Дисертації з теми "Diabetes psychology"
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1
Asimakopoulou, Koula Georgia. "Cognitive function in type 2 diabetes : relationship to diabetes self management." Thesis, University of Surrey, 2001. http://epubs.surrey.ac.uk/835/.
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2
Dodd, Julia. "Psychosocial Factors in Diabetes Care." Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etsu-works/7347.
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3
Caramlau, Isabela Oana. "Diabetes and depression." Thesis, University of Birmingham, 2012. http://etheses.bham.ac.uk//id/eprint/3899/.
Повний текст джерелаАнотація:
Volume 1 of the thesis contains the research component. Paper one is a systematic review of longitudinal studies looking at the association between depression and diabetes complications. Paper two describes a prospective longitudinal study, examining risk factors for postnatal depression in women with gestational diabetes. Paper three is a public dissemination document. Volume 2 of the thesis contains clinical practice reports (CPRs). The reports reflect work conducted during clinical placements, as follows: 1) psychological models CPR (A cognitive-behavioural and psychodynamic formulation in the case of Samuel, a 28-year old man with phobia of falling following an acquired brain injury); 2) service-related CPR (Adherence to initial goal planning meeting clinical standard in an outpatient brain injury rehabilitation service. Factors acting as barriers and facilitators); 3) single-case experimental design CPR (Cognitive behavioural intervention in the case of Alice, a 15-year old White British female with obsessive-compulsive symptoms); 4) case study CPR (The case of Monique, a 55-year old White British female with mild learning disabilities presenting with challenging behaviour); 5) case-study CPR – abstract (The case of Martin, a 67-year old White British male presenting with hypochondriasis). Names and other identifying materials in all the reports were changed in order to protect confidentiality.
4
Girdwood, Candace P. Nezu Arthur M. "Predicting adherence in a multifaceted medical regimen /." Philadelphia, Pa. : Drexel University, 2004. http://hdl.handle.net/1860/2530.
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5
Macrodimitris, Sophia D. "Coping, control, and adjustment in type 2 diabetes." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp01/MQ39211.pdf.
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6
Lum, Fiona. "An investigation into the relationship between social support, adjustment to diabetes and health outcomes in adolescents with diabetes." Thesis, Bangor University, 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.263188.
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7
Maher, Kathryn. "Assessment of Diabetes Regimen Disease Care in Youth with Type 1 Diabetes via the Diabetes Behavior Rating Scale and the 24-Hour Diabetes Interview." VCU Scholars Compass, 2011. http://scholarscompass.vcu.edu/etd/185.
Повний текст джерелаАнотація:
The psychometric properties of two measures of diabetes disease care, the Diabetes Behavior Rating Scale (DBRS) and the 24-hr Diabetes Interview (24-hr) were evaluated. The 24-hr is a widely used, structured interview while the DBRS is a self-administered, fixed-choice questionnaire. Both measures were administered to 250 youth with Type 1 Diabetes (aged 11–14 years) and their parents. Overall, both measures demonstrate adequate psychometric properties. The DBRS and the 24-hr demonstrated good incremental validity and low convergent validity with each adding significant additive value. Both measures demonstrated good concurrent validity with HbA1c. As expected, scores on the 24-hr demonstrated less than adequate test-retest reliability and both measures demonstrated low parent/youth agreement. Interestingly, external validity analyses demonstrated DBRS scores were moderately related to HbA1c in non-pump but not pump regimens, while the 24-hr displayed acceptable external validity. Only three subscales significantly contributed to HbA1c suggesting a more parsimonious assessment measure. This novel, brief combination could prove efficacious for clinical practice.
8
Caracciolo, Dana Andriana. "Children's Literature and Diabetes." Thesis, Virginia Tech, 2007. http://hdl.handle.net/10919/31824.
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My studies consider the genre of children's literature, specifically picture books, and their treatment of the topic of diabetes. I frame my argument with an examination of diabetes, the psychological effects of diabetes on the child, the need of thorough education about diabetes. I argue for the use of the picture book as an effect tool in educating and socializing the diabetic child. I first explore the implications of diabetes and the long term complications caused by one's poor control of the disease. I then explore the psychological ramifications of a chronic illness on the young child. Next I assert the need to combine the physiological and psychological factors of diabetes into a responsible text for children, one which both serves as an educating tool and a source of comfort in difficult times with the disease. I conclude my studies with critiques of existing materials in the limited genre and compare them to the story I have written for children about diabetes.Master of Arts
9
Cain, Samantha Marie Cain. "The Relationship Between Type 2 Diabetes and Depression." University of Toledo / OhioLINK, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=toledo1461930388.
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10
Riazi-Esfahani, Afsane. "Psychological stress and diabetes control in insulin-dependent diabetes (IDDM) : individual differences in stress-reactivity and response to relaxation training." Thesis, Royal Holloway, University of London, 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.286159.
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11
Evans, Julie Kwon. "Physical Activity, Healthcare Use, and Medication Use In Diabetes Patients." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7866.
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Physical Activity, Healthcare Use, and Medication Use in Diabetes Patients
by
Julie Kwon Evans
MS, The Chicago School of Professional Psychology, 2013
Dissertation Submitted in Partial Fulfillment
of the Requirements for the Degree of
Doctor of Philosophy
Psychology
Walden University
November 2019
12
Hall-Johnson, Richard Earl. "Effects of Acute and Chronic Glycemic Control on Memory Performance in Persons with Type II Diabetes Mellitus." Thesis, University of North Texas, 1995. https://digital.library.unt.edu/ark:/67531/metadc279158/.
Повний текст джерелаАнотація:
Memory performance was measured in 48 persons between the ages of 40 - 65 with Type II diabetes. Correlations between performance on the California Verbal Learning Test, tests of Working Memory, Priming Memory, and Prospective Memory and several predictor variables were examined. These variables included the Slosson Intelligence Test Scores, demographic variables, presence of diabetic complications, finger-stick and HbA1c measures. Subjects performed worse than the normative sample on the California Verbal Learning Test. Higher chronic and acute blood glucose tended to be associated with worse performance on the CVLT, Priming, and Working Memory. However, after the effects of intelligence, education, and sex were statistically controlled, glycemic status predicted performance on just a few memory measures. These were short-delay recall compared with recall on List A trial 5, and List B on the CVLT, and recall accuracy on digit forward of the Working Memory Test. Glucose status was unrelated to performance on a prospective memory test. Several other demographic and diabetic complication factors predicted performance beyond the contribution of intelligence. These results contrast with previous studies which found strong effects of glycemic control, but did not statistically control for the contribution of intelligence. Differential effects of diabetic status on different aspects of memory were discussed.
13
Hare, Jess. "Perceived influences of the self and others in diabetes." Thesis, University of Hull, 2015. http://hydra.hull.ac.uk/resources/hull:13073.
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This portfolio has three parts. Part one is a systematic literature review, in which the existing research literature is reviewed for evidence of diabetes related social anxiety in adolescents. Part two is an empirical paper, which explores individuals’ experiences and perceptions of influence around amputations related to type 2 diabetes. Part three comprises the appendices, containing supporting information for the systematic literature review and empirical paper, in addition to an epistemological and a reflective statement.
14
Gleeson, Jessica Rachael. "The experiences of people with diabetes mellitus and hypoglycaemia unawareness." Thesis, University of Hull, 2017. http://hydra.hull.ac.uk/resources/hull:16420.
