SITUATIONAL OBSTACLES TO ADHERENCE FOR ADOLESCENTS WITH DIABETES

被引：36

作者：

SCHLUNDT, DG

PICHERT, JW

REA, MR

PURYEAR, W

PENHA, MLI

KLINE, SS

机构：

[1] Diabetes Research and Training Center, Vanderbilt University Departments of Psychology and Medicine, Nashville, Tennessee

来源：

DIABETES EDUCATOR | 1994年 / 20卷 / 03期

关键词：

D O I：

10.1177/014572179402000305

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Twenty adolescents with insulin-dependent diabetes mellitus were interviewed to obtain samples of problem situations that create obstacles to dietary adherence. The resulting 57 situations were analyzed using a reliable coding system to determine the presence or absence of 28 stimulus features. A hierarchical cluster analysis was used to identify 10 relatively homogeneous categories of obstacles to dietary adherence: being tempted to stop trying; negative emotional eating; facing forbidden foods; peer interpersonal conflict; competing priorities; eating at school; social events and holidays; food cravings; snacking when home, alone, or bored; and social pressure to eat. Diabetes educators should consider an individual's ability to cope with this array of obstacles to adherence when individualizing treatment. Dietary intervention then can be personalized to address specific situational obstacles.

引用

页码：207 / 211

页数：5

共 16 条

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