Skip to main content
SpringerLink
Log in

Adherence Behaviors and Health Status in Childhood Diabetes

  • Chapter
Neuropsychological and Behavioral Aspects of Diabetes

Part of the book series: Contributions to Psychology and Medicine ((CONTRIBUTIONS))

Abstract

Defining adherence to the diabetes regimen is difficult for several reasons. First, there is the vast array of regimen behaviors required. Insulin injections must be given at regular times and appropriately timed in relationship to meals. Dietary proscriptions are numerous; small meals must be taken frequently and certain types of foods, those high in concentrated sweets and fats, are to be minimized. Regular exercise is considered beneficial as it improves insulin utilization and lowers blood glucose, but it must be carefully coordinated with food intake so as to avoid hypoglycemia. Since current treatment methods only approximate normal pancreatic function, wide swings in blood glucose can and do occur. For this reason, patients are encouraged to test their blood glucose two or more times a day. These data are then utilized by the physician and/or patient to make insulin dose, dietary, or other changes to the patient’ s daily regimen. Consequently, defining adherence in childhood diabetes means defining numerous regimen behaviors.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Amiel, S.A., Sherwin, R.S., Simonson, D.C., Lauritano, A.A., & Tamborlane, W.V. (1986). Impaired insulin action in puberty: A contributing factor to poor glycemic control in adolescents with diabetes. The New England Journal of Medicine, 315, 215–219.

    Article  PubMed  Google Scholar 

  • Barrett-Connor, E., & Orchard, T. (1985). Diabetes and heart disease. In National Diabetes Data Group (Eds.). Diabetes in America(pp. XVI: 1–41) (NIH Publication No. 85 –1468 ). Washington, D.C.: U.S. Department of Health and Human Services/Public Health Service.

    Google Scholar 

  • Bobrow, E.S., AvRuskin, T.W., & Siller, J. (1985). Mother-daughter interaction and adherence to diabetes regimens. Diabetes Care, 8, 146–151.

    Article  PubMed  Google Scholar 

  • Brownlee-Duffeck, M. Peterson, L., Simonds, J.F., Goldstein, D., Kilo, C., & Hoette, S. (1987). The role of health beliefs in the regimen adherence and metabolic control of adolescents and adults with diabetes mellitus. Journal of Consulting and Clinical Psychology, 55, 139–144.

    Article  PubMed  Google Scholar 

  • Carney, R.M., Schecter, K., & Davis, T. (1983). Improving adherence to blood glucose testing in insulin-dependent diabetic children. Behavior Therapy, 14, 247–254.

    Article  Google Scholar 

  • Caron, H.S., & Roth, H.P. (1968). Patients’ cooperation with a medical regimen: Difficulties in identifying the noncooperator. The Journal of the American Medical Association, 203, 120–124.

    Article  Google Scholar 

  • Charney, E., Bynum, R., Eldredge, D., Frank, D., MacWhinney, J.B., McNabb, N., Scheiner, A., Sumpter, E.A., & Iker, H. (1967). How well do patients take oral penicillin? A collaborative study in private practice. Pediatrics, 40, 188–195.

    PubMed  Google Scholar 

  • Christensen, N.K., Terry, R.D., Wyatt, S., Pichert, J.W., & Lorenz, R.A. (1983). Quantitative assessment of dietary adherence in patients with insulin-dependent diabetes mellitus. Diabetes Care, 6, 245–250.

    Article  PubMed  Google Scholar 

  • Clarke, W.L., Snyder, A.L., & Nowacek, G. (1985). Outpatient pediatric diabetes-I. Current practices. Journal of Chronic Diseases, 38, 85–90.

    Article  PubMed  Google Scholar 

  • Cox, D.J., Gonder-Frederick, L., Pohl, S., & Pennebaker, J.W. (1983). Reliability of symptom-blood glucose relationships among insulin-dependent adult diabetics. Psychosomatic Medicine, 45, 357–360.

    PubMed  Google Scholar 

  • Cox, D.J., Taylor, A.G., Nowacek, G., Holley-Wilcox, P., & Pohl, S.L. (1984). The relationship between psychological stress and insulin-dependent diabetic blood glucose control: Preliminary investigations. Health Psychology, 3, 63–75.

