東華大學圖書館 |

語系: 繁體中文

說明(常見問題)

回圖書館首頁

手機版館藏查詢

登入

回首頁

切換: 標籤 | MARC模式 | ISBD

FindBook

Google Book

Amazon

博客來

Health Communication, Health Literacy, and the Prevalence of Obesity, Depression, Anxiety and Good Disease Self-Management Among Diverse Adults Living with Type 2 Diabetes: Identifying Predictors of High Quality Patient-Provider Communication and Quality of Life.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Health Communication, Health Literacy, and the Prevalence of Obesity, Depression, Anxiety and Good Disease Self-Management Among Diverse Adults Living with Type 2 Diabetes: Identifying Predictors of High Quality Patient-Provider Communication and Quality of Life./
作者:	Caleb, JoNise Michele Allison.
出版者:	Ann Arbor : ProQuest Dissertations & Theses, : 2021,
面頁冊數:	146 p.
附註:	Source: Dissertations Abstracts International, Volume: 83-02, Section: B.
Contained By:	Dissertations Abstracts International83-02B.
標題:	Health education. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=28544798
ISBN:	9798522999964

Health Communication, Health Literacy, and the Prevalence of Obesity, Depression, Anxiety and Good Disease Self-Management Among Diverse Adults Living with Type 2 Diabetes: Identifying Predictors of High Quality Patient-Provider Communication and Quality of Life.
Caleb, JoNise Michele Allison.

Health Communication, Health Literacy, and the Prevalence of Obesity, Depression, Anxiety and Good Disease Self-Management Among Diverse Adults Living with Type 2 Diabetes: Identifying Predictors of High Quality Patient-Provider Communication and Quality of Life. - Ann Arbor : ProQuest Dissertations & Theses, 2021 - 146 p.

Source: Dissertations Abstracts International, Volume: 83-02, Section: B.

Thesis (Ed.D.)--Teachers College, Columbia University, 2021.

This item must not be sold to any third party vendors.

Type 2 diabetes is a highly prevalent disease, projected to increase in prevalence, while expensive to treat. This study sought to identify significant predictors of each of the two study outcome variables-a higher quality of patient-provider communication, and a higher quality of life. The online sample (N=72) was 78% (n=56) female with a mean age of 55.3 years, while 71% Black/African American with a good overall health status. They rated the overall quality of care received from their provider between good and very good. Using the new Patient-Provider Communication Scale (PP-CS-07, patient-provider communication was closest to very good. Health literacy skills were closest to very good, and health literacy self-efficacy was closest to very good. Level of knowledge for caring for type 2 diabetes was closest to very good knowledge. Participants were in an action stage with 80% confidence (very good self-efficacy) to perform seven diabetes self-management behaviors. Some 43.1% experienced depression, 44.4% experienced anxiety, and 20.8% sought counseling in the past year. The mean quality of life rating was closest to good quality of life.While controlling for social desirability, backward stepwise regression showed better quality patient-provider communication was significantly predicted by: received diabetes education, higher rating of health care quality, higher level of health literacy skills, and, being in a lower stage of change for self-care behaviors-with 79.2% of variance explained by this model. Better quality of life was significantly predicted by: female gender, having received diabetes education, no past year anxiety, higher annual household income, lower weight status, higher health literacy self-efficacy, higher rating of knowledge of diabetes self-management-with 69.4% of the variance explained by this model. Findings make a compelling case for screening patients for depression and anxiety, using the brief tool used in this study; and future research evaluating the impact of health educators and providers being trained in motivational interviewing, while using the Patient-Provider Communication Scale (PP-CS-7) as a new tool to compare ratings by patients of providers trained in motivational interviewing. Healthcare policy should mandate such training in brief motivational interviewing, and evaluate the impact of training in containing costs.

