Rebekah J. Walker|Brittany L. Smalls|Melba A. Hernandez?Tejada|Jennifer A. Campbell|Kimberly S. Davis|Leonard E. Egede
Effect of diabetes fatalism on medication adherence and self-care behaviors in adults with diabetes
Medical University of South Carolina|Medical University of South Carolina|Medical University of South Carolina|Medical University of South Carolina|Medical University of South Carolina|Ralph H. Johnson VA Medical Center|Medical University of South Carolina
diabetes fatalism defined complex psychological cycle characterized perceptions despair hopelessness powerlessness associated poor glycemic control study examined association diabetes fatalism medication adherence selfcare behaviors adults diabetes data 378 subjects type 2 diabetes recruited two primary care clinics southeastern united states examined previously validated scales used measure diabetes fatalism medication adherence diabetes knowledge diabetes selfcare behaviors diet physical activity blood sugar testing foot care multiple linear regression used assess independent effect diabetes fatalism medication adherence selfcare behaviors controlling relevant covariates fatalism correlated significantly medication adherence r 024 p 001 diet r026 p 001 exercise r020 p 001 blood sugar testing r019 p 001 linear regression model diabetes fatalism significantly associated medication adherence 0029 95 confidence interval ci 0016 0043 diabetes knowledge 0042 95 ci 0001 0084 diet 0063 95 ci 0039 0087 exercise 0055 95 ci 0028 0083 blood sugar testing 0055 95 ci 0023 0087 significant association diabetes fatalism foot care 0018 95 ci 0047 0011 association diabetes fatalism medication adherence diabetes knowledge diabetes selfcare behaviors change significantly depression added models suggesting associations independent depression diabetes fatalism associated poor medication adherence selfcare may important target education skills interventions diabetes care addition effect diabetes fatalism independent depression suggesting interventions target depression may sufficient deal diabetes fatalism