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Health Education Research Advance Access originally published online on July 17, 2009
Health Education Research 2009 24(5):890-896; doi:10.1093/her/cyp032
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© The Author 2009. Published by Oxford University Press. All rights reserved. For permissions, please email: journals.permissions@oxfordjournals.org

Compensatory beliefs about glucose testing are associated with low adherence to treatment and poor metabolic control in adolescents with type 1 diabetes

Marjorie A. Rabiau1,*, Bärbel Knäuper1, Thien-Kim Nguyen1, Maria Sufrategui2 and Constantin Polychronakos1,2

1 Department of Psychology, McGill University, Montreal, Quebec, Canada
2 Diabetes Clinic, Endocrinology Department, Montreal Children's Hospital, Montreal, Quebec, Canada

* Correspondence to: M. A. Rabiau, Department of Psychology, McGill University, 1205 Dr Penfield Avenue, Montreal, Quebec H3A 1B1, Canada. E-mail: marjorie.rabiau{at}mail.mcgill.ca

The goal of this research was to investigate whether compensatory beliefs (CBs) regarding glucose testing predict blood glucose levels and adherence to treatment in adolescents with type 1 diabetes. CBs are convictions that the negative effects of one behavior (e.g. not testing one's glucose level) can be compensated for by engaging in another behavior (e.g. not eating any sweets). Adolescent patients from the Diabetes Clinic at the Montreal Children's Hospital and their parents filled out scales while coming for a regular visit. Results from their HbA1c blood test from that visit and prior visits were obtained from their medical records. Results showed that holding glucose testing CBs was associated with poorer HbA1c and poorer adherence to self-care behaviors. Hierarchical regression analyses showed that glucose testing CBs predicted blood glucose control and adherence to treatment above and beyond a number of other constructs including diabetes knowledge. Addressing CBs in diabetes education, in particular targeting those concerning glucose testing, could improve the adherence to treatment and thereby the long-term health of people with diabetes.

Received on June 11, 2008; accepted on June 3, 2009


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