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The Role of Mindfulness, Perceived Discrimination, and Diabetes-Related Distress in Predicting Health Behaviors and Glycemic Control

Bogusch, Leah
http://rave.ohiolink.edu/etdc/view?acc_num=bgsu1589841646318053

Abstract Details

2020, Doctor of Philosophy (Ph.D.), Bowling Green State University, Psychology/Clinical.
For persons with diabetes, adherence to treatment recommendations, such as medication adherence and following diet and exercise guidelines, is often difficult and subject to multiple influences, including psychological well-being and social stressors. Such influences include self-reported microaggressions, mindfulness, depressive symptoms, self-care behaviors, and glycemic control. A model of relationships between these variables was proposed for testing through structural equation modeling. 337 Participants over the age of 18 years with diagnoses of diabetes were recruited from Amazon’s Mechanical Turk website to take a survey of measures assessing these variables. Tests of the hypothesized model indicated poor fit, and the model was respecified to remove diet and exercise behaviors, which resulted in satisfactory fit. Between-groups differences were assessed to investigate potential differences in the model between participants. Findings were generally consistent with hypotheses that better psychological well-being and less frequent microaggressions would be associated with improved self-care behaviors, including diet, exercise, and taking medication regularly. Some differences were noted in the magnitude of relationships between participants from the United States or India, but, the models were generally similar between groups. Limitations included possible misrepresentation of participant character, lack of health literacy, and use of cross-sectional data. This study informs future research on interventions for improvements in treatment adherence for people with diabetes, including interventions for improving mindfulness skills and interventions for decreasing impact of microaggressions.
William O'Brien, PhD (Advisor)
Abby Braden, PhD (Committee Member)
Howard Casey Cromwell, PhD (Committee Member)
David Tobar, PhD (Other)
140 p.
Psychology
Diabetes; Mindfulness; Perceived Discrimination; Microaggressions; Diabetes-Related Distress; Depressive Symptoms; Health Behaviors; Exercise; Diet; Medication Adherence; Glycemic Control

Recommended Citations

Citations

  • Bogusch, L. (2020). The Role of Mindfulness, Perceived Discrimination, and Diabetes-Related Distress in Predicting Health Behaviors and Glycemic Control [Doctoral dissertation, Bowling Green State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=bgsu1589841646318053

    APA Style (7th edition)

  • Bogusch, Leah. The Role of Mindfulness, Perceived Discrimination, and Diabetes-Related Distress in Predicting Health Behaviors and Glycemic Control. 2020. Bowling Green State University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=bgsu1589841646318053.

    MLA Style (8th edition)

  • Bogusch, Leah. "The Role of Mindfulness, Perceived Discrimination, and Diabetes-Related Distress in Predicting Health Behaviors and Glycemic Control." Doctoral dissertation, Bowling Green State University, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=bgsu1589841646318053

    Chicago Manual of Style (17th edition)

bgsu1589841646318053
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© 2020, all rights reserved.
This open access ETD is published by Bowling Green State University and OhioLINK.