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Psychosocial determinants of complia...

Chen, Kai-Ren.

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Psychosocial determinants of compliance behavior and its impact on the management of diabetes among elderly patients in Taiwan.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Psychosocial determinants of compliance behavior and its impact on the management of diabetes among elderly patients in Taiwan./
Author:	Chen, Kai-Ren.
Description:	384 p.
Notes:	Source: Dissertation Abstracts International, Volume: 59-09, Section: B, page: 4756.
Contained By:	Dissertation Abstracts International59-09B.
Subject:	Public health. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=9905594
ISBN:	9780599031272

Psychosocial determinants of compliance behavior and its impact on the management of diabetes among elderly patients in Taiwan.
Chen, Kai-Ren.

Psychosocial determinants of compliance behavior and its impact on the management of diabetes among elderly patients in Taiwan. - 384 p.

Source: Dissertation Abstracts International, Volume: 59-09, Section: B, page: 4756.

Thesis (Ph.D.)--University of California, Los Angeles, 1998.

Diabetes mellitus has been a major threat to people's health in Taiwan for more than a decade. Its impact is expected to expand as the population in Taiwan continuously ages. Controlling diabetes, then, becomes a primary issue in public health. Compliance to management strategies is the cornerstone to control diabetes. These strategies are especially difficult for the elderly diabetes patients. However, their compliance and management on diabetes has not been disclosed in Taiwan.

ISBN: 9780599031272Subjects--Topical Terms:

534748
Public health.

Psychosocial determinants of compliance behavior and its impact on the management of diabetes among elderly patients in Taiwan.
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020 $a 9780599031272
035 $a (MiAaPQ)AAI9905594
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100 1 $a Chen, Kai-Ren. $3 3182042
245 1 0 $a Psychosocial determinants of compliance behavior and its impact on the management of diabetes among elderly patients in Taiwan.
300 $a 384 p.
500 $a Source: Dissertation Abstracts International, Volume: 59-09, Section: B, page: 4756.
500 $a Chair: Donald E. Morisky.
502 $a Thesis (Ph.D.)--University of California, Los Angeles, 1998.
520 $a Diabetes mellitus has been a major threat to people's health in Taiwan for more than a decade. Its impact is expected to expand as the population in Taiwan continuously ages. Controlling diabetes, then, becomes a primary issue in public health. Compliance to management strategies is the cornerstone to control diabetes. These strategies are especially difficult for the elderly diabetes patients. However, their compliance and management on diabetes has not been disclosed in Taiwan.
520 $a This study was aimed to investigate the psychosocial determinants of compliance behavior and its impact on diabetes management among the elderly diabetes patients in Taiwan. Four aspects of compliance behavior were examined: medication compliance, diet compliance, exercise compliance, and appointment keeping. Determinants of compliance behavior, which included doctor-patient relationship, social support, regimen complexity, and health beliefs, were incorporated based upon Social Learning Theory. Diabetes control was assessed by fasting blood glucose. A cross-sectional design was employed. Data was collected with a structured questionnaire by face-to-face exit interview at district health centers in Taipei City. Reliability and construct validity of the instrument were assessed by Cronbach's alpha and factor analysis. A purposive sample of 210 participants was valid for data analysis. The construct validity was satisfactory and Cronbach's alpha for each scale was from 0.53 to 0.86. Stepwise regression was used to delineate significant determinants of compliance behavior. Barriers to take medications and appointment keeping were significant predictors of medication compliance (adjusted R square = 0.34). Barriers to restrict diet, doctor-patient relationship, and number of symptoms were significant predictors of diet compliance (adjusted R square = 0.22). Significant predictors of exercise were barriers to do exercise, being retired, number of complications, with exercise support, and log diabetes duration (adjusted R square = 0.48). Significant predictors of appointment keeping were predicted by medication compliance, regimen complexity, doctor-patient relationship, and log diabetes duration (adjusted R square = 0.20). Age, medication compliance, living with spouse, and male sex were significant predictors of diabetes control (adjusted R square = 0.16). Major results were discussed. Recommendations were made for future efforts in health education practices, policy making, and compliance research.
590 $a School code: 0031.
650 4 $a Public health. $3 534748
650 4 $a Health education. $3 559086
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710 2 $a University of California, Los Angeles. $3 626622
773 0 $t Dissertation Abstracts International $g 59-09B.
790 $a 0031
791 $a Ph.D.
792 $a 1998
793 $a English
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=9905594