The University of Southampton
University of Southampton Institutional Repository

Personal models of diabetes in relation to self-care, well-being and glycemic control: a prospective study in adolescence

Skinner, T. Chas and Hampson, Sarah E. (2001) Personal models of diabetes in relation to self-care, well-being and glycemic control: a prospective study in adolescence Diabetes Care, 24, (5), pp. 828-833.

Record type: Article

Abstract

OBJECTIVE: Personal models of diabetes have been shown to be proximal determinants of self-care behavior in adults with diabetes, both cross-sectionally and prospectively. This study set out to test the predictive utility of this approach in adolescents with diabetes.
RESEARCH DESIGN AND METHODS: Participants were recruited from four regional hospitals in southern England (n = 54). They completed questionnaires assessing diabetes self-care, well-being, and personal models of diabetes (perceived impact, perceived seriousness, and short- and long-term treatment effectiveness) at baseline and 1-year follow-up. GHb assays performed as part of the patients’ usual diabetes care were used to assess glycemic control.
RESULTS: After controlling for baseline anxiety, change in perceived impact of diabetes prospectively predicted adolescents’ anxiety (ß = -0.21; t = -2.65; P < 0.01). After controlling for baseline dietary self-care, change in perceived effectiveness of the diabetes treatment regimen to control diabetes predicted dietary self-care (ß = -0.39; t = -3.28; P < 0.0005). Poorer dietary self-care and being female were predictive of poorer glycemic control (r2 = 0.29; F = 2.74; P < 0.005).
CONCLUSIONS: This study provides further support for the role of personal models of illness in determining responses to illness. As adolescents take responsibility for the management of their diabetes, parents, clinicians, educators, and interventionists should consider these adolescents’ beliefs about their diabetes and its treatment as key factors influencing self-care, emotional well-being, and glycemic control.

PDF 18214.pdf - Version of Record
Restricted to Repository staff only
Download (1MB)

More information

Published date: 2001
Keywords: dcct, diabetes control, complications trial

Identifiers

Local EPrints ID: 18214
URI: http://eprints.soton.ac.uk/id/eprint/18214
ISSN: 1935-5548
PURE UUID: a68c5876-9f22-46bb-818c-278e045a523d

Catalogue record

Date deposited: 23 Jan 2006
Last modified: 17 Jul 2017 16:36

Export record

Contributors

Author: T. Chas Skinner
Author: Sarah E. Hampson

University divisions

Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton: eprints@soton.ac.uk

ePrints Soton supports OAI 2.0 with a base URL of http://eprints.soton.ac.uk/cgi/oai2

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.

×