| Situational obstacles to adherence for adolescents with diabetes. | |
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MedLine Citation:
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PMID: 7851234 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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D G Schlundt; J W Pichert; M R Rea; W Puryear; M L Penha; S S Kline |
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Publication Detail:
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Type: Journal Article; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
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Title: The Diabetes educator Volume: 20 ISSN: 0145-7217 ISO Abbreviation: Diabetes Educ Publication Date: 1994 May-Jun |
Date Detail:
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Created Date: 1995-03-16 Completed Date: 1995-03-16 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 7701401 Medline TA: Diabetes Educ Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 207-11 Citation Subset: N |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adolescent Psychology* Cluster Analysis Diabetes Mellitus, Type 1 / diet therapy, psychology* Feeding Behavior* Female Humans Male Patient Compliance* Patient Education as Topic Questionnaires |
| Grant Support | |
ID/Acronym/Agency:
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P60 DK20593/DK/NIDDK NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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