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KG Dissertation 11.22.17.pdf (1.15 MB)

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Possible Moderators of the Relationship Between Health Beliefs and Adherence and Metabolic Control in Adolescents with Type 1 Diabetes

Genuario, Kimberly
http://rave.ohiolink.edu/etdc/view?acc_num=case1512562500418142

Abstract Details

2018, Doctor of Philosophy, Case Western Reserve University, Psychology.
The Health Belief Model (HBM), as proposed by Janz & Becker (1984), is a theory of adherence to medical recommendation. Findings on the association between the HBM and adherence and metabolic control in adolescents with Type 1 diabetes have been inconsistent (e.g. Brownlee-Duffeck et al., 1987; Patino et al., 2005). The current study aimed to investigate the relationship between parent and adolescent health beliefs and adherence/metabolic control. Further, the study aimed to identify variables that may moderate the parent/adolescent health belief and adherence/metabolic control relationship; namely, amount of parent responsibility for diabetes care, parent emotional support, and executive functioning of parent/adolescent. Findings were generally unsupportive of HBM and moderation hypotheses but patterns emerged that may be important in future research and clinical work with this population. These themes include the tendency for Caucasians and younger adolescents to have better metabolic control, and the importance of parent perception of severity and susceptibility of diabetes complications and the significant correlation both parent and adolescent executive functioning abilities have with adherence/metabolic control. Clinically, results speak to the need of further assessment and intervention targeting health beliefs and executive functioning in parents of adolescents with type 1 diabetes. Results further indicate the need for additional and more nuanced research on health beliefs in this population.
Amy Przeworksi, PhD (Committee Chair)
Rebecca Hazen, PhD (Committee Member)
Arin Connell, PhD (Committee Member)
Sandra Russ, PhD (Committee Member)
MacLeish Sarah, DO (Committee Member)
156 p.
Clinical Psychology
pediatric psychology, diabetes, adherence, health beliefs, executive functioning, depression

Recommended Citations

Citations

  • Genuario, K. (2018). Possible Moderators of the Relationship Between Health Beliefs and Adherence and Metabolic Control in Adolescents with Type 1 Diabetes [Doctoral dissertation, Case Western Reserve University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=case1512562500418142

    APA Style (7th edition)

  • Genuario, Kimberly. Possible Moderators of the Relationship Between Health Beliefs and Adherence and Metabolic Control in Adolescents with Type 1 Diabetes. 2018. Case Western Reserve University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=case1512562500418142.

    MLA Style (8th edition)

  • Genuario, Kimberly. "Possible Moderators of the Relationship Between Health Beliefs and Adherence and Metabolic Control in Adolescents with Type 1 Diabetes." Doctoral dissertation, Case Western Reserve University, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=case1512562500418142

    Chicago Manual of Style (17th edition)

case1512562500418142
525
© 2017, all rights reserved.
This open access ETD is published by Case Western Reserve University School of Graduate Studies and OhioLINK.