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An active approach to diabetes self-management
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Breland, Jessica Yelena. An active approach to diabetes self-management. Retrieved from https://doi.org/doi:10.7282/T3P55KHP

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TitleAn active approach to diabetes self-management
NameBreland, Jessica Yelena (author); Leventhal, Howard (chair); Wilson, G. Terence (internal member); Sanchez, Diana (internal member); Leventhal, Elaine (outside member); Rutgers University; Graduate School - New Brunswick
Date Created2013
Other Date2013-10 (degree)
SubjectPsychology, Diabetes--Research, Non-insulin-dependent diabetes, Self-management (Psychology), Patient self-monitoring--Case studies
Extentvii, 74 p. : ill.
DescriptionType 2 diabetes affects over 20 million people in the United States and has cost the healthcare system billions of dollars. As a result, countless research hours and funds are devoted to developing and testing programs to improve the self-management skills of patients with diabetes. Some interventions produce clinically meaningful changes, but few programs are based on theoretically sound protocols, which makes it difficult to assess theory-based group or individual level variables that might be responsible for changes in self-management. The current study piloted “An Active Approach to Diabetes Self-Management,” a novel diabetes self-management intervention based on the integration of two theories (the Common Sense Model of Self-Regulation and Social Cognitive Theory) with techniques from cognitive behavior therapy. The intervention was developed within a Community Based Partnership Research framework. The 4-week intervention consisted of weekly, two-hour group sessions that presented information on and experiences with diabetes self-management, including the self-monitoring of blood glucose, physical activity and nutrition. Sixteen participants participated in three groups held in the fall of 2011 and February of 2012. The primary outcome was hemoglobin A1C (A1C), which was measured before and three months after the start of the intervention. Data were also collected on diabetes self-efficacy, self-management behaviors, diabetes knowledge, general mental and physical functioning and feasibility. iii Results indicated that participants with baseline A1C levels above 6.5% had a significant reduction in A1C over the course of the study. Self-efficacy and understanding of diabetes increased over the course of the study. Diabetes-related negative affect decreased over the course of the study and there was a trend towards a decrease in BMI between baseline and the end of the study. Results also indicate that the workshop was feasible with regards to participant and community staff member satisfaction, study curriculum and the group process. As described within, future iterations must amend inclusion criteria and the curriculum, improve the usability of questionnaires and increase sample size in order to further test feasibility and to determine effect and sample sizes for a larger trial.
NotePh.D.
NoteIncludes bibliographical references
Noteby Jessica Yelena Breland
Genretheses, ETD doctoral
Persistent URLhttps://doi.org/doi:10.7282/T3P55KHP
Languageeng
CollectionGraduate School - New Brunswick Electronic Theses and Dissertations
Organization NameRutgers, The State University of New Jersey
RightsThe author owns the copyright to this work.
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