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An intervention to effect hypertensi...

Maloni, Heidi Wynn.

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An intervention to effect hypertension, glycemic control, diabetes self-management, self-efficacy, and satisfaction with care in type 2 diabetic VA health care users with inadequate functional health literacy skills.

紀錄類型:	書目-語言資料,印刷品 : Monograph/item
正題名/作者:	An intervention to effect hypertension, glycemic control, diabetes self-management, self-efficacy, and satisfaction with care in type 2 diabetic VA health care users with inadequate functional health literacy skills./
作者:	Maloni, Heidi Wynn.
面頁冊數:	258 p.
附註:	Adviser: Rosemary Donley.
Contained By:	Dissertation Abstracts International68-04B.
標題:	Health Sciences, Health Care Management. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3257637

An intervention to effect hypertension, glycemic control, diabetes self-management, self-efficacy, and satisfaction with care in type 2 diabetic VA health care users with inadequate functional health literacy skills.
Maloni, Heidi Wynn.

An intervention to effect hypertension, glycemic control, diabetes self-management, self-efficacy, and satisfaction with care in type 2 diabetic VA health care users with inadequate functional health literacy skills. - 258 p.

Adviser: Rosemary Donley.

Thesis (Ph.D.)--The Catholic University of America, 2007.

When 90 million American adults can not read well enough to engage in self-management of health, particularly the complex management of chronic disease, inadequate functional health literacy becomes a determinant of poor health. Subsequently, health care quality and access are in jeopardy, and care costs rise. The purpose of this study was to determine if a cognitive interactive nursing intervention that relied on oral rather than print literacy would lead to better health outcomes for type 2 diabetics with inadequate functional health literacy skills who received care in Veterans Administration outpatient settings. An integrated theoretical framework that incorporated Imogene King's Theory of Goal Attainment and the Framework for Health Literacy guided this study.Subjects--Topical Terms:

1017922
Health Sciences, Health Care Management.

An intervention to effect hypertension, glycemic control, diabetes self-management, self-efficacy, and satisfaction with care in type 2 diabetic VA health care users with inadequate functional health literacy skills.
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245 1 3 $a An intervention to effect hypertension, glycemic control, diabetes self-management, self-efficacy, and satisfaction with care in type 2 diabetic VA health care users with inadequate functional health literacy skills.
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500 $a Source: Dissertation Abstracts International, Volume: 68-04, Section: B, page: 2253.
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520 $a When 90 million American adults can not read well enough to engage in self-management of health, particularly the complex management of chronic disease, inadequate functional health literacy becomes a determinant of poor health. Subsequently, health care quality and access are in jeopardy, and care costs rise. The purpose of this study was to determine if a cognitive interactive nursing intervention that relied on oral rather than print literacy would lead to better health outcomes for type 2 diabetics with inadequate functional health literacy skills who received care in Veterans Administration outpatient settings. An integrated theoretical framework that incorporated Imogene King's Theory of Goal Attainment and the Framework for Health Literacy guided this study.
520 $a An experimental posttest-only control group design with random assignment to intervention and control groups was used to determine if a cognitive interactive nursing intervention had a significant effect over standard care. The Rapid Estimate of Adult Literacy in Medicine (REALM) measured literacy levels. Per inclusion criteria, no intervention had a significant effect over standard care. The Rapid Estimate of Adult Literacy in Medicine (REALM) measured literacy levels. Per inclusion criteria, no participant read above an eight grade reading level. Diabetes self-management skills were measured using the Summary of Diabetes Activities scale (SDSCA). Satisfaction with care was measured using the Interpersonal Processes of Care questionnaire (IPC). Self-efficacy was measured using the Diabetes Empowerment Scale (DES-SF). The sample was drawn from a large urban East Coast Veterans Affairs Medical Center. Participants were predominantly African American and men with limited incomes, limited education, and limited literacy skills, who had lived with diabetes for an average of 12 years. High percentages of hypertension (96%) and hyperlipidemia (82%) were managed with multiple medications. And yet, participants had elevated levels of blood glucose and blood pressure. Hotelling's T square distribution, as the test statistic for the multivariate analysis of variance MANOVA, resulted in a significant difference of the independent variable, a cognitive interactive nursing intervention, on the linear combination of dependent variables, blood pressure, HbA1c, SDSCA, DES-SF, and IPC scores.
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