    Article  PubMed  Google Scholar 

  • Daneman, D., Siminerio, L., Transue, D., Betschart, J., Drash, A., & Becker, D. The role of self-monitoring of blood glucose in the routine management of children with insulin-dependent diabetes mellitus. Diabetes Care, 8 1–4.

    Article  PubMed  Google Scholar 

  • Davis, M.S. (1968). Physiologic, psychological and demographic factors in patient compliance with doctors’ orders. Medical Care, 6, 115–122.

    Article  Google Scholar 

  • Epstein, L.H., Beck, S., Figueroa, J., Farkas, G., Kazdin, A.E., Daneman, D., & Becker, D. (1981). The effects of targeting improvements in urine glucose on metabolic control in children with insulin dependent diabetes. Journal of Applied Behavior Analysis, 14, 365–375.

    Article  PubMed  Google Scholar 

  • Epstein, L.H., & Cluss, P.A. (1982). A behavioral medicine perspective on adherence to long-term medical regimens. Journal of Consulting and Clinical Psychology, 50, 950–971.

    Article  PubMed  Google Scholar 

  • Epstein, L.H., Coburn, P.C., Becker, D., Drash, A., & Siminerio, L. (1980). Measurement and modification of the accuracy of determinations of urine glucose concentration. Diabetes Care, 3, 535–536.

    Article  PubMed  Google Scholar 

  • Freund, A., Johnson, S.B., Rosenbloom, A., Alexander, B., & Hansen, C.A. (1986). Subjective symptoms, blood glucose estimation, and blood glucose concentrations in adolescents with diabetes. Diabetes Care, 9, 236–243.

    Article  PubMed  Google Scholar 

  • Freund, A., Johnson, S.B., Silverstein, J., & Thomas, J. (1989). Assessing daily management of childhood diabetes using 24-hr. recall interviews: Reliability and stability. Unpublished manuscript, University of Florida.

    Google Scholar 

  • Glasgow, A.M., August, G.P., & Hung, W. (1981). Relationship between control and serum lipids in juvenile-onset diabetes. Diabetes Care, 4, 76–80.

    Article  PubMed  Google Scholar 

  • Glasgow, R.E., McCaul, K.D., & Schafer, L.C. (1987). Self-care behaviors and glycemic control in type I diabetes. Journal of Chronic Disease, 40, 399–417.

    Article  Google Scholar 

  • Glasgow, R.E., Wilson, W., & McCaul, K.D. (1985). Regimen adherence: A problematic construct in diabetes research. Diabetes Care, 8, 300–301.

    PubMed  Google Scholar 

  • Gonder-Frederick, L.A., Julian, D.M., Cox, D.J., Clarke, W.L., & Carter, W.R. (1988). Self-measurement of blood glucose: Accuracy of self-reported data and adherence to recommended regimen. Diabetes Care, 11, 579–585.

    Article  PubMed  Google Scholar 

  • Gross, A.M. (1983). Self-management training and medication compliance in children with diabetes. Child and Family Behavior Therapy, 4, 47–55.

    Article  Google Scholar 

  • Hanson, C.L., Henggeler, S.W., & Burghen, G.A. (1987a). Race and sex differences in metabolic control of adolescents with IDDM: A function of psychosocial variables? Diabetes Care, 10, 313–318.

    Article  Google Scholar 

  • Hanson, C.L., Henggeler, S.W., & Burghen, G.A. (1987b). Model of associations between psychosocial variables and health-outcome measures of adolescents with IDDM. Diabetes Care, 10, 752 – 758.

    Article  Google Scholar 

  • Hulka, B.S., Kupper, L.L., Cassel, J.C., & Mayo, F. (1975). Doctor-patient communication and outcomes among diabetic patients. Journal of Community Health, 1, 15–27.

    Article  PubMed  Google Scholar 

  • Johnson, S.B., Freund, A., Silverstein, J., Hansen, C., & Malone, J., (1989). Adherence/health status relationships in childhood diabetes. Unpublished manuscript, University of Florida.

