Author : Dawn B. Van Alphen
Publisher :
ISBN 13 :
Total Pages : 132 pages
Book Rating : 4.:/5 (927 download)
Book Synopsis Psychosocial Predictors of Glycemic Control I Underserved Type 2 Diabetics by : Dawn B. Van Alphen
Download or read book Psychosocial Predictors of Glycemic Control I Underserved Type 2 Diabetics written by Dawn B. Van Alphen and published by . This book was released on 2005 with total page 132 pages. Available in PDF, EPUB and Kindle. Book excerpt: Type 2 diabetes is a chronic metabolic disease that can be maintained with adjustments in lifestyle and medical intervention that has been proven to minimize complications that occur over time if the disease is not controlled. The benchmark of determining diabetic status is maintenance of glycemic control, which frequently involves radical lifestyle changes, medication management, and stress reduction. Incidence of Type 2 diabetes in underserved minority populations is increasing rapidly; subsequently, those lacking financial resources, medical insurance coverage, education, and family support have even lower rates of glycemic control. Psychological, social, and physical stressors contribute negatively to treatment adherence and overall disease outcome. Uninsured/underinsured minorities have more difficulty achieving and maintaining glycemic control and therefore have poorer overall diabetes outcomes when compared with diabetics who have adequate resources. In order to improve long-term treatment prognosis in this population, current methods of assessing psychosocial factors should be tailored to meet the special needs of this population. The purpose of the current study aimed to investigate the relationship between control of Type 2 diabetes and psychosocial factors in a group of uninsured/underinsured diabetic individuals receiving care at an urban public hospital. Medical records, demographic data, and information obtained from self-report instruments were collected at initial outpatient visits. The current study involved analysis of three self-report instruments designed to measure emotional, psychiatric, and general difficulties involved in maintaining the recommended diabetic lifestyle. From the 62 participants who met the inclusion criteria, completed the questionnaires and self-reports instruments, a total of 50 participants were randomly assigned to either a control or experimental group. These 50 participants were assigned to either a single session of Motivational Interviewing (MI) or psychiatric intake interview/treatment as usual (TAU) in order to determine the effect of brief MI on glycemic control and readiness to change health related behaviors. Information gathered from the remaining 12 participants was included in all but the MI/TAU data analyses. All participants completed questionnaires and self-report instruments of the Problem Areas in Diabetes (PAID), Brief Symptom Inventory (BSI), Stages of Change (SOC), and Diabetes Knowledge Test (DKT). Data was examined using regression and correlation models to investigate the predictive value of psychosocial factors on glycemic control. Results of this study did not successfully demonstrate a significant relationship between glycemic control (HbAlc) emotional stress; psychiatric symptoms and general problems related to diabetes in the population sampled nor did they illustrate a significant relationship between glycemic control and readiness to change health related behaviors or additional variables such as employment status, and activity level. Cultural factors affecting the current findings are discussed along with the importance of exploring ethnic variables related to lifestyle changes and limitations of current treatment protocols. Recommendations for future research including underserved minority populations are addressed.