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Perceptions of Control and Social Cognitive Theory: Understanding Adherene to a Diabetes Treatment Regimen

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abstract
Adherence to the diabetes treatment regimen is considered one of the greatest obstacles to self-management. The current study integrated Social Cognitive Theory (SCT) and generalized perceptions of control (internal locus of control and perceived control) as its theoretical basis for understanding adherence to the diabetes regimen. This cross-sectional study included 16 adults (10 female, 6 male) over the age of 55 who had type 2 diabetes and had recently completed diabetes education. Spearman correlations (rs) were used to examine the relationships among SCT, internal locus of control and perceived control with adherence to the diabetes regimen, as measured by HbA1c. Although there were no statistically significant correlations between these constructs and adherence, several recommendations have been suggested for future research. Additional analysis revealed significant (p < .05) inverse correlations between time since diabetes education (weeks) and self-efficacy (r = -.607), as well as outcome expectations (rs = -.568). Specifically, both self-efficacy and outcome expectations decreased following diabetes education, indicating the need for interventions to target these predicators for long term adherence. Increasing adherence to the diabetes regimen will decrease the risk for chronic complications, thereby improving quality of life for individuals with diabetes.
subject
diabetes
locus of control
outcome expectations
perceived control
perceptions of control
self-efficacy
social cognitive theory
type 2 diabetes
contributor
Hutton, Stacy Lynn (author)
sthutton@hotmail.com (authorEmail)
Dr. W. Jack Rejeski, Ph.D. (committee chair)
Dr. Gary D. Miller, Ph.D. (committee member)
Dr. Shannon L. Mihalko, Ph.D. (committee member)
creator
Hutton, Stacy Lynn
date
2008-09-28T10:52:39Z (accessioned)
2010-06-18T18:59:47Z (accessioned)
2003-06-05 (available)
2008-09-28T10:52:39Z (available)
2010-06-18T18:59:47Z (available)
2002-05-08 (issued)
degree
null (defenseDate)
Health & Exercise Science (discipline)
Wake Forest University (grantor)
MS (level)
identifier
huttonsl_05_2002.pdf
http://hdl.handle.net/10339/14890 (uri)
migration
etd-05132002-130430 (oldETDId)
rights
Release the entire work immediately for access worldwide. (accessRights)
I hereby certify that, if appropriate, I have obtained and attached hereto a written permission statement from the owner(s) of each third party copyrighted matter to be included in my thesis, dissertation, or project report, allowing distribution as specified below. I certify that the version I submitted is the same as that approved by my advisory committee. I hereby grant to Wake Forest University or its agents the non-exclusive license to archive and make accessible, under the conditions specified below, my thesis, dissertation, or project report in whole or in part in all forms of media, now or hereafter known. I retain all other ownership rights to the copyright of the thesis, dissertation or project report. I also retain the right to use in future works (such as articles or books) all or part of this thesis, dissertation, or project report. (license)
title
Perceptions of Control and Social Cognitive Theory: Understanding Adherene to a Diabetes Treatment Regimen

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