Document Detail

Perceived adherence to prescribed or recommended standards of care among adults with diabetes.
MedLine Citation:
PMID:  12526639     Owner:  NLM     Status:  MEDLINE    
PURPOSE: Adults with diabetes were surveyed to determine the extent to which respondents perceived specific preventive regimens (diet, exercise, weight control, and education) had been prescribed or recommended, adhered to their prescribed regimens, and identified barriers to nonadherence. METHODS: Surveys were mailed to 2 samples of adults diagnosed with diabetes. The clinic sample was from health department clinics (n = 264); the agency sample was from a nonprofit agency serving people with diabetes (n = 111). RESULTS: Of the 4 preventive measures under investigation, diet plans and weight reduction were perceived as most commonly recommended by health professionals; exercise schedules were the least commonly recommended. Diabetes self-management education was reportedly recommended more often among the agency sample. In terms of adherence, approximately half of both samples were able to lose weight. A smaller portion of the clinic sample was able to get needed foods and exercise, and maintain weight loss. The most frequently cited reasons for nonadherence were cost, transportation, and other health conditions. CONCLUSIONS: Improvement in the implementation of preventive behaviors is needed, particularly exercise schedules. Barriers to care, such as costs and transportation, may need special consideration.
Wendy A Jorgensen; Barbara J Polivka; Terry A Lennie
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Diabetes educator     Volume:  28     ISSN:  0145-7217     ISO Abbreviation:  Diabetes Educ     Publication Date:    2002 Nov-Dec
Date Detail:
Created Date:  2003-01-15     Completed Date:  2003-01-31     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  7701401     Medline TA:  Diabetes Educ     Country:  United States    
Other Details:
Languages:  eng     Pagination:  989-98     Citation Subset:  N    
Interdisciplinary Graduate Program, College of Nursing, Ohio State University, Columbus, Ohio.
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MeSH Terms
Attitude to Health*
Cross-Sectional Studies
Diabetes Mellitus / prevention & control*,  psychology*
Diabetic Diet
Guideline Adherence / standards*
Health Behavior
Health Knowledge, Attitudes, Practice
Health Services Accessibility / standards
Middle Aged
Patient Compliance / psychology*
Patient Education as Topic
Practice Guidelines as Topic / standards*
Self Care / psychology,  standards*
Weight Loss

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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