Повний текст джерелаАнотація:
This portfolio thesis contains three separate parts: a systematic literature review, an empirical study and a set of associated appendices. Part one is a systematic literature review which synthesises published literature which explores the experiences of those who care for an adult who has hypoglycaemia. A systematic database search identified nine articles which were included in the review. The synthesis resulted in four overarching themes: emotional impact on the caregiver, effect on the partnership, restricting activities and seeking knowledge and support. Overall results are discussed in terms of their quality and their implications for future research and clinical practice. Part two is an empirical paper exploring patient experiences of having both diabetes mellitus and hypoglycaemia unawareness. A qualitative methodology was used to explore lived experiences. Six participants shared their subjective experiences which were analysed using Interpretative Phenomenological Analysis. Three overarching themes were identified: ‘I call my diabetes the beast because it just doesn’t do as it’s told,’ ‘It’s like waking up every day with a giant above your bed saying right; you’ve got to look after me today’ and ‘I’ve got this condition and it’s ruining my life. I just want to be normal.’ The findings are considered within the context of existing literature and clinical implications are discussed. Part three includes appendices from both the systematic literature review and the empirical paper. An epistemological statement and a reflective statement outlining the research process are also included.
15
Carvalho, Maria Manuela Garcia de. "Alexitímia e diabetes: Contributos para um estudo." Master's thesis, Instituto Superior de Psicologia Aplicada, 2004. http://hdl.handle.net/10400.12/413.
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Dissertação de Mestrado em Psicopatologia e Psicologia ClínicaO presente trabalho pretende ser uma reflexão acerca do sentido de que se pode revestir uma doença, como a diabetes e ainda sobre se existe persistência de alexitímia, nesse estado. Trata-se de um estudo exploratório que partiu do conceito utilizado por Sífneos (1973) a alexitímia - termo que vem do grego a (sem) lexis (palavra), thymus (ânimo na afectividade) que designou como sendo a dificuldade que determinados indivíduos têm para expressar ou descrever os seus estados emocionais. A amostra foi composta por dois grupos: sujeitos diabéticos e não diabéticos de ambos os sexos. Utilizou-se um questionário para a obtenção de dados pessoais e a Escala de Alexitímia de Toronto de 20 itens (TAS-20), instrumento de avaliação das características alexitímicas com boa validade e fidelidade interna. Os resultados obtidos permitiram identificar a presença do fenómeno alexitímico na amostra dos sujeitos diabéticos. Em termos de conclusão percebemos que o ser diabético pode e deve ser considerado como uma partida para a cura de algo mais do que para o físico, tendo assim, presente, uma visão integradora do ser. Fica o desejo do prosseguir a realização de estudos complementares que possam ser úteis.
16
Morgan, Kari. "Developmental Aspects of Diabetes knowledge." VCU Scholars Compass, 2008. http://scholarscompass.vcu.edu/etd/1612.
Повний текст джерелаАнотація:
The Test of Diabetes Knowledge (TDK) was studied to determine its appropriateness for children. Early onset diabetes was examined for residual effects on poorer adolescent understanding of diabetes and problem solving that could affect self-care behaviors. Participant groups were created as children (<12) and adolescents (≥12). A second division created a group of adolescents with early onset disease (EOD < 12 years) and with late onset disease (LOD >12 years). Participants were predominantly Caucasian and from middle class families. 51% were boys with an average age of 12.95 years, disease duration of 4.35 years and onset age of 8.58 years. Children scored significantly lower and responded “I don’t know” significantly more often for all levels of knowledge when compared to adolescents. EOD and LOD group differences in problem-solving knowledge were not found for adolescents, although duration accounted for a significant amount of variance in the model. Post-hoc regression indicated a significant negative relationship between duration and knowledge. EOD and LOD group differences were not found in self-care behaviors. The TDK does not appear to be developmentally appropriate for children. EOD adolescents do not differ from LOD adolescents on problem solving questions; mean scores indicate the lack of abstract knowledge seen in children may be resolved with the transition into adolescence. Results indicate the longer a child has diabetes the less knowledge they appear to retain.
17
Smith, Jade Pauline Marie. "Anxiety, illness, beliefs and management of child type 1 diabetes." Thesis, University of Hull, 2010. http://hydra.hull.ac.uk/resources/hull:3472.
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18
Lang, James David St John. "The self-management of the diabetes regimen by children and adolescents." Thesis, University of Exeter, 1992. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.333545.
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19
Minich, Lisa. "Quality of Diabetes Care: Linking Processes to Outcomes." University of Cincinnati / OhioLINK, 2010. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1291051784.
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20
Drake, Bradley Stuart. "A cognitive conceptualization of depression in adults with diabetes mellitus." Thesis, Stellenbosch : Stellenbosch University, 2003. http://hdl.handle.net/10019.1/53231.
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Thesis (MA)--University of Stellenbosch, 2003.ENGLISH ABSTRACT: Individuals diagnosed with diabetes mellitus are at an increased risk for developing depression. According to the literature, depression in diabetes mellitus has been associated with a poorer quality of life, poorer regimen adherence, poorer adjustment to diabetes, poorer glycaemic control, and an increased risk of developing diabetes related complications. While the role of certain psychosocial determinants in the onset and maintenance of depression has been investigated, mental health professionals and researchers have neglected the task of conceptualizing the relationship between depression and diabetes from a psychological perspective. This assignment presents a psychological conceptualization of the relationship between diabetes and depression, using Beck's (1967, 1979) cognitive model of depression as a framework. This conceptualization may serve as a means of theoretically understanding the relationship between these two conditions and as a framework in directing future research on this relationship.
AFRIKAANSE OPSOMMING: Individue wat met diabetes mellitus gediagnoseer word, toon 'n verhoogde risiko om depressie te ontwikkel. Volgens die literatuur word depressie in diabetes mellitus geassosieer met 'n swakker lewensgehelte, swakker nakoming van behandeling, swakker aanpassing by diabetes, swakker glisemie-kontrole, en 'n verhoogde risiko om diabetes verwante komplikasies te ontwikkel. Hoewel die rol van bepaalde psigososiale verandelikes in die ontstaan en instandhouding van depressie reeds ondersoek is, is min nog gedoen oor 'n konseptualisering van die assosiasie tussen diabetes en depressie. Hierdie werkstuk handeloor 'n konseptualisering van die verband tussen diabetes en depressie, gebaseer op Beck (1967, 1979) se kognitiewe model van depressie. Die konseptualisering dien as 'n naamwerk om hierdie verband te verstaan en toekomstige narvorsing hieroor te rig.
21
Queralt, Victoria Charlotte. "The role of motivation, self-efficacy, illness representations and family responsibility in relation to diabetes outcomes : perceptions of adolescents with Type 1 Diabetes and their parents." Thesis, University of Birmingham, 2010. http://etheses.bham.ac.uk//id/eprint/907/.
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Objective Three constructs; motivation (Deci & Ryan, 2000), self-efficacy (Bandura, 1997), and illness representations (Leventhal, et al. 1984), were examined in relation to dietary self-care, metabolic control (HbA1c levels) and diabetes related distress in adolescents with type 1 diabetes mellitus (T1DM). To bring the cognitive theories into a social context, family responsibility, and the perceptions of parents and their distress levels were also evaluated. Method 85 adolescents, aged 12-18 years, and 80 parents/carers completed self-report questionnaires. Results Multiple regression analysis identified that parents’ perceptions of adolescent motivation and parent-child discrepancies in self-efficacy accounted for 18% of the variance in HbA1c levels. Age moderated the relationship between no responsibility and HbA1c levels. The relationship between motivation and dietary self-care was mediated by dietary self-efficacy. Adolescent consequence beliefs, motivation and self-efficacy accounted for 36% of the variance in adolescents’ distress levels. Parents’ perceived consequences and perception of adolescent motivation accounted for 14% of the variance in parent diabetes related distress. Conclusion Adolescent and parent perceptions of motivation, self-efficacy and consequences are important variables to consider when assessing different diabetes outcomes. The study concludes by discussing study limitations and areas for future research, as well highlighting the clinical implications of the findings.
