Problem solving and diabetes self-care

J Behav Med. 1991 Feb;14(1):71-86. doi: 10.1007/BF00844769.


An important objective of diabetes care is to provide patients with self-regulation skills. For patients to assume responsibility for their own regimens, they need to have good problem-solving skills to cope with ongoing personal, social, and environmental barriers to adherence. Therefore, a Diabetes Problem Solving Interview for adults was developed and evaluated with 126 non-insulin-dependent outpatients. Interviewers elicited problem-solving strategies patients would use to cope with a variety of situations potentially interfering with dietary, exercise, and glucose testing adherence. Interviews were tape recorded and coded by trained raters to produce scores on both overall problem-solving skill ratings and frequency of use of different types of strategies. Results revealed only minor influences of patient characteristics on problem-solving measures. Prospective analyses revealed that problem-solving measures were significant and independent predictors of levels of dietary and exercise self-care at a 6-month follow-up.

Publication types

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

MeSH terms

  • Activities of Daily Living / psychology*
  • Adaptation, Psychological
  • Adult
  • Aged
  • Aged, 80 and over
  • Blood Glucose Self-Monitoring / psychology
  • Diabetes Mellitus, Type 2 / psychology*
  • Diet, Diabetic / psychology
  • Exercise
  • Female
  • Humans
  • Male
  • Middle Aged
  • Patient Compliance / psychology*
  • Patient Education as Topic
  • Personality Assessment
  • Personality Inventory
  • Problem Solving*
  • Prospective Studies
  • Sick Role*