Author : Ya-Ching Huang
Publisher :
ISBN 13 :
Total Pages : 392 pages
Book Rating : 4.:/5 (124 download)
Book Synopsis The Impact of Illness Perception, Diabetes Management Self-efficacy, and Emotional Distress on Type 2 Diabetes Self-management Among Americans with Chinese Backgrounds by : Ya-Ching Huang
Download or read book The Impact of Illness Perception, Diabetes Management Self-efficacy, and Emotional Distress on Type 2 Diabetes Self-management Among Americans with Chinese Backgrounds written by Ya-Ching Huang and published by . This book was released on 2018 with total page 392 pages. Available in PDF, EPUB and Kindle. Book excerpt: This descriptive correlational study explored the relationships of diabetes illness perception (consequences, personal control, treatment control, and cause), emotional distress (diabetes distress and depressive symptoms), and diabetes management self-efficacy with diabetes self-management activities; the mediator effects of diabetes management self-efficacy on the relationship between diabetes illness perception (consequences, personal control, treatment control, and cause) and self-management activities; and the moderator effects of emotional distress (diabetes distress and depressive symptoms) on the relationship between diabetes illness perception and self-management activities among Americans with Chinese backgrounds. The conceptual framework was based on an adaptation of Leventhal’s Common- Sense Model of self-regulation. A hundred and fifty-three survey participants with Type 2 diabetes were recruited from Chinese speaking communities in three major metropolitan areas in Texas. Participants average age was 69.1 years old, female (52.3%), and had at least a high school education. Their average acculturation score was 14.82 ± 7.66 (relatively low). The average number of comorbidities was 1.30 ± 1.27; participants were diagnosed with T2DM for an average of 13.43 ± 10.20 years; 14.4% were prescribed insulin. A mean item score for diabetes self-management self-efficacy was 7.4 out of 10. Diabetes distress mean score was 2.36, indicating a moderate level of distress. The average score of depressive symptoms was 11.25, and 24.8% of the participants met the clinical definition of depression. Participants performed diabetes management activities about 4.3 days out of the preceding 7 days. The significant bivariate correlations among variables included older age, longer years of diabetes, insulin usage, lower acculturation level; and participants with higher self-efficacy were more likely to report having better self-management activities. Neither illness perceptions nor emotional distress were found to be significant predictors of diabetes self-management in hierarchical multiple models. However, age, duration of diabetes, and self-efficacy were shown to significantly predict self-management. Self-efficacy also significantly mediated the relationship between illness perceptions and self-management activities; and the relationship between emotional distress and self-management activities. These findings contribute to our understanding of the factors that facilitate patients of Chinese American backgrounds to perform self-management activities on a daily basis