    Google Scholar 

  • Johnson, S.B., Pollak, T., Silverstein, J.H., Rosenbloom, A.L., Spillar, R., McCallum, M., & Harkavy, J. (1982). Cognitive and behavioral knowledge about insulin dependent diabetes among children and parents. Pediatrics, 69, 708–713.

    PubMed  Google Scholar 

  • Johnson, S.B., Silverstein, J., Rosenbloom, A., Carter, R., & Cunningham, W. (1986). Assessing daily management in childhood diabetes. Health Psychology, 5, 545–564.

    Article  PubMed  Google Scholar 

  • Johnson, S.B., Silverstein, J., Rosenbloom, A., Carter, R., & Cunningham, W. (1986). Assessing daily management in childhood diabetes. Health Psychology, 5, 545 – 564.

    Article  PubMed  Google Scholar 

  • Kaplan, R.M., Chadwick, M.W., & Schimmel, L.E. (1985). Social learning intervention to promote metabolic control in type I diabetes mellitus: Pilot experiment results. Diabetes Care, 8, 107–206.

    Article  Google Scholar 

  • Kaar, M.-L., Akerblom, H.K., Huttunen, N.-P., Knip, M., & Sakkinen, K. (1984). Metabolic control in children and adolescents with insulin-dependent diabetes mellitus. Acta Paediatrica Scandinavica, 73, 102–108.

    Article  PubMed  Google Scholar 

  • Lopes-Virella, M.F., Wohlthmann, H.J., Loadholt, C.B., & Buse, M.G. (1981). Plasma lipids and lipoproteins in young insulin-dependent diabetic patients: Relationship with control. Diabetologia, 21, 216–223.

    Article  PubMed  Google Scholar 

  • Lowe, K., & Lutzker, J.R. (1979). Increasing compliance to a medical regimen with a juvenile diabetic. Behavior Therapy, 10, 57–64.

    Article  Google Scholar 

  • Marquis, K.H., Ware, J.E., Jr., & Relies, D.A. (1979). Measures of diabetic patient knowledge, attitudes and behavior regarding self-care: Summary Report Atlanta, GA: Center for Disease Control (NTIS No. PB83-134528).

    Google Scholar 

  • Mazze, R.S., Pasmantier, R., Murphy, J., & Shamoon, H. (1985). Self-monitoring of capillary blood glucose: Changing the performance of individuals with diabetes. Diabetes Care, 8, 207–213

    Article  PubMed  Google Scholar 

  • Page, P., Verstraete, D.G., Robb, J.R., & Etzwiler, D.D. (1981). Patient recall of self-care recommendations in diabetes. Diabetes Care, 4, 96–98.

    Article  PubMed  Google Scholar 

  • Pennebaker, J.W., Cox, D.J., Gonder-Frederick, L., Wunsch, M.G., Evans, W.C., & Pohl, S. (1981). Physical symptoms related to blood glucose in insulin-dependent diabetics. Psychosomatic Medicine, 43, 489–500.

    PubMed  Google Scholar 

  • Peterson, C.M., Koenig, R.J., Jones, R.L., Saudek, C.D., & Cerami, A. (1977). Correlation of serum triglyceride levels and hemoglobin concentrations in diabetes mellitus. Diabetes, 26, 507–509.

    Article  PubMed  Google Scholar 

  • Reynolds, L., Johnson, S.B., and Silverstein, J. (in press). Assessing daily diabetes management by 24-hr. recall interview: The validity of children’ s reports. Journal of Pediatric Psychology.

    Google Scholar 

  • Schade, D.S., Santiago, J.V., Skyler, J.S., & Rizza, R.A. (1983). Intensive insulin therapy. Amsterdam: Excerpta Medica.

    Google Scholar 

  • Schafer, L.C., Glasgow, R.E., & McCaul, K.D. (1982). Increasing the adherence of diabetic adolescents. Journal of Behavioral Medicine, 5, 353–362.

    Article  PubMed  Google Scholar 

  • Schafer, L.C., Glasgow, R.E., McCaul, K.D., & Dreher, M. (1983). Adherence to IDDM regimens: Relationship to psychosocial variables and metabolic control. Diabetes Care, 6, 493–498.

