A follow-up study of adherence and glycemic control among Hong Kong youths with diabetes

Sunita M. Stewart; Peter W H Lee; David Waller; Carroll W. Hughes; Louis C K Low; Betsy D. Kennard; Anna Cheng; Kwai Fun Huen

doi:10.1093/jpepsy/28.1.67

A follow-up study of adherence and glycemic control among Hong Kong youths with diabetes

Sunita M. Stewart, Peter W H Lee, David Waller, Carroll W. Hughes, Louis C K Low, Betsy D. Kennard, Anna Cheng, Kwai Fun Huen

Research output: Contribution to journal › Article › peer-review

30 Scopus citations

Abstract

Objective: To extend longitudinally an earlier study of the pathway from symptoms of emotional distress (ED) through self-efficacy (SE) and adherence to glycemic control (GC) in youths with diabetes, and to examine the contribution of different specific adherence behaviors to changes in GC. Methods: Fifty-six Hong Kong youths with diabetes received a follow-up evaluation 12-24 months after initial participation. ED, SE, self-reported adherence to medical regimen (SRA), and GC were assessed at both evaluations. Results: The pathway from ED to SE to SRA to GC was replicated. Participants' SRA to regular checks on blood glucose levels, and taking steps to maintain levels in the recommended range, explained significant variance in changes in GC. Conclusions: The model offers strategies to enhance health care in youths with diabetes. Findings support the importance of adherence to the medical regimen but emphasize the complexity of the relationship between adherence behaviors and GC. Selfregulatory behaviors, rather than compliance with fixed instructions, appear to have the most impact on GC.

Original language	English (US)
Pages (from-to)	67-79
Number of pages	13
Journal	Journal of pediatric psychology
Volume	28
Issue number	1
DOIs	https://doi.org/10.1093/jpepsy/28.1.67
State	Published - Jan 2003

Keywords

Adherence
Adolescents
Compliance
Glycemic control
Hong Kong
Self-efficacy
Type 1 diabetes

ASJC Scopus subject areas

Pediatrics, Perinatology, and Child Health
Developmental and Educational Psychology

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10.1093/jpepsy/28.1.67

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abstract = "Objective: To extend longitudinally an earlier study of the pathway from symptoms of emotional distress (ED) through self-efficacy (SE) and adherence to glycemic control (GC) in youths with diabetes, and to examine the contribution of different specific adherence behaviors to changes in GC. Methods: Fifty-six Hong Kong youths with diabetes received a follow-up evaluation 12-24 months after initial participation. ED, SE, self-reported adherence to medical regimen (SRA), and GC were assessed at both evaluations. Results: The pathway from ED to SE to SRA to GC was replicated. Participants' SRA to regular checks on blood glucose levels, and taking steps to maintain levels in the recommended range, explained significant variance in changes in GC. Conclusions: The model offers strategies to enhance health care in youths with diabetes. Findings support the importance of adherence to the medical regimen but emphasize the complexity of the relationship between adherence behaviors and GC. Selfregulatory behaviors, rather than compliance with fixed instructions, appear to have the most impact on GC.",

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AU - Lee, Peter W H

AU - Waller, David

AU - Hughes, Carroll W.

AU - Low, Louis C K

AU - Kennard, Betsy D.

AU - Cheng, Anna

AU - Huen, Kwai Fun

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N2 - Objective: To extend longitudinally an earlier study of the pathway from symptoms of emotional distress (ED) through self-efficacy (SE) and adherence to glycemic control (GC) in youths with diabetes, and to examine the contribution of different specific adherence behaviors to changes in GC. Methods: Fifty-six Hong Kong youths with diabetes received a follow-up evaluation 12-24 months after initial participation. ED, SE, self-reported adherence to medical regimen (SRA), and GC were assessed at both evaluations. Results: The pathway from ED to SE to SRA to GC was replicated. Participants' SRA to regular checks on blood glucose levels, and taking steps to maintain levels in the recommended range, explained significant variance in changes in GC. Conclusions: The model offers strategies to enhance health care in youths with diabetes. Findings support the importance of adherence to the medical regimen but emphasize the complexity of the relationship between adherence behaviors and GC. Selfregulatory behaviors, rather than compliance with fixed instructions, appear to have the most impact on GC.

AB - Objective: To extend longitudinally an earlier study of the pathway from symptoms of emotional distress (ED) through self-efficacy (SE) and adherence to glycemic control (GC) in youths with diabetes, and to examine the contribution of different specific adherence behaviors to changes in GC. Methods: Fifty-six Hong Kong youths with diabetes received a follow-up evaluation 12-24 months after initial participation. ED, SE, self-reported adherence to medical regimen (SRA), and GC were assessed at both evaluations. Results: The pathway from ED to SE to SRA to GC was replicated. Participants' SRA to regular checks on blood glucose levels, and taking steps to maintain levels in the recommended range, explained significant variance in changes in GC. Conclusions: The model offers strategies to enhance health care in youths with diabetes. Findings support the importance of adherence to the medical regimen but emphasize the complexity of the relationship between adherence behaviors and GC. Selfregulatory behaviors, rather than compliance with fixed instructions, appear to have the most impact on GC.

KW - Adherence

KW - Adolescents

KW - Compliance

KW - Glycemic control

KW - Hong Kong

KW - Self-efficacy

KW - Type 1 diabetes

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A follow-up study of adherence and glycemic control among Hong Kong youths with diabetes

Abstract

Keywords

ASJC Scopus subject areas

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