22
Roberts, Felicity Alexandra. "An exploration of type 1 paediatric diabetes : child and parental perspectives." Thesis, University of Hull, 2016. http://hydra.hull.ac.uk/resources/hull:15143.
Повний текст джерелаАнотація:
This thesis portfolio is comprised of three distinct sections: a narrative synthesis of qualitative research findings, an empirical study and the appendices. Systematic literature review: Narrative synthesis A qualitative review of studies examining the parental experiences of having a child with type 1 diabetes. This topic was chosen for its significant links to the empirical project, and to provide insight into the lived experiences of parents supporting children to live with a chronic health condition. This is of particular relevance for professionals supporting such families. Three superordinate themes were derived from nine articles. The Empirical Project An empirical study examining the experiences and opinions of children with type 1 diabetes using insulin pumps. Six children were interviewed and the data was analysed using the qualitative framework, Interpretative Phenomenological Analysis (IPA). Three superordinate themes were emerged from the interviews, and the implications of such are discussed. Appendices The appendices support both the narrative synthesis and the empirical project. There is an accompanying reflective statement commenting upon the research process.
23
Anglese, Tucker. "Review of type 2 diabetes self-management programs in Hawai'i and mental health." Thesis, University of Hawai'i at Hilo, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=1596439.
Повний текст джерелаАнотація:
Background: Type 2 diabetes is a complex chronic condition. To achieve positive outcomes patients must have an understanding of diabetes and self-efficacy to carry out self-management. Studies have shown that diabetes self-management education interventions positively affect physical and mental health outcomes, thereby improving the patient?s diabetes self-management. Purpose: The purpose of this article was to determine if four diabetes self-management programs (DSMP) on the Island of Hawaii are providing competent care based on national standards of curriculum components, addressing mental health concerns affecting diabetes self-management, and providing culturally adapted care. Methods: This study was carried out in three stages: 1) selecting programs for analysis; 2) comparing evaluated programs based on American Association of Diabetes Educators Self-care behaviors through the review of program manuals and supplemental materials; and 3) interviewing program directors. Results: A review of community-based, self-management programs on Hawaii Island reveals that they provide competent care based on national Diabetes Self-Management Education standards. The reviewed programs appear to be successful and include culturally adapted education. However, assessments for mental health are not currently being used to assess a patient?s need for treatment of common mental health problems such as depression. Conclusion: The current evidence of a connection between diabetes and depression indicates that DSMPs should assess for depression and provide effective treatment, especially for ethnic groups that have a high prevalence of diabetes and diabetes-related hospitalizations. More research is needed to determine how programs could better address culture and mental health concerns related to diabetes self-management education.
24
Shillitoe, R. W. "Contributions from clinical psychology to the understanding and treatment of diabetes mellitus within a health district." Thesis, University of Bradford, 1986. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.374935.
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25
Coetzee, Mariska. "Resilience in families living with a Type I diabetic child." Thesis, Nelson Mandela Metropolitan University, 2007. http://hdl.handle.net/10948/665.
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Type I diabetes has the ability to promote change in the family. In truth, although the child with diabetes is the diagnosed patient, the whole family has diabetes. While the challenges that families have to face are many, families seem to have the ability to “bounce back” (i.e., they have resilience). Research on the construct of resilience, and more specifically, family resilience has surged in recent times. However, South African research on family resilience is limited. This study aimed to explore and describe the factors that facilitate adjustment and adaptation in families that include a child living with Type I diabetes. The Resiliency Model of Stress, Adjustment and Adaptation, developed by McCubbin and McCubbin (2001) served as a framework to conceptualise the families’ adjustment and adaptation process. Non-probability purposive and snowball sampling techniques were employed. Sixteen families participated in this study, providing a total of 31 participants. Participants consisted of the caregivers of a family living with a child between the ages of four and 12 with Type I diabetes. The study was triangular in nature, with an exploratory, descriptive approach. A biographical questionnaire with an open-ended question was used in conjunction with seven other questionnaires to gather data. These questionnaires were: The Family Hardiness Index (FHI), the Family Time and Routine Index (FTRI), the Social Support Index (SSI), the Family Problem-Solving Communication (FPSC) Index, the Family Crises-Oriented Personal Evaluation Scales (F-COPES), the Relative and Friend Support Index, and the Family Attachment and Changeability Index 8 (FACI8). Descriptive statistics were used to describe the biographical information. Quantitative data were analysed by means of correlation and regression analysis, and a content analysis was conducted to analyse the qualitative data. The results of the quantitative analysis indicated three significant positive correlations with the FACI8. These variables were family hardiness (measured by the FHI), family problem-solving communication (measured by the FPSC), and family time and routines (measured by the FTRI). The results of the qualitative analysis revealed that social support, the caregivers’ acceptance of the condition, and spirituality and religion were the most important strength factors that contributed to the families’ adjustment and adaptation. Although the study had a small sample and many limitations, the study could be used as a stepping-stone for future research on resilience in families living with chronic medical conditions and will contribute to family resilience research in the South African context.
26
Cheng, Yuk-ling Tavia. "Coping, social support, and depressive symptoms of older adults with diabetes mellitus /." Hong Kong : University of Hong Kong, 1999. http://sunzi.lib.hku.hk/hkuto/record.jsp?B20897261.
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27
Akhter, Kalsoom. "Social support during pregnancy with gestational diabetes mellitus : exploring post-natal women's experiences." Thesis, City University London, 2015. http://openaccess.city.ac.uk/14794/.
Повний текст джерелаАнотація:
Aims/objectives: The majority of the literature has focused upon treatments and screening routines for Gestational Diabetes Mellitus (GDM). However, knowledge about the importance and experiences of social support during pregnancy period is sparse. Social support not only affects health and well-being, but also influences pregnancy outcomes. The aims of this thesis were to 1) explore and understand importance, meaning and experiences of social support from post-natal women’ perspectives and 2) identify the sources and types of social support received/perceived during pregnancy with GDM. Method: Twelve semi-structured interviews were conducted to gain an in-depth understanding about social support during pregnancy. Data were analysed using Interpretative phenomenological analysis (IPA). Results: The findings demonstrated that women perceived the receipt of three distinct types of support. The most frequently mentioned types included: emotional support and the receipt of information/advice. Sources varied by type of support and most frequently included: HCPs and husbands/partners. This study also highlighted some of the unhelpful/disappointing experiences and recommendation to improve current services. Participants’ accounts of their experiences indicated that social support seemed to work as a protector/buffer to cope with their stressful life events, therefore improving/maintaining well-being, which represent the ‘Stress Buffering Model’ of the social support theory. Conclusion: Examples depicting the content of each type of support and unhelpful experiences revealed mental health and diabetes care related issues that can inform clinic- based social support interventions or peer discussion forum in the presence of a HCP. Recognising the importance of social support could potentially be very important to health- care during pregnancy as it is a time when health promotion and prevention are of critical importance.
28
Ezeh, Ifeanyi Gabriel. "Predictors of Depression Among Adult Mexican Americans Diagnosed With Type II Diabetes." ScholarWorks, 2016. http://scholarworks.waldenu.edu/dissertations/3092.
