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 journalArticlepeer-review

12 Scopus citations


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 languageEnglish (US)
Pages (from-to)67-79
Number of pages13
JournalJournal of pediatric psychology
Issue number1
StatePublished - Jan 2003


  • 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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