OBJECTIVE: To investigate the importance of viewing belief systems about health maintenance holistically. METHODS: Qualitative (N=74) and quantitative data (N=95) were obtained from a multi-ethnic rural-dwelling sample of older adults with diabetes to characterize their common sense models (CSMs) of diabetes. RESULTS: There is a discrete number of CSMs held by older adults, each characterized by unique clusters of diabetes-related knowledge and beliefs. Individuals whose CSM was shaped by biomedical knowledge were better able to achieve glycemic control. CONCLUSIONS: Viewing individuals' health beliefs incrementally or in a piece-meal strategy may be less effective for health behavior change than focusing on beliefs holistically.
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Grzywacz et al. (2011) studied this question.
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