Повний текст джерелаАнотація:
The high incidence rate of type II diabetes mellitus (type II DM) among Mexican American families in the South Texas region has contributed to disproportionately high medical costs, early death, and high comorbidity with depression. Certain factors have been previously associated with depression and type II DM. The purpose of this exploratory study was to investigate and describe whether selected variables contribute to Mexican American risk for depression when diagnosed with type II DM. Based on the theory of planned behavior, this exploratory study investigated whether acculturation, health behavioral belief, diet, and/or physical exercise adequately predicted depression among Mexican Americans who were diagnosed with type II DM (n = 103). The data were obtained from surveys completed by participants. The construct of acculturation was measured by the Short Acculturation Scale, health behavioral belief was measured by the Diabetes Health Belief Scale, diet and physical exercise was measured by a summary of Diabetes Self-Care Activities, and depression was measured by the Beck Depression Inventory - II. An exploratory stepwise multiple regression was used to generate an initial predictive equation based on the statistical contribution of one or more of the predictor variables. The findings revealed lack of physical exercise as a significant predictor of depression among participants. The social implications of this study are that it may help improve understanding of the psychiatric challenges that accompany type II DM and provide a better understanding among Mexican Americans of the connection between physical exercise and depression when screening and treating patients with type II DM. Subsequently, patients may receive more targeted screenings and holistic care, which will contribute to better medical care treatment and management.
29
Sonsona, Jocelyn B. "Factors Influencing Diabetes Self-Management of Filipino Americans with Type 2 Diabetes Mellitus: A Holistic Approach." ScholarWorks, 2014. https://scholarworks.waldenu.edu/dissertations/1.
Повний текст джерелаАнотація:
There is an increasing prevalence of Type 2 diabetes mellitus among Filipino Americans. However, how well Filipino Americans with diabetes self-manage their disease and what factors influence their diabetes self-management behaviors remain unknown. Based on a holistic approach, this quantitative study was designed to investigate the diabetes self-management behaviors of this population and the factors influencing their self-management behaviors. The combined roles of diabetes knowledge, diabetes self-efficacy, spirituality, and social support were examined in predicting diabetes self-care behaviors. A convenience sample of 113 Filipino Americans with Type 2 diabetes mellitus completed the Diabetes Knowledge Test, Self-Efficacy for Diabetes Test, Daily Spiritual Experience Scale, Diabetes Social Support Questionnaire-Family Version, Summary of Diabetes Self-Care Activities (Expanded), and a researcher-designed sociodemographic survey. A single samplet -test determined that the participants engaged well in diabetes self-management practices. Multiple regression analyses revealed self-efficacy, spirituality, and social support were predictive of diabetes self-management behaviors, even after controlling for the effect of the confounding variables (e.g., acculturation, socioeconomic status, health-related data, immigration status, education). Diabetes knowledge did not have a significant relationship to self-management. The implications for positive social change include the potential impact of educating clients with diabetes and their family members about the connections between self-efficacy, spirituality, and family social support in the self-management of diabetes. Furthermore, the use of a holistic approach by health professionals would improve diabetes self-management practices of Filipino American population with Type 2 diabetes mellitus.
30
Ward, Cassie Leanne. "An exploration into young people with type 1 diabetes perceptions of control." Thesis, University of Hull, 2015. http://hydra.hull.ac.uk/resources/hull:13588.
Повний текст джерелаАнотація:
The portfolio thesis has three parts: Part one is a systematic literature review reviewing the literature on the relationship between parenting style and diabetes management in children and young people with type 1 diabetes. Seven papers were systematically reviewed and the findings and clinical implications are discussed. Part two is an empirical paper, which explores adolescents with type 1 diabetes perceptions of control. Six adolescents who perceived themselves to have low personal and/or treatment control were interviewed about their experiences. The interviews were analysed using Interpretative Phenomenological Analysis. The findings of the study are discussed along with the clinical implications of the study and areas of future research. Part three comprises the appendices, which compliment parts one and two of the portfolio. The appendices also includes a reflective statement.
31
Gorasia, Chirag D. "Diabetes : the benefits of mindfulness interventions and the role of cognitive flexibility." Thesis, University of Birmingham, 2014. http://etheses.bham.ac.uk//id/eprint/5442/.
Повний текст джерелаАнотація:
This thesis consists of a systematic literature review and an empirical paper. The literature review component evaluates research on the use of mindfulness interventions with people who have diabetes. Living with diabetes has both a psychological and physical impact on a person’s life. A variety of different mindfulness interventions and their benefits to both physical and psychological wellbeing are discussed. Research in this area is has only started to emerge recently. However, some of the initial findings seem promising. The empirical paper presents a cross--‐sectional study that investigates if the relationships between diabetes related stress and depression is mediated by cognitive flexibility. Research has shown that it is the experience of distress associated with diabetes that leads to depression rather than just a diagnosis of diabetes. People who are better at adapting to new situations may be less likely to experience stress due to diabetes and the opposite would be true for those who are not as good as adapting. Whilst the study did not find any significant findings the reasons for this are discussed and recommendations for future studies are made.
32
Jansen, Tracey. "Predictors of anxiety during the perinatal period in women with gestational diabetes." Thesis, University of Birmingham, 2013. http://etheses.bham.ac.uk//id/eprint/4065/.
Повний текст джерелаАнотація:
Background: The treatment of type 1 diabetes includes daily injections of insulin and requires attention to diet, exercise, and monitoring of blood glucose levels. Coping Skills Training is an intervention based on social learning theory and aims to develop an individual’s skills and ability to cope with the stressful situations related to managing diabetes on a daily basis. Aim: This paper has reviewed the literature examining the impact of Coping Skills Training on metabolic control and psychosocial outcomes in children and adolescents and aims to: (1) Describe and compare the characteristics of CST across the available literature, (2) Provide a quality assessment of studies evaluating CST, (3) Describe the impact of CST on metabolic control and psychosocial variables in children and adolescents, in light of the quality assessment. Method: A keyword search in Embase, Medline, PsycINFO and Pubmed Central databases yielded a total of 15 quantitative articles using a variety of designs. Results: The small number of well-designed studies indicated that metabolic control is not improved in a limited population of children who participate in CST. However the results in adolescents are more promising. Conclusions: The evidence on whether CST can improve psychosocial outcomes in children and adolescents is mixed and appeared dependent on the mode of delivery and whether CST is compared to routine care or diabetes related education. A summary of recommendations for future research is provided along with the clinical implications of the results described in this review.
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O'Brien, Chloe. "The experiences of South Asian men with diabetes mellitus and erectile dysfunction." Thesis, University of Hull, 2014. http://hydra.hull.ac.uk/resources/hull:10490.
Повний текст джерелаАнотація:
This portfolio thesis consists of three parts. Part one is a systematic literature review investigating existing research on the illness perceptions of men with erectile dysfunction (ED). The following five online databases were searched; PsycINFO, MEDLINE via EBSCO, Scopus, CINAHL (Cumulative Index to Nursing and Allied Health Literature), and Web of Science Core Collection. With the application of relevant inclusion and exclusion criteria, 13 studies were found to be eligible for inclusion in the review. A narrative synthesis of the findings of the included studies was conducted. Findings were organised into five categories of men’s perceptions about ED. These were as follows; severity and permanence of ED, communicating about ED, causes of ED, consequences of ED and treatment for ED. A discussion of the findings is presented, with consideration of the impact of illness perceptions on communication about and treatment-seeking for ED. The limitations and the clinical implications are proposed, as well as avenues for future research. Part two is an empirical paper investigating the experiences of South Asian men with diabetes mellitus (DM) and ED, utilising exploration of their illness perceptions and the impact on quality of life. Qualitative methodology was employed. Semi-structured interviews based on the Self-Regulatory Model (Leventhal, Nerenz, & Steele, 1984) were conducted with six South Asian men with DM and ED. Interpretative phenomenological analysis (IPA) was employed. Four superordinate and ten subordinate themes were identified. The findings are discussed in consideration of clinical implications and limitations of the study. Avenues for future research are proposed. Part three consists of the appendices for the systematic literature review and the empirical paper, including an epistemological statement and a reflective statement.
