Abstract
This study aims to explore the relationship among Locus of Control (LOC), Delay of gratification (DOG) and Adherence to treatment (ATT) in people living with type 2 diabetes (PLWT2D), who are overweight and normal weight. A sample of 100 PLWT2D, including 50 overweight (body mass index≥23) and 50 normal weight (body mass index=18.50–22.99), was recruited via purposive sampling technique. Delay of Gratification Inventory, Adult Nowicki-Strickland, Internal-External Control Scale and Summary of Diabetes Self-care Activities Measure were used. Pearson product-moment correlation, independent sample t-test and testing mediation with regression analysis were used for analysis. The results indicated that adherence to treatment and delay of gratification showed a negative relationship with locus of control while treatment adherence showed a positive relationship with delay of gratification. The results also showed that delay of gratification completely mediated the association between adherence to treatment and locus of control (p>.003). There was no difference between locus of control, delay of gratification and adherence to treatment in overweight and normal-weight PLWT2D. The present study results would be beneficial for PLWT2D, counsellors, and doctors to help explore these factors while planning management and implementing them in daily life activities. Keywords: Delay of gratification, Adherence to treatment, diabetes, Locus of control.
Highlights
Type 2 diabetes mellitus (T2DM) has become a growing concern in recent years because it has become the leading cause of disability and mortality (80%) in comparison to other infectious diseases (WHO, 2009)
The results indicate that Adherence to treatment (ATT) and Delay of gratification (DOG) have a negative relationship with Locus of Control (LOC), while ATT has a positive relationship with DOG
The present study results show that ATT has a negative relationship with LOC and a positive relationship with DOG
Summary
Type 2 diabetes mellitus (T2DM) has become a growing concern in recent years because it has become the leading cause of disability and mortality (80%) in comparison to other infectious diseases (WHO, 2009). According to the bio-psychosocial model, some psychosocial factors affect adherence to treatment (ATT) in PLWT2D, such as stigmatization, identity issues, self-concept, achievement of the desired goals and control over behaviors This model helps us understand that adherence can be affected by psychological and social factors, either internal or external, which affect attitudes towards daily life patterns. The major factor that can affect the adherence and self-management in PLWT2D is lifestyle patterns, lack of control and delay in gratification is prominently a troublesome issue for most people in South-Asian communities as they do not start abstaining from unhealthy food until their condition gets serious (Jafar, Chaturvedi & Pappas, 2006). Studying the lifestyle of people with diabetes is a topic which needs to be researched in the context of our national scenario These factors like delaying attitude and lack of control in daily lives need improvement to control diabetes by enhancing adherence to medical recommendations. The mediating role of variables was studied depending on the previous studies (Chew, Shariff-Ghazali & Fernandez, 2014; Stupiansky et al, 2012) due to which it was proposed that psychosocial factors like delay in gratification can act as mediator and can predict impulse or locus of control which exert impact on adherence
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
