APPLYING BEHAVIORAL-MODELS TO DIETARY EDUCATION OF ELDERLY DIABETIC-PATIENTS

被引：22
作者：
CHAPMAN, KM
HAM, JO
LIESEN, P
WINTER, L
机构：
[1] Division of Foods and Nutrition, University of Illinois, Urbana, Illinois
[2] Dietetics Service, Veterans' Affairs Medical Center, Danville, Illinois
[3] Medical Service, Veterans' Affairs Medical Center, Danville, Illinois
来源：
JOURNAL OF NUTRITION EDUCATION | 1995年 / 27卷 / 02期
关键词：
D O I：
10.1016/S0022-3182(12)80345-1
中图分类号：
G40 [教育学];
学科分类号：
040101 ; 120403 ;
摘要：
This study investigated the impact of psychosocial variables on diabetes-related behavior using a questionnaire based on the Health Belief Model and the Theory of Planned Behavior (TOPB). Forty-eight elderly male diabetic patients were surveyed to determine the influence of attitudes and beliefs on dietary adherence. Mean fasting blood sugar (FBS) (171 mg/dl) demonstrated a lack of metabolic control and suggested a need for improved education. Subjects taking insulin perceived significantly greater barriers to control than did those on oral agents or diet alone (p < .05). Subjects with FBS fluctuations of 50 mg/dl or more perceived significantly fewer (p < .05) barriers than those with more stable FBS. These results indicate that interventions for older men should identify barriers to control and include practical ways to overcome them. Intention to eat foods such as pie, cake, or doughnuts was strongly related to subjective norm, attitude towards dietary adherence, and perceived control (R(2) = 0.69, F = 31.60, p < .001). In addition, regression analysis to predict adherence behavior from TOPB accounted for a significant proportion of the variance (R(2) = 0.37, F = 4.44, p < .01). This regression model suggests that educators who effect a change in attitudes may also change behavioral intentions and dietary adherence behavior.
引用
收藏
页码：75 / 79
页数：5
相关论文
共 27 条
  • [11] Funnell MM, Donnelly MB, Anderson RM, Johnson PD, Oh MS, Perceived effectiveness, cost, and availability of patient education methods and materials, Diabetes Educ, 18, pp. 139-145, (1992)
  • [12] Heimbach JT, Cardiovascular disease and diet: the public view, Public Health Rep, 100, pp. 5-12, (1985)
  • [13] Brown SA, Studies of educational interventions and outcomes in diabetic adults: a meta-analysis revisited, Pat Educ Couns, 16, pp. 189-215, (1990)
  • [14] Anderson RM, Fitzgerald JT, Oh MS, The relationship between diabetes-related attitudes and patients' self-reported adherence, Diabetes Educ, 19, pp. 287-292, (1993)
  • [15] Greene DS, Beaudin BP, Bryan MJM, Addressing attitudes during diabetes education: suggestions from adult education, Diabetes Educ, 17, pp. 470-473, (1991)
  • [16] Becker MH, Janz NK, The Health Belief Model applied to understanding diabetes regimen compliance, The Diabetes Educator, 11, pp. 41-47, (1985)
  • [17] Wooldridge KL, Wallston KA, Graber AL, Brown AW, Davidson P, The relationship between health beliefs, adherence, and metabolic control of diabetes, Diabetes Educ, 18, pp. 495-500, (1992)
  • [18] Fishbein M, Ajzen I, Belief, attitude, intention, and behavior: an introduction to theory and research, (1975)
  • [19] Ajzen I, From intention to actions: a theory of planned behavior, Action-control: from cognition to behavior, pp. 11-39, (1985)
  • [20] Hurley AC, The Health Belief Model: evaluation of a diabetes scale, Diabetes Educ, 16, pp. 44-48, (1991)
123