ISBN: 9798522999964Subjects--Topical Terms:

559086
Health education.
Subjects--Index Terms:

Diabetes self-management

Health Communication, Health Literacy, and the Prevalence of Obesity, Depression, Anxiety and Good Disease Self-Management Among Diverse Adults Living with Type 2 Diabetes: Identifying Predictors of High Quality Patient-Provider Communication and Quality of Life.
LDR:03805nmm a2200385 4500 001 2346635
005 20220620110703.5
008 241004s2021 ||||||||||||||||| ||eng d
020 $a 9798522999964
035 $a (MiAaPQ)AAI28544798
035 $a AAI28544798
040 $a MiAaPQ $c MiAaPQ
100 1 $a Caleb, JoNise Michele Allison. $3 3685776
245 1 0 $a Health Communication, Health Literacy, and the Prevalence of Obesity, Depression, Anxiety and Good Disease Self-Management Among Diverse Adults Living with Type 2 Diabetes: Identifying Predictors of High Quality Patient-Provider Communication and Quality of Life.
260 1 $a Ann Arbor : $b ProQuest Dissertations & Theses, $c 2021
300 $a 146 p.
500 $a Source: Dissertations Abstracts International, Volume: 83-02, Section: B.
500 $a Advisor: Wallace, Barbara C.
502 $a Thesis (Ed.D.)--Teachers College, Columbia University, 2021.
506 $a This item must not be sold to any third party vendors.
520 $a Type 2 diabetes is a highly prevalent disease, projected to increase in prevalence, while expensive to treat. This study sought to identify significant predictors of each of the two study outcome variables-a higher quality of patient-provider communication, and a higher quality of life. The online sample (N=72) was 78% (n=56) female with a mean age of 55.3 years, while 71% Black/African American with a good overall health status. They rated the overall quality of care received from their provider between good and very good. Using the new Patient-Provider Communication Scale (PP-CS-07, patient-provider communication was closest to very good. Health literacy skills were closest to very good, and health literacy self-efficacy was closest to very good. Level of knowledge for caring for type 2 diabetes was closest to very good knowledge. Participants were in an action stage with 80% confidence (very good self-efficacy) to perform seven diabetes self-management behaviors. Some 43.1% experienced depression, 44.4% experienced anxiety, and 20.8% sought counseling in the past year. The mean quality of life rating was closest to good quality of life.While controlling for social desirability, backward stepwise regression showed better quality patient-provider communication was significantly predicted by: received diabetes education, higher rating of health care quality, higher level of health literacy skills, and, being in a lower stage of change for self-care behaviors-with 79.2% of variance explained by this model. Better quality of life was significantly predicted by: female gender, having received diabetes education, no past year anxiety, higher annual household income, lower weight status, higher health literacy self-efficacy, higher rating of knowledge of diabetes self-management-with 69.4% of the variance explained by this model. Findings make a compelling case for screening patients for depression and anxiety, using the brief tool used in this study; and future research evaluating the impact of health educators and providers being trained in motivational interviewing, while using the Patient-Provider Communication Scale (PP-CS-7) as a new tool to compare ratings by patients of providers trained in motivational interviewing. Healthcare policy should mandate such training in brief motivational interviewing, and evaluate the impact of training in containing costs.
590 $a School code: 0055.
650 4 $a Health education. $3 559086
650 4 $a Communication. $3 524709
650 4 $a Health care management. $3 2122906
650 4 $a Demographics. $3 3540640
650 4 $a Mortality. $3 533218
650 4 $a Low income groups. $3 3562917
650 4 $a Nutrition. $3 517777
650 4 $a Obesity. $3 525736
650 4 $a Personal health. $3 3544029
650 4 $a Health literacy. $3 2143158
653 $a Diabetes self-management
653 $a Health literacy
653 $a Mental health
653 $a Patient-provider communication
653 $a Quality of life
690 $a 0680
690 $a 0459
690 $a 0769
690 $a 0570
710 2 $a Teachers College, Columbia University. $b Health and Behavior Studies. $3 2092457
773 0 $t Dissertations Abstracts International $g 83-02B.
790 $a 0055
791 $a Ed.D.
792 $a 2021
793 $a English
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=28544798