DNP Scholarly Projects


Sarah Hayden


Purpose: The purpose of this scholarly project was twofold: 1) To identify the impact that health literacy, diabetes knowledge, self-efficacy, and illness perception have on diabetes self-management behaviors and 2) To assess differences in project variables between English and Spanish-speaking participants. The Individual and Family Self-Management Theory was used as a guiding theoretical framework. Methods: Thirty-three English-speaking and twenty-eight Spanish-speaking adults with Type 2 diabetes (n=61) were recruited from a diabetes private-practice in the Southeastern United States. Patients completed a cross-sectional composite survey composed of demographic information, the Brief Health Literacy Screener, Diabetes Knowledge Questionnaire (DKQ-24), Diabetes Management Self-Efficacy Scale (DMSES), Brief Illness Perception Questionnaire (B-IPQ), and the Summary of Diabetes Self-Care Activities (SDSCA). Results: Diabetes self-efficacy and illness perception were significant predictors of diabetes self-management behaviors. English-speaking participants possessed greater diabetes knowledge and perceived their illness to be more severe. English-speaking participants had greater health literacy, while Spanish-speaking participants had greater diet and foot care self-management behaviors. Conclusions: To improve self-management behaviors in adults with Type 2 diabetes, it is necessary to utilize patient-centered interventions, which focus on improving self-efficacy and illness perception, in an effort to improve self-management practices and therefore glycemic control. In addition, qualitative research, which assesses why linguistic differences exist in health literacy, illness perception, diabetes knowledge, and diabetes self-management behaviors would be valuable based on findings within this scholarly project.



First Advisor

Morse, Elizabeth

Second Advisor

Price, Joseph

Scholarly Project Team Member

Adam, Jamie


Nursing, School of


Health Sciences & Nursing, Gordon E. Inman College of

Document Type

Scholarly Project


Doctorate of Nursing Practice (DNP)

Degree Level


Degree Grantor

Belmont University


Non-insulin-dependent diabetes; Diabetes--Treatment; Health literacy; Diseases--Social aspects

Included in

Nursing Commons