Author ORCID Identifier
Date Available
8-12-2023
Year of Publication
2021
Degree Name
Doctor of Philosophy (PhD)
Document Type
Doctoral Dissertation
College
Nursing
Department/School/Program
Nursing
First Advisor
Dr. Gia Mudd-Martin
Abstract
Diabetes is the seventh leading cause of death in the United States, affecting roughly 13% of U.S. adults aged 18 years or older. Type 2 diabetes accounts for 90-95% of all diabetes cases and is characterized by the progressive development of insulin resistance leading to sustained elevated blood glucose levels. Management of type 2 diabetes includes risk-reduction strategies and continuous medical care to prevent the development of complications.
Lifestyle is a major contributing factor to morbidity and mortality rates in the United States. Preventative health behaviors, such as engaging in physical activity, maintaining a healthy weight, and following a healthy dietary pattern, are key for reducing risk for the development of type 2 diabetes and aid in the prevention of complications associated with diabetes, such as cardiovascular disease. While engaging in a healthy lifestyle has shown to prevent or delay the development of chronic diseases and their associated complications, few individuals adhere to all recommended self-management behaviors. The purpose of this dissertation is to increase understanding of the factors surrounding type 2 diabetes self-management and prevention through lifestyle modification.
This dissertation includes three original manuscripts that focus on the barriers to self-management and prevention of type 2 diabetes among individuals with or at risk for developing type 2 diabetes. The first manuscript is a qualitative descriptive study examining the barriers, facilitators, motivators, and strategies for engaging with dietary management of type 2 diabetes and heart failure among individuals dually diagnosed with these chronic diseases and their family caregivers. The second manuscript is a secondary analysis to examine psychosocial predictors (anxiety, depression, and fatalism) of a high versus low quality diet at baseline, and predictors of response to a healthy lifestyle intervention by assessing pre- and post-intervention diet quality. The third manuscript is a cross-sectional study examining the impact of the COVID-19 global pandemic on type 2 diabetes self-management and distress and whether attendance of the Diabetes Self-Management Education and Support program had an impact on diabetes self-management and distress during the pandemic. The findings of this dissertation will inform providers of the specific factors surrounding type 2 diabetes self-management and prevention, particularly as it relates to lifestyle modification.
Digital Object Identifier (DOI)
https://doi.org/10.13023/etd.2021.335
Funding Information
PhD Fellowship Award, University of Kentucky College of Nursing, 2017-2021
Jonas Nurse Scholars Program, American Association of Colleges of Nursing, 2018-2020
PhD Dissertation Award, University of Kentucky College of Nursing, 2020
Recommended Citation
Koonmen, Leigh Anne, "Factors Associated with Lifestyle Modification for Type 2 Diabetes Self-Management and Prevention" (2021). Theses and Dissertations--Nursing. 60.
https://uknowledge.uky.edu/nursing_etds/60
Included in
Community Health and Preventive Medicine Commons, Human and Clinical Nutrition Commons, Nutritional and Metabolic Diseases Commons, Public Health Education and Promotion Commons