{"id":2277,"date":"2022-08-11T09:49:43","date_gmt":"2022-08-11T13:49:43","guid":{"rendered":"https:\/\/sites.temple.edu\/turiskcommlab\/?p=2277"},"modified":"2022-08-30T14:17:00","modified_gmt":"2022-08-30T18:17:00","slug":"understanding-type-2-diabetes-self-management-in-racial-ethnic-minorities-application-of-the-extended-parallel-processing-model-and-sensemaking-theory-in-a-qualitative-study","status":"publish","type":"post","link":"https:\/\/sites.temple.edu\/turiskcommlab\/2022\/08\/11\/understanding-type-2-diabetes-self-management-in-racial-ethnic-minorities-application-of-the-extended-parallel-processing-model-and-sensemaking-theory-in-a-qualitative-study\/","title":{"rendered":"Understanding Type 2 Diabetes Self-Management in Racial\/Ethnic Minorities: Application of the Extended Parallel Processing Model and Sensemaking Theory in a Qualitative Study"},"content":{"rendered":"\t\t
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Abstract:<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Program:<\/strong> The purpose of the study was to understand the role of perceived disease threat and self-efficacy in type 2 diabetes (T2DM) patients\u2019 self-management by using the extended parallel processing model (EPPM) and sensemaking theory.<\/p>

Methods:<\/strong> Semistructured interviews (n\u2009=\u200925) were conducted with T2DM patients from an urban safety-net hospital. Participants were 50% male\/female median age was 55 years and 76% were Black. Participants were categorized by EPPM group based on validated questionnaires (high\/low disease threat [HT\/LT]; high\/low self-efficacy [HE\/LE]). Nine were HT\/HE, 7 HT\/LE, 6 LT\/HE, and 3 LT\/LE. Interviews were transcribed and analyzed using inductive and deductive coding. Sensemaking theory was applied to contextualize and analyze data.<\/p>

Results:<\/strong> Those with HT indicated threat fluctuated throughout diagnosis but that certain triggers (eg, diabetic complications) drove changes in disease view. Those in the HT\/HE group more frequently expressed disease acceptance, whereas the HT\/LE group more often expressed anger or denial. HT\/HE participants expressed having adequate social support and higher trust in health care providers. HT\/LE participants reported limited problem-solving skills. In those with LT, the HE group took more ownership of self-management behaviors. The LT\/LE group had heightened positive and negative emotional responses that appeared to limit their ability to perform self-care. They also less frequently described problem-solving skills, instead expressing reliance on medical guidance from their providers.<\/p>

Conclusions:<\/strong> EPPM and sensemaking theory are effective frameworks for understanding how perceived health threat and self-efficacy may impede T2DM self-care. A greater focus on these constructs is needed to improve care among low-income minority patients, especially those with low threat and self-efficacy.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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Bass SB, Swavely D, Allen S, et al. Understanding Type 2 Diabetes Self-Management in Racial\/Ethnic Minorities: Application of the Extended Parallel Processing Model and Sensemaking Theory in a Qualitative Study. The Science of Diabetes Self-Management and Care<\/em>. August 2022. doi:10.1177\/26350106221116904<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

View the Article Abstract: Program: The purpose of the study was to understand the role of perceived disease threat and self-efficacy in type 2 diabetes…<\/p>\n

Continue readingUnderstanding Type 2 Diabetes Self-Management in Racial\/Ethnic Minorities: Application of the Extended Parallel Processing Model and Sensemaking Theory in a Qualitative Study<\/span><\/a><\/div>\n","protected":false},"author":25431,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_coblocks_attr":"","_coblocks_dimensions":"","_coblocks_responsive_height":"","_coblocks_accordion_ie_support":"","_themeisle_gutenberg_block_has_review":false,"footnotes":""},"categories":[37,8],"tags":[],"class_list":["post-2277","post","type-post","status-publish","format-standard","hentry","category-2022-publications","category-publications","entry"],"featured_image_src":null,"featured_image_src_square":null,"author_info":{"display_name":"","author_link":"https:\/\/sites.temple.edu\/turiskcommlab\/author\/"},"_links":{"self":[{"href":"https:\/\/sites.temple.edu\/turiskcommlab\/wp-json\/wp\/v2\/posts\/2277","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sites.temple.edu\/turiskcommlab\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/sites.temple.edu\/turiskcommlab\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/sites.temple.edu\/turiskcommlab\/wp-json\/wp\/v2\/users\/25431"}],"replies":[{"embeddable":true,"href":"https:\/\/sites.temple.edu\/turiskcommlab\/wp-json\/wp\/v2\/comments?post=2277"}],"version-history":[{"count":0,"href":"https:\/\/sites.temple.edu\/turiskcommlab\/wp-json\/wp\/v2\/posts\/2277\/revisions"}],"wp:attachment":[{"href":"https:\/\/sites.temple.edu\/turiskcommlab\/wp-json\/wp\/v2\/media?parent=2277"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/sites.temple.edu\/turiskcommlab\/wp-json\/wp\/v2\/categories?post=2277"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/sites.temple.edu\/turiskcommlab\/wp-json\/wp\/v2\/tags?post=2277"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}