{"id":4485,"date":"2026-07-15T14:24:27","date_gmt":"2026-07-15T18:24:27","guid":{"rendered":"https:\/\/sites.temple.edu\/turiskcommlab\/?p=4485"},"modified":"2026-07-15T15:07:28","modified_gmt":"2026-07-15T19:07:28","slug":"socio-clinical-correlations-with-threat-perception-and-self-efficacy-in-people-with-type-2-diabetes","status":"publish","type":"post","link":"https:\/\/sites.temple.edu\/turiskcommlab\/2026\/07\/15\/socio-clinical-correlations-with-threat-perception-and-self-efficacy-in-people-with-type-2-diabetes\/","title":{"rendered":"Socio-clinical correlations with threat perception and self-efficacy in people with Type 2 diabetes"},"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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Medically underserved people perform suboptimal type 2 diabetes (T2D) self-care, which contributes to worse diabetes control and higher complication rates. A <\/span>better understanding of how beliefs about self-efficacy and the threat of diabetic <\/span>complications affect self-management behavior may be informative to develop more effective interventions. The Extended Parallel Processing Model (EPPM), a <\/span>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 <\/span>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 <\/span>groups. The sample included 168 participants, of which 76% were Black, 16% were <\/span>Hispanic, and 7% were White. HT\/LE people had the lowest medication adherence <\/span>(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 <\/span>(p<0.01). Gender, Race\/Ethnicity, education, and health insurance did not vary among EPPM groups. 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.<\/span><\/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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Hu, J, Bass SB, Swavely D, Zisman-Ilani Y, Chen S, Kim S, Kelly PJA, Hoadley A, Rubin D. Socio-clinical correlations with threat perception and self-efficacy in people with Type 2 diabetes. BMJ Open Diabetes Research and Care, <\/i>2025; ds240044. https:\/\/doi.org\/10.2337\/ds24-0044<\/span><\/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: Medically underserved people perform suboptimal type 2 diabetes (T2D) self-care, which contributes to worse diabetes control and higher complication rates. A better…<\/p>\n

Continue readingSocio-clinical correlations with threat perception and self-efficacy in people with Type 2 diabetes<\/span><\/a><\/div>\n","protected":false},"author":36014,"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":[44,8],"tags":[],"class_list":["post-4485","post","type-post","status-publish","format-standard","hentry","category-2025-publications","category-publications","entry"],"featured_image_src":null,"featured_image_src_square":null,"author_info":{"display_name":"Catherine Lane","author_link":"https:\/\/sites.temple.edu\/turiskcommlab\/author\/tup84907\/"},"_links":{"self":[{"href":"https:\/\/sites.temple.edu\/turiskcommlab\/wp-json\/wp\/v2\/posts\/4485","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\/36014"}],"replies":[{"embeddable":true,"href":"https:\/\/sites.temple.edu\/turiskcommlab\/wp-json\/wp\/v2\/comments?post=4485"}],"version-history":[{"count":11,"href":"https:\/\/sites.temple.edu\/turiskcommlab\/wp-json\/wp\/v2\/posts\/4485\/revisions"}],"predecessor-version":[{"id":4516,"href":"https:\/\/sites.temple.edu\/turiskcommlab\/wp-json\/wp\/v2\/posts\/4485\/revisions\/4516"}],"wp:attachment":[{"href":"https:\/\/sites.temple.edu\/turiskcommlab\/wp-json\/wp\/v2\/media?parent=4485"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/sites.temple.edu\/turiskcommlab\/wp-json\/wp\/v2\/categories?post=4485"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/sites.temple.edu\/turiskcommlab\/wp-json\/wp\/v2\/tags?post=4485"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}