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

the IMB model was appropriate to evaluate SMBG adherence in patients with diabetes. The depth of understanding of information gaps, motivational obstacles and behavioral skills limitations has helped us identify areas of patient education, professional education and development to improve products and services that Bayer can provide to customers."

Study Design

The current research applied the IMB skills model of health behavior to identify correlations of frequency and adherence to recommended frequency of SMBG in a sample of 426 adults with type 1 and type 2 diabetes (type 1=208 and type 2=218).  Participants were enrolled in the Chronic Illness Panel of Harris Interactive and completed the survey online. Thirty-five SMBG information questions were rated on a 5-point like scale. Twenty-five SMBG motivation items were queried on 5-point and 7-point scales, and 34 SMBG behavioral skills items were rated on a 5-point scale. This was a cross-sectional study, which is a study done at one point in time, not over the course of time, and can measure the distribution and current relationships of characteristics of interest in a defined population.

Respondents who indicated strong disagreement, disagreement or neutral responses to correct information, or strong agreement, agreement or neutral responses to incorrect SMBG information were considered "uninformed." Motivational items evaluating attitudes to personal performance of SMBG were assessed on a 5-point or 7-point scale and respondents on the negative side of the scale were coded as unmotivated.  On the SMBG behavioral skills scales, those who responded on the very difficult or difficult side of the scale were coded as "unskilled."

Correlational analyses were conducted to assess the relationship between SMBG information, motivation and behavioral skills with a
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SOURCE Bayer Diabetes Care
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