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Journal of Pediatric Psychology 21(4) pp. 467-482, 1996
© 1996 Society of Pediatric Psychology

research-article

Self-Care Behaviors in Insulin-Dependent Diabetes: Evaluative Tools and Their Associations with Glycemic Control1

Cindy L. Hanson2, Michelle J. De Guire, Angie M. Schinkel, Orville G. Kolterman, Joan P. Goodman and Bruce A. Buckingham

Medical University of South Carolina, Diabetes Research Group San Diego, University of California San Diego, Children's Hospital of Orange Country

2All correspondence should be addressed to Cindy L. Hanson, University of Central Florida, Department of Psychology, Orlando, Florida 32816

Clarified the relationships between self-care behaviors and illness-specific outcomes in approximately 270 youths with IDDM. Youths were assessed at three points in time using a semistructured interview measure and multiple indices of dietary intake and physical activity with two different methodologies (i.e., recalls, logs). Glycemic control was most strongly related to the semistructured Self-Care Adherence Interview (SCAI); and second to the overall quality of the youths' dietary intake. The SCAI also predicted glycemic control over time. Physical activity levels and specific nutritional components from the logs and recalls were generally unrelated to glycemic control.

Key words: adherence; diabetes; diet.


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