The relationship of diabetes knowledge to regimen compliance and metabolic control during pregnancy

Abstract

The relationship of diabetes knowledge to regimen compliance and metabolic control was examined in a sample of pregnant women with preexisting insulin-dependent and noninsulin-dependent diabetes mellitus (N = 27) and women who developed gestational diabetes during pregnancy (N = 45). Subjects completed self-report measures of diabetes knowledge and compliance with their diabetic regimen and blood glucose levels were monitored. Knowledge was positively, although modestly, related to dietary compliance, compliance with insulin administration and insulin reaction management recommendations, as well as fasting blood glucose levels. Findings suggest that among pregnant women, efforts to increase knowledge of diabetes specific to pregnancy may result in some improvement in selected aspects of the diabetic regimen.     

Door-in-the-Face Technique and Delay to Fulfill the Final Request: An Evaluation With a Request to Give Blood

We tested the Door-in-the-Face technique (DITF) on blood donation with a delay between the acceptance of the request and the real possibility of complying with it. University students were solicited to give blood during a special one-day drive. After the refusal to participate in a long-term donor program, participants were asked for a one unit blood donation. In the control condition, only the latter request was addressed. The participants were either solicited two or three hours before the blood drive (delay) or during the blood drive (no delay). Results showed the DITF technique to be associated with greater verbal compliance with the request. However, the DITF technique with no delay was associated with greater behavioral compliance than were both of the control conditions and the DITF with a delay condition.     

Proactivity towards workplace safety improvement: an investigation of its motivational drivers and organizational outcomes

Initiating a safety oriented change—or safety initiative—is conceptually distinct from other forms of safety participation and safety citizenship behaviour, yet little attention has been given to its performance outcomes or its motivational antecedents. An initial study with a sample composed of middle managers (N = 86) showed that safety initiative predicted objective improvement actions 6 months later, whereas, showing differential validity, safety compliance predicted the implementation of monitoring actions. Two subsequent studies focused on motivational antecedents. First, using a sample of team leaders (N = 295), we tested a higher-order structure of proactive motivation that incorporates three domains: “can do”, “reason to” and future orientation. Second, in a longitudinal study of chemical work operators (N = 188), after checking for the influence of potential confounders (past behaviours; accidents experience; perceived risk), we showed that safety initiative was predicted only by proactive motivation. Instead, safety compliance was found to be associated with affective commitment and scrupulousness, whereas safety helping was found to be associated with affective commitment. Self-reported behaviours were validated against rater assessments. This study supports the importance of distinguishing safety initiative from other safety behaviours, indicating how to create an organizational context supporting a proactive management of workplace safety.     

Electronic Monitoring of Medication Adherence: When Is High-Tech Best?

The accurate measurement of medication adherence is challenging, particularly in pediatrics. Electronic monitoring has been proposed as a possible gold standard for medication adherence measurement. Electronic monitoring permits the evaluation of patterns of medication use and dose-response relationship and may be a useful part of adherence promotion interventions. The use of these devices, however, is not without costs and cautions including, expense, malfunctioning, and interference with existing adherence routines. This review examines the costs and benefits of using electronic monitoring of adherence as well as the reliability and validity of electronic monitoring in general and, where possible, for specific devices (i.e., MEMS, MDIlog, and Doser). Finally, we provide recommendations for quality control protocols to minimize many of the problems encountered when using such devices. Ultimately, the choice of adherence measurement strategy should be based on the goal of the study and the resources available.     

Adherence to antiretroviral therapy for pediatric HIV infection: review of the literature and recommendations for research

This review described and compared empirical investigations of adherence to pediatric antiretroviral therapy (ART) and predictors/correlates of adherence with regard to methodology and outcome. Thirteen empirical studies of children's adherence to ART, conducted between the years 1981 and 2002 were identified. Investigations varied by age of participant, drug therapy regimen, method of adherence assessment, and by the reporting of predictors/correlates of adherence. Conclusions from the literature are limited by the lack of common sample characteristics and adherence assessment methodologies. Nevertheless, consistent with much of the pediatric adherence literature, adherence to antiretroviral medications among children and adolescents appears to be frequently suboptimal. Few investigations identified predictors/correlates of adherence, but these appear generally similar to those found in adult samples. Recommendations for future investigations are proposed.     

The Predictive Power of Horney’s Psychoanalytic Approach: An Empirical Study

This study investigated the construct validity of a measure of Karen Horneys (1945) psychoanalytic theory that postulated three neurotic trends: compliant, aggressive, and detached. Her theory was operationalized by the Horney-Coolidge Type Indicator (HCTI). One hundred seventy-two adults completed the HCTI and the short form of the Coolidge Axis II Inventory, a measure of the three DSM-IV personality disorder clusters. Multiple regression and canonical correlation analyses revealed significant and differential patterns of the three HCTI dimensions with the three clusters. Because Paris (1994) has noted that Horneys neurotic trends may today be conceived of as personality disorders, one implication of the present findings is that Horneys dynamic theory can be valid and useful in the general understanding of personality disorders from a cluster perspective.     

Mand compliance as a contingency controlling problem behavior: A systematic review

Bowman et al. (1997) described a dynamic contingency in which severe problem behavior was evoked by adult noncompliance with a variety of child mands, which occurred at high rates, and was reinforced by adult compliance with subsequent mands. They discovered this phenomenon with 2 children for whom standard functional analyses were inconclusive. In recent years, similar contingencies have been shown to influence problem behavior, but the manner in which they have been arranged and described has varied across studies. The purpose of this literature review is to (a) describe contingencies involving mand compliance and the circumstances under which they have been evaluated, (b) summarize procedural variations in analysis and treatment, and (c) discuss what is known and yet to be discovered about the contingency as it relates to problem behavior. Future research focused on improving technology for analyzing and treating problem behavior suspected to be sensitive to mand compliance is discussed.     

Sports Media Representations of Concussions in the National Rugby League

Objective

Concussion is poorly understood by the general public who are regularly exposed to this type of injury via televised sports such as the National Rugby League (NRL). This study investigated media representations of concussion by examining the terminology used by the commentators during the 2010 and 2011 NRL seasons.

Method

Data was obtained through a surveillance design where commentary statements were recorded for each observable concussion.

Results

Dramatic terminology was the most frequently used followed by entertaining and humorous terminology. Commentators often portrayed the way the incident had occurred and the player's reaction to being concussed. However, information about a player sustaining an injury that required medical attention was rarely conveyed.

Conclusion

Media tend to trivialise concussion and this may have an impact on the public's knowledge of, and influence their response to, concussion.     

Effects of three-step prompting on compliance with caregiver requests

Three-step prompting is a procedure commonly used in behavioral assessments and interventions; however, little research has evaluated the effects of this procedure on increasing children's compliance with caregiver requests. In this study, caregivers of children who demonstrated low levels of compliance were trained to use three-step prompting when presenting task requests to their children. Results indicated that training caregivers to implement this procedure decreased the frequency of caregiver-delivered prompts and increased compliance by the children.