Abstract
We tested the predictive utility of the health belief model (HBM) for adherence with a complex, ongoing medical regimen in the context of a chronically ill youthful population (56 adolescent outpatients with insulin-dependent diabetes mellitus; mean age = 14 years). A three-construct model of health beliefs was tested: Threat (perceived susceptibility combined with severity), Benefits-Costs, and Cues to seek treatment. Multiple indicators of compliance were used, and metabolic control was measured by glycosylated hemoglobin. The Benefits-Costs and Cues constructs were related to compliance in the theoretically expected positive direction. Threat interacted with Benefits-Costs in the prediction of compliance and with Cues in the prediction of metabolic control. The greatest compliance was achieved with low perceived Threat and high perceived Benefits-Costs. Poor metabolic control was associated with high Threat and Cues. As age increased, adherence to the exercise, injection, and frequency components of the regimen decreased.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 190-198 |
| Number of pages | 9 |
| Journal | Health Psychology |
| Volume | 11 |
| Issue number | 3 |
| DOIs | |
| State | Published - 1992 |
Fingerprint
ASJC Scopus subject areas
- Psychiatry and Mental health
- Psychology(all)
Cite this
The health belief model and adolescents with insulin-dependent diabetes mellitus. / Bond, G. G.; Aiken, L. S.; Somerville, S. C.
In: Health Psychology, Vol. 11, No. 3, 1992, p. 190-198.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - The health belief model and adolescents with insulin-dependent diabetes mellitus.
AU - Bond, G. G.
AU - Aiken, L. S.
AU - Somerville, S. C.
PY - 1992
Y1 - 1992
N2 - We tested the predictive utility of the health belief model (HBM) for adherence with a complex, ongoing medical regimen in the context of a chronically ill youthful population (56 adolescent outpatients with insulin-dependent diabetes mellitus; mean age = 14 years). A three-construct model of health beliefs was tested: Threat (perceived susceptibility combined with severity), Benefits-Costs, and Cues to seek treatment. Multiple indicators of compliance were used, and metabolic control was measured by glycosylated hemoglobin. The Benefits-Costs and Cues constructs were related to compliance in the theoretically expected positive direction. Threat interacted with Benefits-Costs in the prediction of compliance and with Cues in the prediction of metabolic control. The greatest compliance was achieved with low perceived Threat and high perceived Benefits-Costs. Poor metabolic control was associated with high Threat and Cues. As age increased, adherence to the exercise, injection, and frequency components of the regimen decreased.
AB - We tested the predictive utility of the health belief model (HBM) for adherence with a complex, ongoing medical regimen in the context of a chronically ill youthful population (56 adolescent outpatients with insulin-dependent diabetes mellitus; mean age = 14 years). A three-construct model of health beliefs was tested: Threat (perceived susceptibility combined with severity), Benefits-Costs, and Cues to seek treatment. Multiple indicators of compliance were used, and metabolic control was measured by glycosylated hemoglobin. The Benefits-Costs and Cues constructs were related to compliance in the theoretically expected positive direction. Threat interacted with Benefits-Costs in the prediction of compliance and with Cues in the prediction of metabolic control. The greatest compliance was achieved with low perceived Threat and high perceived Benefits-Costs. Poor metabolic control was associated with high Threat and Cues. As age increased, adherence to the exercise, injection, and frequency components of the regimen decreased.
UR - http://www.scopus.com/inward/record.url?scp=0026474154&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0026474154&partnerID=8YFLogxK
U2 - 10.1037//0278-6133.11.3.190
DO - 10.1037//0278-6133.11.3.190
M3 - Article
C2 - 1618173
AN - SCOPUS:0026474154
VL - 11
SP - 190
EP - 198
JO - Health Psychology
JF - Health Psychology
SN - 0278-6133
IS - 3
ER -