Young diabetics' compliance in the framework of the mimic model

Abstract

The compliance of 346 young diabetics aged 13-17 years with health regimens is analysed in the framework of a MIMIC (multiple indicators, multiple causes) model. The data were compiled by means of a questionnaire on compliance, conditions for compliance, the meaning attached to treatment and the impact of the disease, and the model constructed using the LISREL VII programme, treating compliance as an unobserved variable formulated in terms of observed causes (x-variables) and observed indicators (y-variables). The resulting solutions are entirely satisfactory. The goodness-of-fit index is 0.983, the root mean square residual 0.058 and the chi-squared statistic 43.35 (P < 0.001). The values for the individual parameters in the model are also shown to be reliable and valid. The model shows compliance to be indicated by self-care behaviour, responsibility for treatment, intention to pursue the treatment and collaboration with the physician, and to be greatly determined by motivation, experience of the results of treatment and having the energy and will-power to pursue the treatment and, to a lesser extent, by a sense of normality and fear.

Adolescents’ perceptions of physicians, nurses, parents and friends: help or hindrance in compliance with diabetes self‐care?

“…The definition used here is based on Hentinen (1988), wherein compliance is viewed as an active, responsible process of care, in which the patient works to maintain their health in close collaboration with health care personnel. (see also Kyngäs et al . 1996 ).…”

Orthodontics and adolescence, the keys to a successful therapeutic relationship: a discussion with Olivier REVOL

“…Compliance is a procedure of active care, well and responsibly thought out, in which patients work to maintain their health in close collaboration with health care professionals 8 . When patients begin to be less compliant, what advice can you give, in conformity to your guidelines, to prevent adding lack of comprehension to the setback?…”

Characteristics of doctor‐patient relationship and implication on adherence to antiretroviral treatments

“…The doctor–patient relationship is a fundamental parameter in the management of chronic diseases and treatment adherence[1,2,3]. Very few data are, however, available on the role of this relationship in adherence to therapy in HIV subjects.…”