Tillotson L M, Smith M S
Diabetes Educ. 1996 Mar-Apr;22(2):133-9. doi: 10.1177/014572179602200206.
There is a need to better understand how psychosocial factors influence regimen adherence behavior. Therefore, the purpose of this study was to assess the ability of internal diabetes locus of control and social support to predict adherence to a weight-control regimen among persons with non-insulin-dependent diabetes mellitus (NIDDM). A community-based sample of 465 patients with NIDDM was interviewed. Regression analyses revealed that internal locus of control and social support were modest but statistically significant predictors. Correlation analyses showed that internal locus of control was not related to weight control in the high social support group. In the low social support group, a stronger internal locus of control was not associated with weight management. The ways in which internal locus of control and social support work together were not clear. The findings suggest that these two factors are advantageous for promoting regimen adherence.
有必要更好地了解心理社会因素如何影响治疗方案依从行为。因此，本研究的目的是评估糖尿病内控点和社会支持对非胰岛素依赖型糖尿病（NIDDM）患者体重控制方案依从性的预测能力。对465名NIDDM患者的社区样本进行了访谈。回归分析显示，内控点和社会支持是适度但具有统计学意义的预测因素。相关分析表明，在高社会支持组中，内控点与体重控制无关。在低社会支持组中，更强的内控点与体重管理无关。内控点和社会支持共同起作用的方式尚不清楚。研究结果表明，这两个因素有利于促进治疗方案依从性。
