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Information-Motivation-Behavioral Skills Analysis Advances Understanding of Barriers to Self-Monitoring of Blood Glucose
Date:6/26/2010

tations that stand in the way of adherence to SMBG. Additionally, they suggest that an IMB skills model for understanding SMBG may be conceptually and empirically worthwhile and may provide a basis for supportive educational and clinical interventions to assist individuals with diabetes to adhere to SMBG recommendations.

"There is a considerable amount of medical literature about adherence in diabetes, and a wide range of interventions have been shown to have a positive effect on knowledge, frequency and accuracy of SMBG. Maintaining change in SMBG over time has been variable, however, and may be dependent upon regular reinforcement. What's been lacking is a well-integrated behavioral science model of factors that influence SMBG adherence," said Dr. Fisher. "We are gratified to see that the IMB for understanding and promoting health behavior change has worked well in a number of areas, including the prediction and promotion of safer sexual behavior, medication adherence, and other areas, providing evidence of utility in understanding SMBG in diabetes."

According to the IMB model, information about SMBG that is directly translatable into adherence and appropriate glycemic control based on blood sugar results, motivation to act on this information, and behavioral skills for acting effectively are the fundamental determinants of SMBG adherence. Well-informed and well-motivated individuals will apply their behavioral skills to affect adherence to SMBG over the long run. Health outcomes of SMBG form a feedback loop that can strengthen or weaken SMBG information, motivation and behavioral skills, and moderating factors in an individual's environment—such as competing demands from family and work—may also influence a person's ability to engage in SMBG.

Dr. Fisher presented the study in a poster, "Understanding Self-Monitoring of Blood Glucose: An Information-Motiv
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SOURCE Bayer Diabetes Care
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