Date of Award

1999

Degree Type

Thesis

Degree Name

Nursing (M.S.N.)

Department

College of Nursing

Abstract

The purpose of this descriptive study was to identify barriers to adherence to prescribed self-monitoring blood glucose (SMBG) schedules. Data were collected from a convenience sample of 40 diabetic patients from a rural northern Michigan community, ages 18-84, who completed the modified Barriers to Self-Monitoring Blood Glucose Scale (BSMBG) (Jones, Remley, & Engberg, 1996). The study’s theoretical framework was the Health Belief Model (HBM) (Rosenstock, Strecher, & Becker, 1994).

The modified BSMBG scale had a reliability coefficient of 0.95 using Cronbach’s alpha. Individual barrier scores were varied indicating a need for individualized assessment of barriers to SMBG. Data analysis demonstrated significant differences between diabetes type, subject age groups, and adherence percentage compared to barrier scores. A significant negative correlation also existed between subjects’ ages and barrier scores. Findings suggested a need to assess perceived barriers to SMBG carefully in these groups to aid in intervention development aimed at improved adherence.

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