Ferkauf Graduate School of Psychology, Yeshiva University, New York, NY, USA,
Int J Behav Med. 2014 Feb;21(1):88-98. doi: 10.1007/s12529-013-9291-4.
The relationship between risk perceptions and diabetes self-care remains ambiguous. This study aimed to assess baseline, 1-year follow-up, and change score relationships among perceived risk, diabetes self-care, and glycemic control for adult individuals participating in a behavioral intervention that improved glycemic control relative to the active control.
One-year randomized trial compared a behavioral telephonic intervention with a print only intervention. Participants (N = 526) are members of a union/employer sponsored health benefit plan, with HbA(1c) ≥ 7.5 %, prescribed at least one oral diabetes medication. Participants rated perceived risk of diabetes and its complications and diabetes self-care at baseline and 1 year. Data were collected in a large urban area in the USA.
There were no relationships between risk perceptions and glycemic control during the study. Baseline perceived risk predicted follow-up self-care. Additionally, participants assigned to the intervention group showed significant changes in dietary and exercise adherence at high levels of risk knowledge and low levels of optimistic bias.
Perceived risk relates to dietary, exercise, and medication adherence in diabetes. The perceived risk construct might foster a more coherent conceptualization of the relationship between one's diabetes, possible complications, and diabetes self-care behaviors.
风险认知与糖尿病自我护理之间的关系仍不明确。本研究旨在评估参与行为干预的成年人在基线、1 年随访和变化分数方面感知风险、糖尿病自我护理和血糖控制之间的关系，该行为干预相对于积极对照改善了血糖控制。
为期 1 年的随机试验比较了电话行为干预与仅印刷干预。参与者（N=526）是工会/雇主赞助的健康福利计划的成员，HbA（1c）≥7.5%，至少服用一种口服糖尿病药物。参与者在基线和 1 年时评估糖尿病及其并发症的感知风险和糖尿病自我护理。数据在美国一个大城市收集。
在研究期间，风险认知与血糖控制之间没有关系。基线感知风险预测了随访时的自我护理。此外，在高风险知识和低乐观偏差水平下，分配到干预组的参与者在饮食和运动依从性方面表现出显著变化。
感知风险与糖尿病患者的饮食、运动和药物依从性有关。感知风险结构可能促进对一个人的糖尿病、可能的并发症和糖尿病自我护理行为之间关系的更连贯的概念化。
