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Louisiana State University

Theses/Dissertations

Adherence

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Full-Text Articles in Psychology

Environmental Influences On Adherence To Self-Management Behaviors And Glycemic Control In African American Patients With Type 2 Diabetes Mellitus, Brooke L. Barbera Jan 2008

Environmental Influences On Adherence To Self-Management Behaviors And Glycemic Control In African American Patients With Type 2 Diabetes Mellitus, Brooke L. Barbera

LSU Master's Theses

Diabetes mellitus is a chronic illness effecting approximately 20.8 million individuals in the United States. Minorities are adversely affected, with age-adjusted prevalence 1.7 times higher in African Americans than Caucasians. Type 2 diabetes is significantly affected by behavioral and environmental risk factors, including the presence of co-occurring diseases (i.e., hypertension, hyperlipidemia), obesity, age, and lack of physical activity, and each of these risk factors is more prevalent among African Americans. The treatment of diabetes is largely self-managed, with patients and their families handling 95% of their own care. Adherence to the multi-component diabetic treatment regimen requires daily care, often occurring …


Cognitive Adaptation's Implication On Diabetic Adherence, Martin Ancona Jan 2005

Cognitive Adaptation's Implication On Diabetic Adherence, Martin Ancona

LSU Master's Theses

Diabetes, affecting more than 18 million people in the United States, is an epidemic problem. The illness is usually progressive, leading to neuropathy, blindness, and limb amputation. The most common type of the illness, Type 2 diabetes, is usually controllable through a strict combination of diet, exercise, and medication. However, non-compliance, rather than compliance, to prescribed diabetes regimens is the norm. Although past research has uncovered many of the reason that diabetics may fail to adhere to their regimen, the whole puzzle has not yet been solved. This study looked at the Cognitive Adaptation Theory in relation to diabetic adherence. …


The Impact Of Brief Intervention On Adherence To Medication Regimen Of Low-Income Adults With Type 2 Diabetes, Kathleen E. Kendra Jan 2004

The Impact Of Brief Intervention On Adherence To Medication Regimen Of Low-Income Adults With Type 2 Diabetes, Kathleen E. Kendra

LSU Master's Theses

Patient nonadherence with medication regimen is a common problem facing health care providers treating adult patients with Type 2 diabetes. Poor glycemic control, diabetes related complications, and increased utilization and health care costs are among the outcomes of poor compliance with medical regimen. Prior research indicates moderate success with several techniques to improve medication adherence when used alone. However, the literature suggests a need for an intervention providing a multi-component technique, implementing self-motivating skills and follow-up prompts. Using a 15- minute single exposure intervention, the current study attempted to combine these two procedures (brief intervention including motivational interviewing with follow-up …


Adherence To Medical Regimens In Low-Income Adults With Type 2 Diabetes: The Influence Of Perceived Control Constructs, Erin L. O'Hea Jan 2003

Adherence To Medical Regimens In Low-Income Adults With Type 2 Diabetes: The Influence Of Perceived Control Constructs, Erin L. O'Hea

LSU Doctoral Dissertations

Individuals with Type 2 diabetes often do not adhere to their treatment regimens (e.g., exercise, diet, medication, glucose monitoring). Non-adherence results in poor metabolic control, further morbidity and mortality, and increased health care utilization and costs. One common thread among many health-behavior-theories that attempt to explain non-adherence behaviors is the importance of perceived control. This psychosocial variable has most often been conceptualized as ‘health locus of control,’ which refers to the belief that one has the ability to influence or change one’s health outcomes. Inconsistent findings have been reported regarding the relationship of health locus of control and medical regimen …


The Role Of Initial Coping Strategies On Subsequent Appointment Attendance In Individuals With Hiv: A Longitudinal Analysis, Deann Morris Johnson Jan 2002

The Role Of Initial Coping Strategies On Subsequent Appointment Attendance In Individuals With Hiv: A Longitudinal Analysis, Deann Morris Johnson

LSU Doctoral Dissertations

With advances in HIV treatment regimens, HIV has become a treatable chronic illness that requires extensive clinical management (Kelly, Otto-Salaj, Sikkema, Pinkerton, & Bloom, 1998). Nonadherence to HIV medical regimens is a primary reason for treatment failure. HIV medication regimens are complicated and require extensive time and effort from the patient (Friedland & Williams, 1999). Since the effectiveness of HIV medication regimens can be severely limited by poor adherence, much research has been conducted regarding the influence of psychosocial factors in adherence. However, this research has primarily focused on medication adherence and has not investigated psychosocial aspects associated with other …