@article {McGrady:2014:0887-0446:985,
title = "Illness representations predict adherence in adolescents and young adults with type 1 diabetes",
journal = "Psychology and Health",
parent_itemid = "infobike://routledg/gpsh",
publishercode ="routledg",
year = "2014",
volume = "29",
number = "9",
publication date ="2014-09-02T00:00:00",
pages = "985-998",
itemtype = "ARTICLE",
issn = "0887-0446",
eissn = "1476-8321",
url = "https://www.ingentaconnect.com/content/routledg/gpsh/2014/00000029/00000009/art00003",
doi = "doi:10.1080/08870446.2014.899361",
keyword = "young adults, patient compliance, type 1, illness representations, diabetes mellitus",
author = "McGrady, Meghan E. and Peugh, James L. and Hood, Korey K.",
abstract = "
Objective: Most adolescents and young adults (AYAs) with type 1 diabetes struggle with diabetes self-management and exhibit suboptimal glycemic control. This study examined two models of association between illness representations, a modifiable predictor of suboptimal
outcomes, and adherence and glycemic control in AYAs with type 1 diabetes.
Design and main outcome measures: Ninety-nine AYAs (ages 1520years) completed measures of illness representations and adherence at two visits. Blood glucose monitoring frequency and haemoglobin
A1c were obtained via chart review. Relationships were examined using structural equation modelling.
Results: Illness representations accounted for a significant proportion of the variance in blood glucose monitoring frequency (R
2=.23,
pR
2=.07, p=.03). Illness representations also accounted for significant variance in blood glucose monitoring frequency (R
2=.08,
p=.01), adherence to recommendations for insulin and food (R
2=.08, p=.02) and exercise (R
2=.10, p<.01), and adherence to emergency precautions
(R
2=.16, p
Conclusion: Illness representations are salient predictors of adherence in this population. Interventions targeting adherence promotion and glycemic control in AYAs with type 1 diabetes
may be enhanced by efforts to modify illness representations.",
}