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Barcroft, Laura Grace. "Peer mentoring with parents of children newly diagnosed with type 1 diabetes." Thesis, Cardiff University, 2015. http://orca.cf.ac.uk/75641/.
Повний текст джерелаАнотація:
A diagnosis of type 1 diabetes mellitus (T1DM) in childhood can have wide reaching implications for the child and their wider family system. The child and family’s physical and emotional wellbeing can be significantly impacted by the psychological adjustment and coping of the parents. Experienced peer mentoring is an intervention aimed at promoting wellbeing and adjustment amongst parents of children with chronic conditions. The intervention involves an experienced parent of a child with T1DM (Link Parent) offering informational, affirmational and emotional support to a parent of a newly diagnosed child (Recipient Parent). The aim of this study was to explore the experiences of such support from both Link and Recipient Parents’ points of view. Five Recipient Parents and seven Link Parents were recruited from a wider sample of parents who participated in the mentoring programme. They took part in a semi-structured interview about their experiences of providing or receiving peer mentoring. An Interpretative Phenomenological Analysis produced four super-ordinate themes for the Recipient Parents: Build up to and Initial Impact of Diagnosis; Content of support; Process of support; Impact of support. Four super-ordinate themes were also produced for the Link Parents: Attitudes towards the project; Support provided; Relationship with Recipient Parent; Understanding the impact of support. The results provided insight into the positive impact that offering and receiving such support can have on parents of children with T1DM. The results also highlighted the idiosyncratic nature of such experiences. The implications for future clinical application of the intervention were discussed as well as directions for further research.
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Robinson, Elizabeth M. "ASSESSING PARENTAL INVOLVEMENT IN TYPE 1 DIABETES MANAGEMENT DURING ADOLESCENCE." VCU Scholars Compass, 2011. http://scholarscompass.vcu.edu/etd/2637.
Повний текст джерелаАнотація:
Type 1 diabetes is one of the most common pediatric chronic illnesses. Adolescents are at risk for poorer glycemic control; however, youth whose parents remain involved in diabetes care are in better control. The current study examined parental involvement (PI) using a multi-method, multi-source approach in a sample of 255 youth (Age M = 12.83). The Diabetes Family Responsibility Questionnaire, Parental Monitoring of Diabetes Care Scale, and 24-Hour Diabetes Interview assessed two types of PI, parental responsibility and parental monitoring. Global and specific assessment served to cross-corroborate indicators of PI related to HbA1c. Higher levels of monitoring related to lower HbA1c for both parent- and youth-report; however, the effect decreased after controlling for socioeconomic status (SES). Additionally, monitoring mediated the relation between age and HbA1c. Controlling for SES, youth whose parents demonstrated higher levels of monitoring were in better glycemic control. Both research and clinical implications are discussed.
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Morgan, Struemph Kari. "MATERNAL DEPRESSIVE SYMPTOMS AND HEALTH OUTCOMES IN YOUTHS WITH TYPE 1 DIABETES: A MEDIATIONAL MODEL." VCU Scholars Compass, 2010. http://scholarscompass.vcu.edu/etd/2872.
Повний текст джерелаАнотація:
Objectives: The rate and impact of depressive symptoms were examined with two models based on known effects of depression on variables related to diabetes management, parental involvement and diabetes conflict. The proposed models will measure potential effects high maternal depressive symptoms may have on parental monitoring and involvement and diabetes specific conflict and how these variables may in turn relate to poor regimen adherence. Methods: Participants included 225 mothers and young adolescents (aged 11-14) with T1D. Diabetes self-care behaviors were measured with the 24 Hour Recall Interview, parental involvement and monitoring were measured with the Parent Management of Diabetes Scale, and diabetes specific conflict was measured with the Diabetes Family Conflict Scale. Results: A significant portion of mothers (21%) reported clinically elevated levels of depressive symptoms. These high levels of depressive symptoms were related to low levels of parental involvement with diabetes care (r = -.19, p < .01). Depressive symptoms were indirectly related to lower frequency of blood glucose monitoring (C.95 = -.03, -.002), insulin use (C.95 = -.01, -.0007), and meals (C.95 = -.02, -.002) through low levels of parental involvement. Higher levels of depressive symptoms were also related to higher levels of diabetes specific conflict (r = .16, p < .01), however, this relationship did not have a significant indirect effect on frequency of self-care behaviors. Conclusions: A significant portion of mothers in the current sample reported symptoms of depression above the clinical cutoff. Mothers that reported higher levels of depressive symptoms also reported lower levels of parental involvement in management of disease-care behaviors. Low levels of parental involvement mediated a significant relation between depressive symptoms and less frequent disease-care behaviors. Diabetes conflict did not mediate a relation between depressive symptoms and disease-care behaviors. These findings suggest that the reported high levels of maternal depressive symptoms among mothers of children with T1D may interfere with good diabetes management through low parental involvement. Individual treatment for depressive symptoms and interventions targeted at increasing parental involvement without increasing diabetes conflict could help improve regimen adherence.
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Walsh, Michele Elaine. "Unpacking proxy variables: Cultural factors in adaptation to type II diabetes." Diss., The University of Arizona, 1999. http://hdl.handle.net/10150/284338.
Повний текст джерелаАнотація:
Social scientists routinely employ sociodemographic variables such as race, ethnicity, and sex as independent variables in their research. These "social address" variables typically stand in, either explicitly or implicitly, for the more explanatory variables believed to underlie them. For instance, race and ethnicity often serve merely as proxies for the values, beliefs, and behaviors (i.e. culture) that are assumed to correlate with them. "Unpacking" proxy variables--directly measuring the variables believed to underlie them--can provide a more reliable and more interpretable way of looking at group differences in patterns of illness, service use, and outcomes. The present study examines the factors hypothesized to underlie ethnicity as it relates to adaptation to, and outcomes of, managing type II diabetes in a veteran population. Two instruments were developed to measure seven domains believed to correlate with ethnicity: economic marginality, domestic and family workload, domestic help, family relations, saliency of religion, proactive response to illness, and negative impact of illness. It was hypothesized that these domains would have an impact on the relationship with health care provider, severity of illness, utilization of urgent health care services, and quality of life. Twelve Anglo veterans and 16 Hispanic veterans with type II diabetes were interviewed using the semi-structured Ecocultural Veteran Interview (EVI). These veterans, and an additional 17 Anglo veterans and 10 Hispanic veterans, also received a self-report instrument modeled after the EVI, the Ecocultural Veteran Self-Report (EVSR). Multitrait-Multimethod analyses were used to compare the reliability and validity of the two instruments. Sequential hierarchical general linear models were used to assess the utility of the measures in accounting for variance in the outcome measures. Results indicate that the EVSR taps into the same domains as the more resource-intensive EVI. Furthermore, the domains are correlated with self-reported ethnic identification. These domains directly predict the relationship with provider, utilization of urgent health care services and quality of life. In addition, the domains interact with patient characteristics to predict severity of illness. The evidence from this study suggests that research focusing on improving the measurement of ecocultural variables in health services research is likely to be fruitful.
