Assessing daily management of childhood diabetes using 24-hour recall interviews: reliability and stability

Health Psychol. 1991;10(3):200-8. doi: 10.1037//0278-6133.10.3.200.


Conducted 24-hr recall interviews concerning daily diabetes management with seventy-eight 6- to 19-year-old patients and their parents. Patients and parents were interviewed independently nine times over 3 months. Data obtained were used to construct 13 adherence measures. All measures yielded statistically significant estimates of parent-child concordance. Parent-child agreement was higher for weekday versus weekend behaviors and when based on nine versus three interviews. For the sample as a whole, parent-child concordance remained stable over the course of the study. Compared to the older patients, the 6- to 9-year-olds exhibited poorer parent-child agreement on measures involving time (e.g., injection and exercise-duration measures). This deficit disappeared, however, as the children became more practiced with the interview procedure. The dietary and glucose-testing measures exhibited moderate stability over the 3-month study. Lower stability estimates were obtained for the exercise and injection measures.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Activities of Daily Living / psychology
  • Adolescent
  • Blood Glucose Self-Monitoring / psychology
  • Child
  • Diabetes Mellitus, Type 1 / psychology
  • Diabetes Mellitus, Type 1 / therapy*
  • Diet, Diabetic / psychology
  • Drug Administration Schedule
  • Exercise
  • Female
  • Humans
  • Injections
  • Insulin / administration & dosage
  • Male
  • Mental Recall*
  • Patient Compliance / psychology*
  • Sick Role*


  • Insulin