THE RELATIONSHIP OF SELF-MONITORING OF BLOOD GLUCOSE AND INTRINSIC MOTIVATION TO REGIMEN ADHERENCE IN ADULTS WITH DIABETES MELLITUS.
Contributors: Catholic University of America.
Published: 1988
Number of pages: 142
Subjects: Health Sciences, Nursing.
Description: The purpose of this study was to describe the relationship of frequency of self-monitoring of blood glucose and level of intrinsic motivation in health behavior to regimen adherence in adults with diabetes mellitus. The theoretical framework for the study was the Interaction Model of Client Health Behavior (Cox, 1982).

This descriptive, correlational study was conducted at three endocrinology outpatient practices. Seventy-one adults with insulin-dependent diabetes were interviewed face-to-face, during which the following were administered: the Self-Monitoring of Blood Glucose (SMBG) Information Tool, for descriptive characteristics of their SMBG practices; the Health Self-Determinism Index (Cox, 1985), a measure of intrinsic motivation in health behavior; and the Diabetes Care Profile (Hess et al., 1986), which contains a subscale to measure regimen adherence. A venous blood sample for a glycosylated hemoglobin assay, a physiologic measure of average glycemic control, was obtained.

A Pearson product-moment correlation revealed one significant correlation, between intrinsic motivation in health behavior and regimen adherence. A multivariate canonical correlation was used to test simultaneously the four hypotheses, at p $\leq$.05. There was one significant canonical correlation, with the coefficients weighted on intrinsic motivation and regimen adherence. A multiple regression revealed a significant relationship between intrinsic motivation and regimen adherence. The hypothesis, which stated: adults with diabetes who have greater intrinsic motivation report greater regimen adherence than those who have less intrinsic motivation, was supported. The hypothesis concerning the direct relationship between frequency of SMBG and regimen adherence was not supported. The hypotheses concerning the inverse relationships between glycosylated hemoglobin value and each of the two independent variables were not supported.

One implication of this study is that a prescription for SMBG must include recommendations for more than frequency of use, if it is to have an impact on regimen adherence or glycemic control. Greater intrinsic motivation was related to greater regimen adherence; the challenge to nurses is to discern methods of fostering this motivation in clients. Finally, nurses must be aware that poor glycemic control does not necessarily reflect a lack of regimen adherence for the person with insulin-dependent diabetes.
Notes: Source: Dissertation Abstracts International, Volume: 49-07, Section: B, page: 2571.

Thesis (D.N.SC.)--THE CATHOLIC UNIVERSITY OF AMERICA, 1988.

School code: 0043.