The Relationship Between the Health Belief Model and Compliance of Persons with Diabetes Mellitus

Abstract

Thirty insulin-treated diabetic individuals were interviewed in their homes 6-12 mo after having attended diabetic education classes at a community hospital. Self-report as well as direct observation were used to measure these patients' level of compliance with their insulin administration, urine testing, diet, hypoglycemia management, and foot care prescriptions. All patients were complying with at least 59% of the points measured. Over one-half of the group indicated compliance with at least 70% of the 61 points measured. However, only 7% complied with every one of the 45 points considered to be necessary for good control of their disease. The group was most compliant with regard to insulin administration and least compliant regarding urine testing. The level of these patients' beliefs regarding their disease (severity and susceptibility, treatment benefits, and barriers) and cues to action were also measured. A correlation of 0.5 occurred between these patients' overall compliance levels and a composit of their level of health belief motivation. The highest levels of correlations between the areas of compliance and the motivators occurred with cues to action.

Diabetes Mellitus: Knowledge, Attitude, Practice and their Relation to Diabetes Control in Female Diabetics

“…In addition, the questionnaire contained fixed choice questions pertaining to the specific knowledge of the basic fundamentals of DM and certain aspects of management, statements consisting of a self-report of activities regarding the ability to follow dietary prescription and continuing adherence to daily caloric limit; the ability to use small amounts of food to avoid the hypoglycemic effect of insulin; reliability in insulin administration (or the use of hypoglycemic agents), enquiries into the importance of exercise, proper foot and skin care, urine and blood glucose home monitoring. Lastly, the questionnaire consisted of 13 statements that evaluated areas considered important for diabetes management such as the participant's satisfaction with the physician, her adjustment to DM [13][14][15] and the absence of major role disruption (inability to keep house, disrupted social relationship, etc. ).…”

Frequency and perceived burden of diabetes self-management activities in employees with insulin-treated diabetes: relationships with health outcomes

“…Previous studies sometimes calculated a total score for self-management [13,14], but researchers now agree that different aspects of self-management should be assessed separately because of its multidimensional nature [15][16][17]. A variety of questionnaires have been developed, most of which focus on the frequency with which people perform their selfmanagement tasks in a variety of areas.…”

Perceptions of Disease State Management Among Pakistani Hypertensive Patients: Findings from a Focus Group Discussion

“…It was also observed that orthodox treatment is not as popular with the population under study as it is in the western world [26,27]. Perceived benefits of, and barriers to, treatment regimen play a vital role in achieving therapeutic success [28]. However, patients in our study seem unsatisfied with medication prescribed to them.…”