Type 2 Diabetes Self-Management Practices: Influences on Nutritional Practices and Physical Activity among Spanish-Speaking, Limited-English-Proficient Hispanics Public Deposited

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Last Modified
  • March 22, 2019
  • Smith-Miller, Cheryl Ann
    • Affiliation: School of Nursing
  • The purpose of this study was to better understand the influences of and the relationships between the social environment, health literacy, diabetes knowledge, and self-efficacy of Spanish-speaking Hispanics with limited English proficiency on their type 2 diabetes self-management. This study used social cognitive theory as a theoretical framework and a mixed-methods design. Semistructured interviews focused on participants' diabetes self-management practices and personal and family experiences. Clinical measures indicated participants' current health status, and instruments were used to assess health literacy, diabetes knowledge, health behaviors, and diabetes, eating, and exercise self-efficacy. Qualitative data procedures and analyses used a multistep process that began during the interview. Data reduction and analysis was performed using NVivo® V.9 qualitative software. Descriptive statistics and multivariate procedures described the relationships between health literacy, diabetes knowledge, self-efficacy, and diabetes self-management using IBM SPSS® V.19 software. The analysis culminated with qualitative and quantitative results linked in the results narrative that provided detailed descriptions of the type 2 diabetes self-management of Spanish-speaking Hispanics with limited English proficiency.
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  • In Copyright
  • Berry, Diane
  • Doctor of Philosophy
Graduation year
  • 2012

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