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Hayes, John Robert. "Controlling Glucose Levels of Adolescents with Diabetes Through the Use of a Voice Processing System /." The Ohio State University, 1996. http://rave.ohiolink.edu/etdc/view?acc_num=osu1487933648650872.
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Dzivakwe, Vanessa G. "Religiosity As a Coping Resource for Depression and Disease Management Among Older Diabetic Patients." Thesis, University of North Texas, 2014. https://digital.library.unt.edu/ark:/67531/metadc700076/.
Повний текст джерелаАнотація:
Compared to the general population, diabetic patients experience a higher prevalence of depression, which can often exacerbate diabetic symptoms and complicate treatment. Studies show that religion is associated with both better physical health and better psychological functioning; however, studies incorporating religion and depression among diabetic individuals are scarce. The present study addressed this gap in the literature by examining archival data from the 2008 and 2010 data waves of the Health and Retirement Study (HRS). Cross-sectional findings confirmed that stronger religiosity was positively correlated with perceived diabetes control and positive diabetes change, and negatively correlated with total number of depressive symptoms and total number of weeks depressed. Longitudinal findings confirmed that stronger religiosity in 2008 was positively correlated with perceived diabetes change in 2010 and negatively correlated with total number of depressive symptoms in 2010. Logistic regression and multiple regression analyses were performed to test four moderation models. Results showed that religiosity significantly moderated the relationship between perceived diabetes control and total number of weeks depressed. More specifically, for diabetics with low levels of religiosity, whether they believed their diabetes was under control or not did not make a significant difference in the total number of weeks depressed. However, high levels of religiosity served as a buffer against the duration of depressive symptoms but only for diabetics who perceived to have their diabetes under control. Understanding how these constructs jointly influence diabetes management and psychological functioning is critical in that medical professionals may utilize such knowledge to enhance treatment outcomes.
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Smith, Rachel K. "Eating attitudes and behaviours in young people with or without a diabetic sibling." Thesis, University of Edinburgh, 2007. http://hdl.handle.net/1842/2645.
Повний текст джерелаАнотація:
Objectives: Body image concerns and problematic eating attitudes and behaviours are recognised as an important concern for young people and clinicians. Identification of groups that might be at risk of developing such problems would enable prevention and early implementation strategies to be implemented. The aim of this study was to explore body image concerns and eating attitudes and behaviours in a community sample of young people aged between 12 and 17 years. Design & Method: A cross sectional between groups design was employed. Participants completed self-report assessments measuring attitudes to body shape and weight, eating attitudes, behavioural features of eating disorders and eating disorder psychopathology. Siblings of young people with type 1 diabetes (n=12) were compared to a matched control group (n=12). Comparisons were also made between males and females and between age groups in a community sample (n=75). Results: Compared with females without a diabetic sibling, females with a diabetic sibling reported more concerns about body weight and shape, greater disturbance in eating attitudes, and significantly higher levels of eating disorder psychopathology. Within the community sample, concerns about body shape and weight and disturbed eating attitudes were significantly higher in females than in males. The results highlighted a high prevalence of excessive exercise behaviour in both males and females. Excessive exercise was the only variable to differ significantly between age groups, with the highest prevalence reported in those aged 14 and 15 years. Conclusions: The findings provide tentative support for the hypothesis that siblings of young people with type 1 diabetes are at increased risk of disturbed eating attitudes and behaviours, but require replication in a larger sample. Methodological implications of the study and suggestions for further research are discussed.
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Koegelenberg, Guzelle Joanita. "Resilience characteristics of families with a child with type 1 diabetes." Thesis, Stellenbosch : Stellenbosch University, 2013. http://hdl.handle.net/10019.1/85800.
Повний текст джерелаАнотація:
Thesis (MA)-- Stellenbosch University, 2013.ENGLISH ABSTRACT: A chronic illness such as type 1 diabetes does not only have an impact on the individual’s physical and psychological well-being, but ultimately on the well-being of the family as a whole. The family typically fulfils the role of primary support structure for the diabetic child. Regardless of the physical and psychological challenges that form part of the illness, a large number of families are resilient. Families are able to adjust, adapt and cope adequately with a variety of life stressors. Consequently, this study aimed to identify and explore family resilience characteristics that are associated with family adaptation after the diagnosis of a chronic illness in a child. The Resiliency Model of Family Stress, Adjustment and Adaptation (McCubbin & McCubbin, 2001) served as theoretical framework for this study. Fifty-one primary caregivers represented families with a child with type 1 diabetes who was a patient at a big state hospital in the Western Cape, South Africa. The study used a mixed methods approach and it was expected from the participants to answer an open-ended question and complete four self-complete questionnaires. The dependent variable in the study is family adaptation, measured with the Family Attachment and Changeability Index 8 (FACI8) (McCubbin & McCubbin, 2001). Based on the theory and previous studies, the following independent variables were used as measures: family hardiness (The Family Hardiness Index (FHI)), family patterns of communication (Family Problem Solving and Communication Scale (FPSC)) and family time spent together, as well as routines followed together (Family Time and Routine Index (FTRI)). The results show that family resilience characteristics that are significantly correlated with family adaptation are affirming communication in the family; the family’s willingness to accept change as positive; and family time spent together and routines followed in the family. The most important resilience characteristic according to the qualitative data is the support and information received from the paediatric diabetes specialist at the hospital. The family’s religious beliefs, and support received from their church, also play a significant role in their adaptation. This study contributes to the increasing need for and value of positive psychology. The study also creates an opportunity to educate families and medical personnel on the importance of implementing resilience characteristics in families to ensure better adaptation. Recommendations for future studies on resilience in families with a child with type 1 diabetes are made.
AFRIKAANSE OPSOMMING: ’n Chroniese siekte soos tipe 1 diabetes het nie ’n enkelvoudige impak op die individu se fisiese en sielkundige welstand nie, maar uiteindelik ook op die gesin se welstand. Die gesin vervul tipies die rol van primêre ondersteuningsnetwerk vir die kind met diabetes. Ongeag die fisiese en sielkundige struikelblokke wat deel is van die siekte, bly ’n groot aantal gesinne steeds veerkragtig. Gesinne beskik oor die vermoë om verstellings te maak en aan te pas by ’n verskeidenheid van lewensstressors. Gevolglik het hierdie studie gepoog om gesinsveerkragtigheidskenmerke te identifiseer en te verken, nadat ’n kind met ’n chroniese siekte gediagnoseer is. Die Resiliency Model of Family Stress, Adjustment and Adaptation (McCubbin & McCubbin, 2001) het gedien as die teoretiese raamwerk vir hierdie studie. Eenen- vyftig primêre versorgers het hul gesinne in die studie verteenwoordig. In elk van die gesinne was daar ’n kind met tipe 1 diabetes wat ’n pasiënt was by ’n groot staatshospitaal in die Wes-Kaap, Suid-Afrika. Die studie het gebruik gemaak van ’n gemengde-metode benadering en het van die deelnemers verwag om ’n oopeinde-vraag te beantwoord, sowel as vier kwantitatiewe vraelyste te voltooi. Die afhanklike veranderlike in die studie was gesinsaanpassing, gemeet met die Family Attachment and Changeability Index 8 (FACI8) (McCubbin & McCubbin, 2001). Gebasseer op die teorie en die bevindinge van vorige studies is die volgende meetinstrumente gebruik om die onafhanklike veranderlikes mee te meet: die Family Hardiness Index, Family Problem Solving and Communication Scale, en die Family Time and Routine Index. Die kwantitatiewe resultate toon die volgende gesinsveerkragtigheidskenmerke: positiewe kommunikasie wat in die gesin beoefen word; die gesin se bereidwilligheid om verandering te aanvaar en dit as positief te beskou; en gesinstyd saam en gesinsroetines wat beoefen word. Die belangrikste gesinsveerkragtigheidskenmerke volgens die kwalitatiewe data is die ondersteuning en inligting verkry vanaf die pediatriese diabetes-spesialis, die gesin se geloof en die ondersteuning wat hulle van hulle kerk verkry het. Hierdie studie dra by tot die toenemende behoefte aan en waarde van positiewe sielkunde. Die studie skep ook die geleentheid om gesinne en hospitaalpersoneel in te lig oor die noodsaaklikheid van die implementering en ontwikkeling van gesinsveerkragtigheidskenmerke vir die beter aanpassing van gesinne. Ten slotte word aanbevelings vir toekomstige veerkragtigheidstudies in gesinne met ’n kind met tipe 1 diabetes gemaak.
