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Dissertation
Coping style and locus of control: predicting daily adherence to self-monitoring of blood glucose in women with gestational diabetes mellitus
Doctor of Philosophy (Ph.D.), Medical College of Pennsylvania and Hahnemann University
May 2000
DOI:
https://doi.org/10.17918/00008167
Abstract
The present study seeks to understand patterns of adherence to daily self-monitoring of blood glucose (SMBG) over time in women with gestational diabetes mellitus (GDM). As these women and their infants are at high-risk for complications, adherence to various components of the treatment regimen is crucial. Additionally, the complexity of, and rapid lifestyle adjustments required to follow this regimen may contribute to difficulties in adherence in this population. SMBG is an important aspect of this regimen, in that it provides information about maternal glycemic control, which aids in treatment decision-making particularly in terms of insulin recommendations. Thus, it is pertinent to identify those at risk for non-adherence to SMBG over time. The aim of the proposed study was to examine these patterns of adherence to SMBG from diagnosis of GDM to delivery of the infant. It was hypothesized that women would be classified into groups based on identified adherence patterns. Then, these groupings would be characterized in terms of medical history variables, including previous GDM diagnosis, insulin treatment, and length of diagnosis, as well as a model of problem-focused coping style and internal health locus of control. It was found that these subjects' adherence behaviors were variable across subjects and time. These women were able to be classified into different groups based on their fasting, post-prandial, and complete daily adherence patterns. The medical history variables, problem-focused coping, and internal locus of control were not found to be predictive of these groups. However, the initial two weeks of adherence was found to be predictive of the adherence trajectory. The results from this study may contribute to the understanding of adherence patterns across time in this high-risk pregnant population. In addition, these findings may help to identify women who are at risk for certain patterns of non-adherence in order to most effectively target intervention efforts aimed at increasing adherence rates. Limitations of this study and suggestions for future research are discussed.
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Details
- Title
- Coping style and locus of control
- Creators
- Dina F. Habboushe
- Contributors
- Julie Landel Graham (Advisor) - Drexel University, Medical College of Pennsylvania and Hahnemann University (1993-1996, 1998-2002)
- 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
- x, 221 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
- 991021888751504721