Behavioral Interventions and Compliance to Treatment Regimes

Benfari, Robert C.; Eaker, Elaine D.; Stoll, Josefine

doi:10.1146/annurev.pu.02.050181.002243

Cited by 17 publications

(7 citation statements)

References 54 publications

(100 reference statements)

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“…With regard to the relating skills of health professionals in enhancing adherence to health regimens, clinical and research evidence suggests that a therapeutic relationship, regardless of theoretical orientation, can contribute significantly to the process of behavioural change ( Benfari et al . 1981 ).…”

Section: Implications For Nursing Practicementioning

confidence: 99%

Correlates of expected success at adherence to health regimen of people with IDDM

1999

Journal of Advanced Nursing

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Patient non-adherence is a well-recognized although poorly understood phenomenon that affects patients in all areas of health care. Failure to comply with health regimens is extremely costly both in economic terms and the health status of individuals. This study assesses factors which correlate with the expected success of health regimen adherence in 146 insulin-dependent diabetes mellitus (IDDM) subjects. The results indicate that success in complying with a health regimen is associated with good family support and rapport with health professionals, an absence of chronic stress and the capacity to take up the challenges posed by the disease. Health professionals have a role in engendering optimism, in maintaining enthusiasm, and facilitating and encouraging maintenance in health behaviours.

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Section: Implications For Nursing Practicementioning

confidence: 99%

Correlates of expected success at adherence to health regimen of people with IDDM

1999

Journal of Advanced Nursing

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“…Although no foolproof counseling package can be articulated (because the suitability of various techniques varies with the problem context and with individual characteristics of the patient and clinician), there is a pool of behaviorally oriented counseling strategies from which to choose (30,31). Many of these strategies have been developed specifically to promote weight loss and have been used effectively in the treatment of NIDDM (32).…”

Section: Implications For Diabetes Carementioning

confidence: 99%

“…Behavioral medicine and nutritional counseling literature document several techniques for building motivation through influencing self-image or by increasing self-awareness and self-efficacy (6,7,19,28,30,31). For example, self-efficacy can be increased through role modeling and role playing.…”

Section: Implications For Diabetes Carementioning

confidence: 99%

Theoretical and Baseline Considerations for Diet and Weight Control of Diabetes Among Blacks

Kumanyika

Ewart²

1990

Diabetes Care

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This article outlines theoretical considerations for diet and weight control of non-insulin-dependent diabetes mellitus (NIDDM) and identifies factors that may be of particular importance in influencing the success of diet and weight control of NIDDM in the Black population. Long-term adherence to dietary or weight-control regimens requires that the patient evaluate and restructure established eating and physical activity patterns. With the use of the social action theory as a conceptual framework, this complex behavioral change task can be understood as a function of the interplay of various self-regulatory mechanisms. These mechanisms are influenced by the person's capabilities for making changes, his/her physical condition and general health status, the physical and social environmental context, and the person's material and social resources. Many of these factors may differ for Blacks and Whites in a direction that suggests a lesser potential for effective diet and weight-loss therapy among Black NIDDM patients. For example, compared with Whites, Blacks are more likely to have limited incomes, low educational attainment, ambivalence about weight control, multiple health problems, and high-fat high-sodium low-fiber diets or food preferences. However, some evidence suggests that state-of-the-art counseling approaches can be as effective for Blacks as for Whites. The challenge is to adapt the types of approaches suggested by the social action theory for culturally appropriate and cost-effective delivery in Black community health-care settings.

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“…Various studies estimate the rate of noncompliance to such behaviors as taking medication to be 50 percent (Benfari, Eaker, & Stoll, 1981;Stunkard, 1979); compliance with long-term dietary regimens is estimated to be 25 to 30 percent (Sackett & Haynes, 1976). It is generally thought that compliance rates for chronic diseases such as diabetes mellitus are lower in low-income, culturally different populations.…”

Section: B E D Puerto Rican Diabetics 39mentioning

confidence: 99%

Self‐Management of Diabetes in a Puerto Rican Population

Bernal

1986

Public Health Nursing

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A convenience sample of 74 clients with type I1 diabetes mellitus was followed in the home by public health nurses. Participants were observed and interviewed to determine the pattern of self-management behaviors in the areas of insulin administration, urine testing, and dietary intake. One-third to one-half of the respondents could be judged as being noncompliant with one or more aspects of the treatment plan: over one-half (38) reported skipping insulin doses; 52 varied the time they administered their insulin; and 25 had stopped testing their urine. Breaks in procedures of insulin administration were also in evidence, with the most serious being cessation or taking incorrect doses by 21 respondents. Meal skipping was reported by the majority: 41 skipped their bedtime snack and 25 skipped breakfast Quantitative dieby aMtysis showed close to adequate nutrient intake with the exception of calcium and iron. Traditional Puerto Rican foods such as rice and beans were present in 53 percent of the meals despite the ovemding belief that these foods should be avoided by persons with diabetes mellitus. Case data revealed interference factor in the spontaneity of life imposed by the diabetic management plan. This shows the need for flexible approaches to home care o f Puerto Rcan diabetics and for increased knowledge of how effectively to alter the plan of care to meet the demands of daily living. While many controversies surround the medical management of diabetes and the role of strict control in delaying or preventing Dana H a l l Room 232,200 Bloomfield Avenue, West Hartford, CT. Telephone: (203) 243-4213.

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Behavioral Interventions and Compliance to Treatment Regimes

Cited by 17 publications

References 54 publications

Correlates of expected success at adherence to health regimen of people with IDDM

Correlates of expected success at adherence to health regimen of people with IDDM

Theoretical and Baseline Considerations for Diet and Weight Control of Diabetes Among Blacks

Self‐Management of Diabetes in a Puerto Rican Population

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