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Moir, Jane. "Supporting diabetes self-management in persons with cognitive impairment after acquired brain injury." Thesis, University of Glasgow, 2014. http://theses.gla.ac.uk/5634/.
Повний текст джерелаАнотація:
Background. Individuals with cognitive impairment arising from acquired brain injury (ABI) are often supported to engage in diabetes self-management through verbal guidance provided by carers. Guide, developed by O’Neill and Gillespie (2008), is an automated verbal prompting system which aims to replicate the verbal guidance often provided to individuals with cognitive impairment by carers. Aims. The aim of this study is to investigate whether Guide can improve the ability of individuals with cognitive impairment to self-manage their diabetes. Methods. Participants were two individuals recruited from a specialist brain injury rehabilitation unit who had a diagnosis of diabetes and ABI. The study employed an ABA design using multiple baseline across participants Single Case Experimental Design (SCED) methodology. Results. Results indicated that the use of Guide significantly reduced the level of staff prompting needed for task completion when compared to baseline for both participants. For participant 1, use of Guide reduced the number of errors made during task performance and for participant 2 it increased the proportion of the task that was sequenced correctly. Applications. It is possible that Guide could be used more widely to support individuals with cognitive impairment (e.g. dementia, learning disability) and to support other complex behavioural sequences.
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Wild, Krista. "Neuroimmunoendocrine Pathology and Cognitive Function in Type 2 Diabetes." Digital Archive @ GSU, 2007. http://digitalarchive.gsu.edu/psych_diss/35.
Повний текст джерелаАнотація:
Cognitive impairment among older adults with type 2 diabetes may worsen health outcomes via negative impact on compliance with medical self-care recommendations. Results of several previous studies indicate that cognitive deficits are present in older European American adults with type 2 diabetes under some conditions, particularly related to glucose dysregulation (as evidenced by high glycated hemoglobin, i.e., HbA1c). Despite the fact African Americans are disproportionately affected by diabetes and suffer significantly greater numbers of complications and more severe complications relative to European Americans, no published studies have examined cognitive functioning among older African American adults with type 2 diabetes. Further, markers of systemic inflammation have been associated with cognitive impairment in several conditions, but this relationship has not been examined in older adults with type 2 diabetes. The purpose of the present study was to determine whether: 1) cognitive deficits are present in older African American adults with type 2 diabetes, and whether the deficits are related to 2) glucose dysregulation and 3) systemic inflammation. Several cognitive domains, including verbal memory and executive functions, were assessed in 71 African Americans with type 2 diabetes who ranged from 60 to 80 years of age. Exclusionary criteria included dementia, depression, neurological disease, or brain injury. Also measured were HbA1c and two markers of systemic inflammation: C-reactive protein (CRP) and interleukin-6 (IL-6). Results showed that higher HbA1c was significantly associated with poorer performance on several measures of executive function and verbal memory measures that tap executive function. Higher IL-6 was significantly associated with slower motor function and higher semantic fluency. Higher CRP was significantly associated with improved performance on measures of phonemic fluency, psychomotor speed and mental flexibility/working memory, and fine motor dexterity, but only for those with extremely high levels of CRP; when those participants were removed from the analyses, CRP was inversely related to cognitive performance.
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Doe, Emily Louise. "The role of peer support in adolescents with type 1 diabetes." Thesis, University of Northampton, 2015. http://nectar.northampton.ac.uk/8826/.
Повний текст джерелаАнотація:
Despite a wealth of research which has taken place aiming to improve self-care in adolescents with type 1 diabetes, a paucity of studies could be identified assessing the utility of support proved by peers. This is in spite of evidence which suggests that, for older adolescents, it is peers who provide the greatest support and are therefore likely to offer a weightier resource towards effective self-care (Cattelino et al., 2014; Choukas-Bradley, Giletta, Widman, Cohen, & Prinstein, 2015; Mercken, Steglich, Sinclair, Holliday, & Moore, 2012; Pezzulo et al., 2013; Visser, de Winter, Veenstra, Verhulst, & Reijneveld, 2013). The current thesis therefore represents a significant attempt to understand the role of peer support in adolescents with type 1 diabetes. This doctoral research comprises three studies utilising a mixed methods design. Study 1 employs mixed methodology to understand the lived experience of peer support in a clinical sample. Whilst global peer support was found to be positively related to improved psychosocial and diabetes outcomes, diabetes-specific support was found to be higher in those with poorer glycaemic control. Indeed, when diabetes-specific support behaviours were discussed in semistructured interviews, these behaviours were labelled as unwanted, harrssing and nagging. These findings together indicate the potential for global peer support to offer maintenance of a normal self-concept. Study 2 proposes and assesses an adaptation of the stress-buffering hypothesis (S. Cohen & Wills, 1985) specifically focusing on the psychophysiology of peer support in relation to glycaemic control. Findings suggested that this mechanism was not significant, though limitations with the methodology are acknowledged. Instead, a positive role of stress in relation to improved glycaemic control was found in male, but not female, participants. These results lend support to assertions regarding individualised care plans. Finally, Study 3 assesses the comparability of psychosocial experience between a clinical and reference population of adolescents. Despite differences in peer support, adolescents with and without type 1 diabetes achieve a markedly similar psychosocial profile, minimising the impact of type 1 diabetes on the lives of adolescents. Therefore, the desire for normality outlined in Study 1 seems to be achieved for the most part. Overall, the findings indicate a role for peer support in the attainment and maintenance of a normative self-concept, separate from the sick role. This thesis suggests that peer support offers a different utility to parental support, and is worthy of further investigation. Taken together, these studies underline the importance of considering the person-centred nature of care, with emphasis on the potential benefit of individualised care plans, and particular attention paid to age and gender differences.
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Strachan, Kathryn Anne. "Discussing risk during pregnancy : the experiences of midwives and women with pre-existing diabetes." Thesis, University of Hull, 2017. http://hydra.hull.ac.uk/resources/hull:15429.
Повний текст джерелаАнотація:
This portfolio thesis contains three separate parts: a systematic literature review, an empirical study and corresponding appendices. Part one is a systematic literature review, which uses meta-ethnography to synthesise qualitative empirical studies investigating the female experience of living and coping with Type 1 Diabetes mellitus and the impact on identity. A systematic database search identified nine articles which were included. The synthesis of findings resulted in seven subthemes and four super-ordinate themes: ‘Identity shaped by the grip of blood glucose levels’, ‘The influence of others’, ‘Resistance against a ‘diabetic’ identity’ and ‘Creating Stability: integrating diabetes’. The quality of included studies was reviewed and the overall strength of literature considered. Results are discussed in relation to implications for clinical practice in diabetes care and areas for future research. Part two is an empirical study exploring the experience of discussing risk from the perspective of midwives and pregnant women with Type 1 diabetes mellitus. Five midwives and eight women with Type 1 diabetes were interviewed. Data was analysed using Interpretative Phenomenological Analysis. Twelve subthemes and four super-ordinate themes were identified: ‘Understanding and responding to risk’, ‘Talking about risk’, ‘Negotiating choice and control’ and ‘The relationship buffer’. Results are discussed in relation to relevant theory, implications for clinical practice in maternity care and suggestions for future research. Part three includes appendices which support the meta-ethnography and empirical study. This contains an epistemological statement and a reflective statement detailing the research processes and underpinnings.
