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FACTORS RELATED TO COMPLIANCE WITH A...

BUTLER, FRIEDA ROXANNE,

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FACTORS RELATED TO COMPLIANCE WITH A TREATMENT REGIMEN IN BLACK ELDERLY DIABETIC WOMEN /

Record Type:	Electronic resources : Monograph/item
Title/Author:	FACTORS RELATED TO COMPLIANCE WITH A TREATMENT REGIMEN IN BLACK ELDERLY DIABETIC WOMEN // FRIEDA ROXANNE BUTLER.
Author:	BUTLER, FRIEDA ROXANNE,
Description:	1 electronic resource (137 pages)
Notes:	Source: Dissertations Abstracts International, Volume: 41-07, Section: B.
Contained By:	Dissertations Abstracts International41-07B.
Subject:	Cellular biology. -
Online resource:	https://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=8116459
ISBN:	9798204740068

FACTORS RELATED TO COMPLIANCE WITH A TREATMENT REGIMEN IN BLACK ELDERLY DIABETIC WOMEN /
BUTLER, FRIEDA ROXANNE,

FACTORS RELATED TO COMPLIANCE WITH A TREATMENT REGIMEN IN BLACK ELDERLY DIABETIC WOMEN /FRIEDA ROXANNE BUTLER. - 1 electronic resource (137 pages)

Source: Dissertations Abstracts International, Volume: 41-07, Section: B.

This is a study designed to determine those factors which predict compliance with a diabetic treatment regimen by black elderly women attending out-patient clinics. Elderly black diabetics possess unique problems and encounter a number of situations which contribute to their noncompliance with a treatment regimen. A modification of the Health Belief Model was utilized as a frame work for the study. The primary purpose was to determine whether knowledge of diabetes, knowledge of treatment, complexity of treatment regimens, living arrangements, time spent with health care provider and psychological well-being correlated with compliance. Specific hypotheses were formulated for these six variables and the following research questions were generated: (1)What is the extent of knowledge of diabetes in elderly black diabetic women? (2)What is the extent of knowledge of the diabetic treatment regimen in elderly black diabetic women? (3)What are the relative influences of selected variables on diabetic compliance in black elderly women? (4)What is the relationship between compliance and the quality of interaction between the health care provider and the black elderly client? The sample consisted of 68 black diabetic women aged 60-79 who attended an ambulatory care facility in an urban, inner-city area. The dependent variables indicating compliance were three direct indicator items on the interview schedules, measuring self-reported medication omissions and one indirect indicator item, measuring daily checking of urine for glucose. A weight gain of six or more pounds within a two month period, was also used as an indicator for non-compliance. The criterion, non-compliance was measured in this study sample by the identification of the respondents according to weight gain or by the identification of the respondents who provided negative responses to two or more of the indicator questions on the initial interviews. For this sample group, the results indicated that of the six variables studied, knowledge of diabetes was statistically significant beyond the .05 level and was hence the sole significant predicator of compliance with the diabetic treatment regimen. Other variables approached significance (p < .06-.15), but due to the small sample size, insufficient power was generated to provide significant levels on these variables. Using additional statistical methods to demonstrate an association of other variables with compliance, other predicator variables showed marginal significance in predicting compliance. Although knowledge of diabetes was shown to be a powerful predicator variable in determining compliance, this variable in combination with another independent variable would increase the efficiency of prediction. This study suggests that 'knowledge of diabetes' and 'assistance with dietary management' may be the strongest combination of independent study variables for predicting compliance. Specifically the data indicated that compliers tended to be knowledgeable of diabetes, had a self-perceived level of high understanding of the condition and followed their diets. Non-compliers tended to display low knowledge of the disease, had a self-perceived low level of understanding of the condition and did not adhere to their diets. The additional factor of high knowledge of disease by the compliers indicates a greater belief in their susceptibility to the disease and the severity of the disease. Finally, although none of the study variables yielded a combination powerful enough to predict compliance, assistance with diet, the self report scales of health needs and understanding of the condition showed definite trends which were associated with compliance.

