Cognitive appraisal of perceived threat of diabetes and adherence to self -management behaviors

Abstract

ID: 565 Cognitive Appraisal of Perceived Threat of Diabetes and Adherence to Self-Management Behaviors Author Information: Authors List: Presenting Author: Roger Carpenter Presenting Author: Roger Carpenter Address: PO Box 9620 Morgantown, WV 26506 USA Ph: 304-293-1401 Fax: Email: rcarpenter@hsc.wvu.edu Institution: Abstract InformationInformation Presentation Preference: SNRS Student Poster Presentation Abstract Categories: Interest Group: Health Promotion/ Self-care Thematic Areas: Chronic illness Introduction: Perceived threat is a significant factor influencing treatment adherence. Few studies have measured the cognitive appraisal of perceived threat of diabetes. The purpose of this study was to examine the relationship of cognitive appraisal of perceived threat and adherence to self-management behaviors in uninsured persons with type 2 diabetes. The aims of this study were to: 1) Describe the cognitive appraisal of perceived threat of diabetes. 2) Describe self-management behaviors in persons with diabetes. 3) Examine the relationships between cognitive appraisal and self-management behaviors. Method(s): This exploratory, descriptive study used a convenience sample (n=80) of adults with type 2 diabetes being treated at a free clinic in West Virginia. Study variables and measures included cognitive appraisal (Cognitive Appraisal of Health Scale) and self-management behaviors (Summary of Diabetes Self-Care Activities). Descriptive statistics and correlations were used to describe the sample and to examine the relationships between cognitive appraisal and self-management behaviors. Results: Persons with diabetes followed recommendations for taking prescribed oral medications 6.6 days/week, for general diet 4.1 days/week, for specific diet 3.7 days/week, and for exercise 2.9 days/week. Persons perceived diabetes as more challenging (m=22.8), than as threatening (m=14.3) or causing harm/loss (m=19.6). Significant relationships were found between cognitive appraisal and self-management behaviors. These appraisals were associated with increased adherence to diet. Discussion: Findings suggest that practitioners consider treating persons with diabetes with medications sooner, while focusing on teaching lifestyle interventions targeting diet and exercise, and talking with patients about what the challenge of diabetes means in their lives. More challenge appraisal may indicate a willingness to confront the problems associated with adherence to diabetes self-management. Research is needed exploring the issues that persons with diabetes have with adherence to self-management behaviors, especially diet and exercise recommendations. Research Completed : Yes Abstract History: NA Financial Disclosure: Have a financial arrangement or affiliation with commercial companies whose products may be mentioned in this material?