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Deciphering Diabetes: A Study of the...

Pullyblank, Kristin,

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Deciphering Diabetes: A Study of the Rural Profile, Health Beliefs, Self-Management Behaviors, and Health Outcomes /

Record Type:	Electronic resources : Monograph/item
Title/Author:	Deciphering Diabetes: A Study of the Rural Profile, Health Beliefs, Self-Management Behaviors, and Health Outcomes // Kristin Pullyblank.
Author:	Pullyblank, Kristin,
Description:	1 electronic resource (193 pages)
Notes:	Source: Dissertations Abstracts International, Volume: 84-12, Section: B.
Contained By:	Dissertations Abstracts International84-12B.
Subject:	Nursing. -
Online resource:	https://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=30419099
ISBN:	9798379732998

Deciphering Diabetes: A Study of the Rural Profile, Health Beliefs, Self-Management Behaviors, and Health Outcomes /
Pullyblank, Kristin,

Deciphering Diabetes: A Study of the Rural Profile, Health Beliefs, Self-Management Behaviors, and Health Outcomes /Kristin Pullyblank. - 1 electronic resource (193 pages)

Source: Dissertations Abstracts International, Volume: 84-12, Section: B.

Background: The rural United States faces a diabetes mortality penalty. A core component of treatment for type 2 diabetes is engaging in good self-management behaviors, but there is low uptake of diabetes self-management education and support interventions in rural areas. Rural geographic and socioeconomic barriers to better diabetes outcomes have been described, yet the role of rural culture has not been extensively explored. Purpose: The purpose of this study was to examine the complex relationships among the rural profile, diabetes beliefs, self-management behaviors and health outcomes in rural New York. Methods: The health belief model and rural nursing theory conceptually guided the study. A random sample of 500 adults with type 2 diabetes were recruited from a rural integrated health care system and invited to participate in this non-experimental study. Participants were asked to complete a survey that include validated measures of rural identity, self-reliance, perceived diabetes threat, and diabetes self-management behaviors. The most recent A1c was also collected from the medical record. Descriptive, bivariate, multivariate and moderation analyses were conducted. Results: One hundred twenty-eight individuals returned completed surveys. Having an A1c < 8% was associated with better diabetes self-management behaviors, lower perceived threat, being female, and being older. Better diabetes self-management behaviors were associated with having lower self-reliance, lower perceived threat, and being older. Exposure to diabetes self-management education and support was associated with higher perceived threat. The combined moderation effect of both self-reliance and rural identity on the relationship between perceived threat and self-management behaviors was statistically significant. Conclusion: The findings highlight the complexity of the relationship between diabetes beliefs and diabetes behavior in rural populations. Contrary to the original health belief model, the study results indicated that in addition to belief predicting behavior, behavior can also influence belief. In addition, this was the first study to measure the effect of the rural profile on diabetes beliefs and behaviors within the health belief model, and to demonstrate that components of the rural profile have both direct and moderating effects on diabetes beliefs and self-management behaviors.

English

ISBN: 9798379732998Subjects--Topical Terms:

528444
Nursing.
Subjects--Index Terms:

Diabetes

Deciphering Diabetes: A Study of the Rural Profile, Health Beliefs, Self-Management Behaviors, and Health Outcomes /
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