| Purpose: Studies indicate that positive and negative outcomes are associated with demographic data such as age, gender, race, income, duration of diabetes, or attending education program, social support, health beliefs, and lifestyle change such as controlling body weight and blood glucose. This study aimed to develop a diabetes health care model to test relationship among the demographic data, social support, health belief, and Health Status. Method: A structural model was created to test the relationships among demographic data, social support, health beliefs, and lifestyle change. After participants had completed 7 months in the program, they were weighed as Body Mass Index (BMI), had Glycosylated hemoglobin (HbA1c) test, and completed questionnaires on social support as the Personal Resource Questionnaire (PRQ; Brandt & Weinert, 1983), health beliefs as the Beliefs About Diabetes scale (BAD; Given et al., 1983), and health status as the Health Status Questionnaire (HSQ; Wierenga, 1994). Sample: Participants included 148 overweight adults with type 2 diabetes aged 36 to 73. All participants were assigned randomly to a treatment, attention, or control group. Results and Conclusions: The proposed model indicates that each latent variable of health beliefs, social support, and demographic data has a direct effect on the lifestyle changes made by those with type 2 diabetes. In addition, the model further demonstrates the relationship between health benefits and social support. It is proposed that the link between social support and health benefits is mediated by the demographic characteristics of the individual. These relationships were evaluated for fit between the data and the proposed model. Development a diabetes health care model would contribute to knowledge and relationship among the factors in diabetes care. Understanding the nature of the relationships among these factors helps to improve the delivery of health care for those with type 2 diabetes. |
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Primary Investigator
Mary Ellen Wierenga, PhD
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P.I. Institution Name
University of Wisconsin-Milwaukee
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Professor
Contact Address
School of Nursing, Cunningham Hall, Room 417, PO Box 413
Milwaukee, WI, 53201
USA
Contact E-mail
wierenga@uwm.edu
Contact Telephone
414.229.6098
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Secondary Investigators
Chang, Yuan-May
Cashin, Susan E.
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