    Article  PubMed  Google Scholar 

  • Schafer, L.C., McCaul, K.D., & Glasgow, R.E. (1986). Supportive and nonsupportive family behaviors: Relationships to adherence and metabolic control in persons with Type I diabetes. Diabetes Care, 9, 179–185.

    Article  PubMed  Google Scholar 

  • Simonds, J., Goldstein, D., Walker, B., & Rawlings, S. (1981). The relationship between psychological factors and blood glucose regulation in insulin-dependent diabetic adolescents. Diabetes Care, 4, 610–615.

    Article  PubMed  Google Scholar 

  • Sosenko, J.M., Breslow, J.L., Miettinen, O.S., & Gabbay, K.H. (1980). Hyperglycemia and plasma lipid levels: A prospective study of young insulin-dependent diabetic patients. New England Journal of Medicine, 302, 650–654.

    Article  PubMed  Google Scholar 

  • Spevack, M. Johnson, S.B., & Riley, W. (1988). The effect of diabetes summer camp on adherence behaviors and glycemic control. Presented at the Florida Conference on Child Health Psychiology, Gainesville, Florida.

    Google Scholar 

  • Tattersall, R.B., & Lowe, J. (1981). Diabetes in adolescence. Diabetologia, 20, 517–523.

    Article  PubMed  Google Scholar 

  • Travis, L.B., Brouhard, B.H., & Schreiner, B. (1987). Diabetes mellitus in children and adolescents. Philadelphia: W.B. Saunders Co.

    Google Scholar 

  • Watkins, J.D., Williams, F., Martin, D.A., Hogan, M.D., & Anderson, E. (1967). A study of diabetic patients at home. American Journal of Public Health, 57, 452–459.

    Article  PubMed  Google Scholar 

  • Webb, K.L., Dobson, A.J., Tupling, H.E., Harris, G.W., O′Connell, D.L., Atkinson, J., Sulway, M.J., & Leeder, S.R. (1982). Evaluation of a diabetes education programme. Australian/New Zealand Journal of Medicine, 12, 153–160.

    Article  Google Scholar 

  • Webb, K.L., Dobson, A.J., O′Connell, D.L., Tupling, H.E., Harris, G.W., Moxon, J.A., Sulway, M.J., & Leeder, S.R. (1984). Dietary compliance among insulin-dependent diabetics. Journal of Chronic Disease, 37, 633–643.

    Article  Google Scholar 

  • Williams, T.F., Martin, D.A., Hogan, M.D., Watkins, J.D., & Ellis, E.V. (1967). The clinical picture of diabetic control, studied in four settings. American Journal of Public Health, 57, 441–451.

    Article  PubMed  Google Scholar 

  • Wilson, D.P., & Endres, R.K. (1986). Compliance with blood glucose monitoring in children with Type I diabetes mellitus. The Journal of Pediatrics, 108, 1022–1024.

    Article  PubMed  Google Scholar 

  • Wing, R., Nowalk, M., Marcus, M., Koeske, R., & Finegold, D. (1986). Subclinical eating disorders and glycemic control in adolescents with Type I diabetes. Diabetes Care, 9, 162–167.

    Article  PubMed  Google Scholar 

  • Ziel, R.H., & Davidson, M.B. (1987). The role of glucosylated serum albumin in monitoring glycemic control in stable insulin-requiring diabetic out-pa tients. Journal of Clinical Endocrinology and Metabolism, 64, 269–273

    Article  PubMed  Google Scholar 

Download references

Authors
  1. Suzanne Bennett Johnson
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Department of Pediatrics, The University of Iowa Hospitals and Clinics, The University of Iowa, 52242, Iowa City, IA, USA

    Clarissa S. Holmes

Rights and permissions

Reprints and permissions

Copyright information

© 1990 Springer-Verlag New York Inc.

About this chapter

Cite this chapter

Johnson, S.B. (1990). Adherence Behaviors and Health Status in Childhood Diabetes. In: Holmes, C.S. (eds) Neuropsychological and Behavioral Aspects of Diabetes. Contributions to Psychology and Medicine. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-3290-2_3

Download citation

  • DOI: https://doi.org/10.1007/978-1-4612-3290-2_3

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-97075-2

  • Online ISBN: 978-1-4612-3290-2

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation