D.)
- Publisher
- Medical College of Pennsylvania and Hahnemann University; Philadelphia, Pennsylvania
- Number of pages
- viii, 122 pages, 19 unnumbered pages
- Resource Type
- Dissertation
- Language
- English
- Academic Unit
- Medical College of Pennsylvania and Hahnemann University (1993-1996, 1998-2002); Clinical and Health Psychology [Historical]; School of Health Professions (1998-2000)
- Other Identifier
- 991021888828404721