Once an older adult develops type 2 diabetes, they often need to change their diet as part of the treatment. We report differences in dietary barriers and strategies to overcome them in 17 older adults without type 2. Data were gathered through 24-hour diet recalls, collected barriers and strategies in changing diet, and the health locus of control scales. Differences in barriers and strategies were partially explained by health locus of control subscales. People who believed that others (e.g. doctors) controlled their health were less likely to identify barriers or strategies to overcome them. The results contribute to training materials and decision aids.
BlueCL (2007) Does the theory of planned behavior identify diabetes-related cognitions for intention to be physically active and eat a healthy diet?Public Health Nursing24(2): 141–150.
2.
BruceDDavisWCullC. (2003) Diabetes education and knowledge in patients with type 2 diabetes from the community Freemantle Diabetes Study. Journal of Diabetes Complications17: 82–89.
3.
CowieCCRustKFByrd-HoltDD. (2010) Prevalence of diabetes and high risk for diabetes using A1C criteria in the U.S. population in 1988-2006. Diabetes Care33: 562–568.
4.
CukiermanTGersteinHCWilliamsonJD (2005) Cognitive decline and dementia in diabetes—Systematic overview of prospective observational studies. Diabetologia48(12): 2460–2469.
5.
FitzgeraldJTFunnellMMHessGE. (1998) The reliability and validity of a brief diabetes knowledge test. Diabetes Care21(5): 706–710.
6.
ForeytJPGoodrickGK (1993) Evidence for success of behavior modification in weight loss and control. Annals of Internal Medicine119: 698–701.
7.
GailliotMTBaumeisterRF (2007) The physiology of willpower: Linking blood glucose to self-control. The Personality and Social Psychology Review11(4): 303–327.
8.
HeWSenguptaMVelkoffVA. (2005) 65+ in the United States: 2005. Current population reports, P23-209. Washington, DC: US Census Bureau and National Institute on Aging.
9.
HofmanWGschwendnerTFrieseM. (2008) Working memory capacity and self-regulatory behavior: Toward an individual differences perspective on behavior determination by automatic versus controlled processes. Personality Processes and Individual Differences95(4): 962–977.
KirkmanMSBriscoeVJClarkN. (2012) Diabetes in older adults. Diabetes Care35(12): 2650–2664.
12.
KleinHAMeiningerAR (2004) Self-management of medication and diabetes: Cognitive control. IEEE Transactions on Systems, Man, and Cybernetics, Part A: Systems And Humans34(6): 718–725.
13.
KnowlerWCBarrett-ConnorEFowlerSE. (2002) Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. New England Journal of Medicine346: 393–403.
14.
LachmanME (1986) Locus of control in aging research: A case for multidimensional and domain-specific assessment. Psychology and Aging1(1): 34–40.
15.
McPhersonMLSmithSWPowersA. (2008) Association between diabetes patients’ knowledge about medications and their blood glucose control. Research in Social and Administrative Pharmacy4(1): 37–45.
16.
MastersKSWallstonKA (2005) Canonical correlation reveals important relations between health locus of control, coping, affect and values. Journal of Health Psychology10: 719–731.
17.
MuravenMBaumeisterRF (2000) Self-regulation and depletion of limited resources: Does self-control resemble a muscle?Psychological Bulletin126(2): 247–259.
18.
MurphyKCaseyDDinneenS. (2011) Participants’ perceptions of the factors that influence diabetes self-management following a structured education (DAFNE) programme. Journal of Clinical Nursing9(10): 1282–1292.
19.
NagelkerkJReickKMeengsL (2006) Perceived barriers and effective strategies to diabetes self-management. Journal of Advanced Nursing2: 151–158.
20.
PowellCKHillEGClancyDE (2007) The relationship between health literacy and diabetes knowledge and readiness to take health actions. The Diabetes Educator33(1): 144–151.
21.
Robinson-WhelenSStorandtM (1992) Factorial structure of two health belief measures among older adults. Psychology and Aging7(2): 209–213.
22.
SpikmansFJMBrugJDovenMMB. (2003) Why do diabetic patients not attend appointments with their dietitian?Journal of Human Nutrition and Dietetics16(3): 151–158.
23.
SuhlEBonsignoreP (2006) Diabetes self-management education for older adults: General principles and practical application. Diabetes Spectrum19(4): 234–240.
24.
TuomilehtoJLindströmJErikssonJG. (2001) Prevention of type 2 diabetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance. New England Journal of Medicine344: 1343–1350.
25.
WallstonKAWallstonBS (1981) Health locus of control scales. In: LefcourtH (ed.) Research with the Locus of Control Construct, vol. 1. New York: Academic Press, pp. 189–241.
26.
WhiteKMTerryDJTroupC. (2010) Predicting the consumption of foods low in saturated fats among people diagnosed with Type 2 diabetes and cardiovascular disease. The role of planning in the theory of planned behaviour. Appetite55(2): 348–354.
