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.
Scholarly Project Team Member
Nursing, School of
Health Sciences & Nursing, Gordon E. Inman College of
Doctorate of Nursing Practice (DNP)
Non-insulin-dependent diabetes; Diabetes--Treatment; Health literacy; Diseases--Social aspects
Hayden, Sarah, "An Analysis of Factors Which Affect Self-Management in Language-Diverse Patients with Type 2 Diabetes" (2018). DNP Scholarly Projects. 5.