Date Approved


Graduate Degree Type


Degree Name

Nursing (M.S.N.)

Degree Program

College of Nursing


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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