Author : Pamela Matthew
Publisher :
ISBN 13 :
Total Pages : 28 pages
Book Rating : 4.:/5 (11 download)
Book Synopsis The Relationship Between Self-efficacy and Pre-diabetes Diagnosis Among Black and Latino East Harlem Adolescents by : Pamela Matthew
Download or read book The Relationship Between Self-efficacy and Pre-diabetes Diagnosis Among Black and Latino East Harlem Adolescents written by Pamela Matthew and published by . This book was released on 2017 with total page 28 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction: Nearly 1 in 4 US teens have diabetes or pre-diabetes. There is an annual 10% progression from pre-diabetes to diabetes and up to 70 % of people with pre-diabetes develop Type 2 diabetes. Type 2 diabetes disproportionately affects low-income communities including East Harlem which currently has the highest rates of obesity and diabetes in NYC. This disease burden is especially prevalent among Black and Hispanic youth. The goal of Project TEEN HEED (Help Educate to Eliminate Diabetes) is to improve dietary and physical activity self-efficacy and behaviors and decrease the risk of diabetes among pre-diabetic adolescents in East Harlem, NY.Objective: To determine if there is an association between self-efficacy and the diagnosis of pre-diabetes among adolescents in East Harlem.Methods: Utilizing a community based participatory research (CBPR) collaborative approach, community members and researchers on the TEEN HEED community action board (CAB) developed a lifestyle/health risk survey. Previously validated scales were included to assess diet and physical activity self-efficacy. We analyzed responses to 13 diet self-efficacy questions (8 related to social/emotional factors with a maximum score of 40 and 5 related to behavioral factors with a maximum score of 25) and 6 physical activity self-efficacy questions with a maximum score of 30. Overweight/obese adolescents were screened for pre-diabetes using an oral glucose tolerance test. A cross-sectional analysis (two sample t-test) was used to determine whether there is an association between self-efficacy and pre-diabetes diagnosis.Results: At the time of data analysis for this thesis, 39 adolescents had completed pre-diabetes screening (14 were diagnosed with pre-diabetic sugar levels and 25 were found to have normal sugars). In terms of social/emotional diet self-efficacy, the mean (sd) scores were 22.07 (6.09) in the pre-diabetic group and 26.28 (7.36) for the non-prediabetic group, p=0.08. For behavioral diet self-efficacy, the mean (sd) scores were 19.14 (4.35) in the pre-diabetic group and 19.92 (4.28) in the non-pre-diabetic group, p=0.59. Finally, for physical activity self-efficacy, the mean (sd) scores were 19.92 (5.36) in the pre-diabetic group and 19.40 (6.13) in the non-prediabetic group, p=0.79.Conclusion: In this preliminary analysis, we found no significant differences in diet or physical activity self-efficacy levels between pre-diabetic and non pre-diabetic teens. This study was limited due to small sample size. However, this research is helpful in understanding the potential role of self-efficacy on clinical outcomes and may help inform future behavioral interventions focused on lifestyle modification and weight loss.