Document Detail

Situational obstacles to adherence for adolescents with diabetes.
MedLine Citation:
PMID:  7851234     Owner:  NLM     Status:  MEDLINE    
Twenty adolescents with insulin-dependent diabetes mellitus were interviewed to obtain samples of problem situations that create obstacles to dietary adherence. The resulting 57 situations were analyzed using a reliable coding system to determine the presence or absence of 28 stimulus features. A hierarchical cluster analysis was used to identify 10 relatively homogeneous categories of obstacles to dietary adherence: being tempted to stop trying; negative emotional eating; facing forbidden foods; peer interpersonal conflict; competing priorities; eating at school; social events and holidays; food cravings; snacking when home, alone, or bored; and social pressure to eat. Diabetes educators should consider an individual's ability to cope with this array of obstacles to adherence when individualizing treatment. Dietary intervention then can be personalized to address specific situational obstacles.
D G Schlundt; J W Pichert; M R Rea; W Puryear; M L Penha; S S Kline
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  The Diabetes educator     Volume:  20     ISSN:  0145-7217     ISO Abbreviation:  Diabetes Educ     Publication Date:    1994 May-Jun
Date Detail:
Created Date:  1995-03-16     Completed Date:  1995-03-16     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  7701401     Medline TA:  Diabetes Educ     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  207-11     Citation Subset:  N    
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MeSH Terms
Adolescent Psychology*
Cluster Analysis
Diabetes Mellitus, Type 1 / diet therapy,  psychology*
Feeding Behavior*
Patient Compliance*
Patient Education as Topic
Grant Support

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

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