A 12-week behavioral change program consisting of a course on Self-Control Behavior Techniques, which used a self- study format and included self- management techniques, was developed and implemented to evaluate the effectiveness of the course and the behavioral change techniques in helping people with insulin-treated diabetes mellitus to increase adherence to the prescribed frequency for self- monitoring blood glucose (SMBG). A two-group pretest posttest experimental design was used (treatment n = 11, control n = 14). The treatment group achieved significantly higher posttest scores for the course. However, the control group achieved a significantly higher goal-adherence rate. The course was effective in teaching the knowledge and skills necessary for learning the techniques; the educational approach was an effective method for learning; and the application of the techniques resulted in an increase in frequency of SMBG but did not result in achievement of adherence to the goal for frequency of SMBG.
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References
1.
Ary DV, Toobert D., Wilson M., Glasgow REPatient perspective on factors contributing to nonadherence to diabetes regimen . Diabetes Care1986;2:168-72.
2.
Daneman E., Siminerio L., Transue D., Betschart J., Drash A., Becker D.The role of self-monitoring of blood glucose in the routine management of children with insulin-dependent diabetes mellitus. Diabetes Care1985; 8:1-4.
3.
Wing RR, Epstein LH, Nowalk MP, Scott N., Koeske R., Hagg S.Does self-monitoring of blood glucose levels improve dietary compliance for obese patients with type II diabetes? Am J Med1986;81:830-36.
4.
Began MP, Cregan D., Drury MIAssessment of the outcome of an educational programme of diabetes self-care . Diabetologia1982;23:246-51.
5.
Korhonen T., Huttunen JK, Antti A., et al. A controlled trial on the effects of patient education in the treatment of insulin-dependent diabetes. Diabetes Care1983;6:256-61.
6.
Karlander S. , Kindstedt K.Effects of formalized diabetes education. Acta Med Scand1983;213:41-43.
7.
Paulozzi LJ, Norman JE, McMahon P., Frederick ACOutcomes of a diabetes education program. Public Health Rep1984;99:575-79.
8.
Scott FJ, Beaven DW, Stafford JJThe effectiveness of diabetes education for non-insulin-dependent diabetic persons. Diabetes Educ1984;10(1): 36-39.
9.
Terent A., Hagfall O., Cederholm U.The effect of education and self-monitoring of blood glucose on glycosylated hemoglobin in type I diabetes. Acta Med Scand1985;217:47-53.
10.
Rettig BA, Shraugher DG, Recker RR, Gallagher TF, Wiltse H.A randomized study of the effects of a home diabetes education program . Diabetes Care1986;9:173-78.
11.
Campbell LVEvaluation of the benefits of a diabetes education program. Diabetes Educ1984;10 (special issue):46-47.
12.
Larpent N., Canivet J.Bicentric evaluation of a teaching programme for type I (insulin-dependent diabetic patients) [Letter]. Diabetologia1984;27:62.
13.
Assal JP, Muhlhauser I., Pernet A., Gefeller R., Jorgens N., Berger M.Patient education as the basis for diabetes care in clinical practice and research. Diabetologia1985;28:601-13.
14.
Nowacek GA, Pichert JWAn item bank of diabetes-related test questions. Diabetes Educ1985;11(3):37-39.
15.
Jones PJA self-control behavior techniques course to increase adherence to the goal for frequency of self-monitoring blood glucose [Dissertation]. Pittsburgh: University of Pittsburgh, 1989. 377 p.
16.
Gow DTDesign and development of curricular materials. Vol. 1. Pittsburgh: University Center for International Studies, University of Pittsburgh, 1976 .
17.
Kanfer Fhj, Karoly P.Self-control: a behavioristic excursion into the lion's den. Behav Ther1972;3:398-416.
18.
Kanfer FH, Karoly P.Some additional conceptualizations. In: Johnson RC, Dokecki PR, Mowrer OH.Conscience, contract, and social reality. New York: Holt, Rinehart, & Winston, 1972:428-37.
19.
Kazdin AESelf-control and cognitively based interventions. In: Behavior modification in applied settings. 3rd ed. Homewood, Ill: Dorsey Press, 1982 :193-205.
20.
Kanfer FHSelf-management methods. In: Kanfer FH, Goldstein AP, eds. Helping people change. New York: Pergamon Press, 1975:309-55.
21.
Kanfer FHThe many faces of self-control, or behavior modification changes its focus . In: Stuart RB, ed. Behavioral self-management strategies, techniques and outcomes. New York: Brunner/Mazel, 1977 :1-48.
22.
Mash EJ, Terdal LGBehavior therapy, diagnosis, design, and evaluation. In: Mash EJ, Terdal LG, eds. Behavior therapy assessment, diagnosis, design, and evaluation . New York: Springer, 1976:15-31.
23.
Mogenstern, KPBehavioral interviewing: the initial stages of assessment. In: Hersen M, Bellack AS, eds. Behavioral assessment: a practical handbook. Oxford: Pergamon Press, 1976:51-76.
Kanfer FH, Nay WRBehavioral assessment. In: Wilson GT, Franks CM, eds. Contemporary behavior therapy . New York: Guilford Press, 1982:367-401.
26.
Kanfer FHThe maintenance of behavior by self-generated stimuli and reinforcement . In: Jacobs A, Sach LB, eds. The psychology of private events. New York: Academic Press, 1971:39-57.
27.
McFall RMParameters of self-monitoring. In: Stuart RB, ed. Behavioral self-management strategies, techniques and outcomes. New York: Brunner/Mazel , 1977:196-214.
28.
Richardson F.Behavior modification and learning strategies . In: O'Neil HF, ed. Learning strategies. New York: Academic Press, 1987:55-78.
29.
Pinkerton SS , Hughes H., Wenrich WWBehavioral medicine, clinical applications . New York: John Wiley & Sons , 1982:11-32.
Steckel SBContracting, with patient-selected reinforcers. Am J Nurs1980;80:1596-99.
32.
Marlatt GARelapse prevention: theoretical rationale and overview of the model . In: Marlatt GA, Gordon FR, eds. Relapse prevention. New York: Guilford Press, 1985: 3-70.
33.
Fry E.Fry's readability graph: clarifications, validity, and extension to level 17. J Reading1977;21:242-52.
34.
Nitko AJEducational tests and measurement: an introduction. New York: Harcourt, Brace, Jovanovich, 1983.
Skyler JSSelf-monitoring of blood glucose. In: Reeves-Ellington B, ed. Blood glucose monitoring: for the phases of your life. New York: Health Education Technologies , 1986:18-24.
40.
Setzer A, ed. Changing behavior: how to bring the problem of adherence back down to earth. Indianapolis: Boehringer Mannheim, 1987.
41.
DeRubeis RJ, Beck ATCognitive therapy. In: Dobson KS, ed. Handbook of cognitive behavioral therapies. New York: Guilford Press, 1988:273-306.
42.
Rosenstock IMUnderstanding and enhancing patient compliance with diabetic regimen. Diabetes Care1985;8:610-16.
43.
Kazdin AESingle-case research designs: methods for clinical and applied settings . New York: Oxford University Press , 1982.
