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dc.creatorHu, Jianli
dc.creatorBass, Sarah
dc.creatorSwavely, Deborah
dc.creatorZisman-Ilani, Yaara
dc.creatorChen, Sophia K.
dc.creatorKim, Sarah
dc.creatorKelly, Patrick J.A.
dc.creatorHoadley, Ariel
dc.creatorRubin, Daniel
dc.date.accessioned2024-01-26T19:41:42Z
dc.date.available2024-01-26T19:41:42Z
dc.date.issued2024-01-26
dc.identifier.citationHu J, Bass SB, Swavely D, Zisman-Ilani Y, Chen SK, Kim S, Kelly PJA, Hoadley A, Rubin DJ. Socio-Clinical Correlations with Threat Perception and Self-Efficacy in People with Type 2 Diabetes. TUScholarShare [Preprint]. January 26, 2024. Available from: [doi]
dc.identifier.urihttp://hdl.handle.net/20.500.12613/9698
dc.description.abstractIntroduction: Medically underserved people perform suboptimal type 2 diabetes (T2D) self-care, which contributes to worse diabetes control and higher complication rates. A better understanding of how beliefs about self-efficacy and the threat of diabetic complications affect self-management behavior may be informative to develop more effective interventions. Research Design and Methods: The Extended Parallel Processing Model (EPPM), a theoretical framework of perceived efficacy and disease threat, was used in a cross-sectional study to categorize 168 adults with T2D from urban safety-net clinics and the local community by self-efficacy and perceived threat from T2D and cardiovascular disease. The EPPM model offers four categories: high threat (HT)/high efficacy (HE), low threat (LT)/low efficacy (LE), HT/LE, and LT/HE. Participant demographic information, complications, medications, and other characteristics were compared across the EPPM groups. Results: The sample included 168 participants, of which 76% were Black, 16% were Hispanic, and 7% were White. HT/LE people had the lowest medication adherence (p<0.01), the lowest T2D management score (p<0.0001), the highest A1C numerically (p=0.10), and the most microvascular complications relative to other EPPM groups (p<0.01). Gender, Race/Ethnicity, education, and health insurance did not vary among EPPM groups. Conclusions: The EPPM is associated with T2D clinical outcomes and self-management behaviors. Moving people from HT/LE to LT/HE may improve T2D management. This model may be useful to target people with T2D for behavioral intervention.
dc.format.extent16 pages
dc.languageEnglish
dc.language.isoeng
dc.relation.ispartofFaculty/ Researcher Works
dc.rightsAll Rights Reserved
dc.subjectType 2 diabetes
dc.subjectSelf-efficacy
dc.titleSocio-Clinical Correlations with Threat Perception and Self-Efficacy in People with Type 2 Diabetes
dc.typeText
dc.type.genrePre-print
dc.description.departmentMedicine
dc.description.departmentSocial and Behavioral Sciences
dc.relation.doihttp://dx.doi.org/10.34944/dspace/9660
dc.ada.noteFor Americans with Disabilities Act (ADA) accommodation, including help with reading this content, please contact scholarshare@temple.edu
dc.description.schoolcollegeLewis Katz School of Medicine
dc.description.schoolcollegeTemple University. College of Public Health
dc.creator.orcidBass|0000-0003-2742-1609
dc.creator.orcidZisman-Ilani|0000-0001-6852-2583
dc.creator.orcidHoadley|0000-0003-1360-0358
dc.creator.orcidRubin|0000-0002-6871-6246
dc.creator.orcidHu|0000-0002-3022-1950
dc.temple.creatorHu, Jianli
dc.temple.creatorBass, Sarah Bauerle
dc.temple.creatorZisman-Ilani, Yaara
dc.temple.creatorChen, Sophia K.
dc.temple.creatorKim, Sarah
dc.temple.creatorHoadley, Ariel
dc.temple.creatorRubin, Daniel J.
refterms.dateFOA2024-01-26T19:41:42Z


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