English

ISBN: 9798204740068Subjects--Topical Terms:

3172791
Cellular biology.

FACTORS RELATED TO COMPLIANCE WITH A TREATMENT REGIMEN IN BLACK ELDERLY DIABETIC WOMEN /
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245 1 0 $a FACTORS RELATED TO COMPLIANCE WITH A TREATMENT REGIMEN IN BLACK ELDERLY DIABETIC WOMEN / $c FRIEDA ROXANNE BUTLER.
264 1 $a Ann Arbor : $b ProQuest Dissertations & Theses, $c 1980
300 $a 1 electronic resource (137 pages)
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500 $a Source: Dissertations Abstracts International, Volume: 41-07, Section: B.
500 $a Publisher info.: Dissertation/Thesis.
502 $b Ph.D. $c University of Maryland, College Park $d 1980.
520 $a This is a study designed to determine those factors which predict compliance with a diabetic treatment regimen by black elderly women attending out-patient clinics. Elderly black diabetics possess unique problems and encounter a number of situations which contribute to their noncompliance with a treatment regimen. A modification of the Health Belief Model was utilized as a frame work for the study. The primary purpose was to determine whether knowledge of diabetes, knowledge of treatment, complexity of treatment regimens, living arrangements, time spent with health care provider and psychological well-being correlated with compliance. Specific hypotheses were formulated for these six variables and the following research questions were generated: (1)What is the extent of knowledge of diabetes in elderly black diabetic women? (2)What is the extent of knowledge of the diabetic treatment regimen in elderly black diabetic women? (3)What are the relative influences of selected variables on diabetic compliance in black elderly women? (4)What is the relationship between compliance and the quality of interaction between the health care provider and the black elderly client? The sample consisted of 68 black diabetic women aged 60-79 who attended an ambulatory care facility in an urban, inner-city area. The dependent variables indicating compliance were three direct indicator items on the interview schedules, measuring self-reported medication omissions and one indirect indicator item, measuring daily checking of urine for glucose. A weight gain of six or more pounds within a two month period, was also used as an indicator for non-compliance. The criterion, non-compliance was measured in this study sample by the identification of the respondents according to weight gain or by the identification of the respondents who provided negative responses to two or more of the indicator questions on the initial interviews. For this sample group, the results indicated that of the six variables studied, knowledge of diabetes was statistically significant beyond the .05 level and was hence the sole significant predicator of compliance with the diabetic treatment regimen. Other variables approached significance (p < .06-.15), but due to the small sample size, insufficient power was generated to provide significant levels on these variables. Using additional statistical methods to demonstrate an association of other variables with compliance, other predicator variables showed marginal significance in predicting compliance. Although knowledge of diabetes was shown to be a powerful predicator variable in determining compliance, this variable in combination with another independent variable would increase the efficiency of prediction. This study suggests that 'knowledge of diabetes' and 'assistance with dietary management' may be the strongest combination of independent study variables for predicting compliance. Specifically the data indicated that compliers tended to be knowledgeable of diabetes, had a self-perceived level of high understanding of the condition and followed their diets. Non-compliers tended to display low knowledge of the disease, had a self-perceived low level of understanding of the condition and did not adhere to their diets. The additional factor of high knowledge of disease by the compliers indicates a greater belief in their susceptibility to the disease and the severity of the disease. Finally, although none of the study variables yielded a combination powerful enough to predict compliance, assistance with diet, the self report scales of health needs and understanding of the condition showed definite trends which were associated with compliance.
546 $a English
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650 4 $a Cellular biology. $3 3172791
650 4 $a Developmental biology. $3 592588
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773 0 $t Dissertations Abstracts International $g 41-07B.
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856 4 0 $u https://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=8116459