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Broadley, Melanie M. "Type 1 diabetes and disordered eating behaviour: Exploring the role of executive function." Thesis, Queensland University of Technology, 2018. https://eprints.qut.edu.au/122229/1/Melanie_Broadley_Thesis.pdf.
Повний текст джерелаАнотація:
Disordered eating behaviour is prevalent in young adults with type 1 diabetes, and is associated with significant morbidity and mortality. This thesis explored the involvement of higher-order cognitive function (executive function) in influencing this relationship. Findings collectively indicated that executive function difficulties were over-represented in young adults with type 1 diabetes, and that executive function may be uniquely and more strongly related to disordered eating behaviours in this clinical group relative to those without diabetes.
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Radcliff, Zach. "The Role Of Authoritative Parenting In Type 1 Diabetes Adolescent Outcomes." VCU Scholars Compass, 2014. http://scholarscompass.vcu.edu/etd/3528.
Повний текст джерелаАнотація:
Due to psychosocial and hormonal changes, adolescents with Type 1 Diabetes (T1D) are at risk for poorer regimen adherence, quality of life (QOL), and glycemic control (HbA1c). Authoritative parenting (AP) supports youth development during the transition into adolescence. To date, the mechanisms behind authoritative parenting and better HbA1c are yet to be examined. Parent-youth dyads completed measures of authoritative parenting, adherence, and QOL. As hypothesized, more authoritative parenting related to higher socioeconomic status (SES; β = -.13, p = .04) rather than ethnicity. Further, more authoritative parenting related to better glycemic control via the mechanisms of higher youth QOL (β = .24, p < .001) and better diabetes adherence (β = .17, p = .008). Parents who provide more authoritative parenting have youth with better QOL, better adherence, and better glycemic control. More authoritative parenting helps youth achieve better diabetes care and quality of life during the transition into adolescence.
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Childs, Cara Jane. "Exploring compassion, shame and the healthcare system in relation to self-care in type 2 diabetes." Thesis, University of Hull, 2018. http://hydra.hull.ac.uk/resources/hull:16579.
Повний текст джерелаАнотація:
This portfolio thesis is comprised of three parts: 1) a systematic literature review, 2) an empirical report and, 3) supporting appendices. Part one is a systematic literature review which aimed to explore healthcare system factors that are related to self-care in individuals with Type 2 Diabetes. A systematic search of four key databases identified nineteen empirical papers for review. A narrative analysis of the evidence is provided and key factors relating to self-care are identified and summarised. A review of methodological quality and standard of reporting of reviewed studies is also provided. Implications for the field of research and for clinical practice are discussed. Part two is an empirical report of an original piece of research exploring compassion and shame in relation to self-care in individuals with Type 2 Diabetes. Quantitative analysis aimed to investigate whether shame has a negative effect on self-care, and whether compassion has a role in buffering the impact of shame. In an additional qualitative element, experiences of shame in individuals with Type 2 Diabetes were explored. The findings of the study are discussed in relation to previous literature and theory, and implications for future research and clinical practice are considered. Part three contains the appendices relating to the systematic literature review and the empirical report. It additionally includes an epistemological statement, and a reflective statement focussing on the research process.
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Rose, Vanessa Karen Public Health & Community Medicine Faculty of Medicine UNSW. "Sociostructural determinants of diabetes self-management: test of a self-efficacy model." Awarded by:University of New South Wales. School of Public Health and Community Medicine, 2007. http://handle.unsw.edu.au/1959.4/31881.
Повний текст джерелаАнотація:
Diabetes self-management has clear benefits in reducing diabetes symptoms and complications and improving the health, wellbeing and quality of life of people with diabetes. Successful intervention programs focus on the development of diabetes self-efficacy, which promotes the capacity of people with diabetes to perform diabetes self-management even in the face of difficulty. Diabetes self-management, however, presents considerable challenges for health systems that have been structured to provide acute, rather than chronic care, and health professionals who have been trained to cure illness, rather than manage behaviour. It presents further challenges for people with diabetes who live in socioeconomically disadvantaged circumstances and have limited financial resources for diabetes care and therapies, and poor access to resources for diabetes self-management, such as clean, safe exercise areas and healthy foods at low-cost. These sociostructural determinants of diabetes self-management, defined here as GP care and socioeconomic resources, have the potential to impede the uptake and effective dissemination of diabetes self-management policy and intervention. This research thesis investigated the impact of sociostructural determinants on diabetes self-management using a model developed from self-efficacy theory. The model was empirically examined using a mixed quantitative and qualitative methodology, where qualitative data were used to illuminate the findings of quantitative data. The quantitative component comprised a random cross-sectional survey of 105 people with diabetes subjected to hierarchical multiple regression with tests for moderator effects. The qualitative component comprised three group interviews of 27 English-speaking, Vietnamese-speaking and Arabic-speaking people with diabetes, analysed using the phenomenological method. Findings provided partial support for the model. Relationships between sociostructural determinants and diabetes self-management were complex. While good quality GP care facilitated diabetes self-management, it also acted as a barrier to self-monitoring of blood glucose for people with low levels of diabetes self-efficacy. Having limited access to socioeconomic resources did not impede diabetes self-management, even for people with low levels of diabetes self-efficacy, although this may have been masked by access to public health schemes and welfare support. The findings from this small-scale exploratory study suggest that self-efficacy may exert an impact on diabetes self-management, even in the face of sociostructural determinants.
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Bibi, Bushra. "Health literacy and diabetes management in South Asians in the UK : a mixed methods study." Thesis, Keele University, 2017. http://eprints.keele.ac.uk/4110/.
Повний текст джерелаАнотація:
This thesis aimed to explore the health literacy needs of South Asians, in particular reference to diabetes management. This thesis consists of two studies: 1) a survey that examines health literacy levels and 2) study two Photovoice that explore cultural perspective in daily management of diabetes and health literacy needs. In study 1 (N=350), completed a face to face survey using standardised health literacy and diabetes measures. Findings indicated the majority of participants have limited functional health literacy (61%). Findings also suggest that people with certain characteristics, such as old age, females, low socioeconomic status, and people with limited or no formal education, are at a higher risk of inadequate health literacy. In the study 2, eleven of the participants from study 1 were recruited for Photovoice project and thematic analysis of participant’s accounts and images indicated three main themes. 1)Illustration of self-management of diabetes in day-to day life, relating to personal lifestyle, capacities and skills to manage different aspects of diabetes in their daily life; 2)NHS access and utility, concerning the use of health care services in the management of diabetes. 3) Quality of life, connected with the impact of diabetes on quality of life. It has been demonstrated from study two that, despite the limited functional health literacy, participants are able to manage their diabetes and use social support in their families, the distributed resources and health literacy skills of their family members to overcome their personal limited functional capacities. The consideration of health literacy within a particular community’s cultural perspective can have the potential to maximise the assets of that community. In increasing such a level of awareness and contributing towards the evidence of health literacy as an asset approach, made it possible to use the distributed resources of the social networks and can be one strategy to improve health literacy that can reduce the health disparities in the ethnic communities.