Defense Date
11-11-2021
Graduation Date
Fall 12-17-2021
Availability
One-year Embargo
Submission Type
dissertation
Degree Name
PhD
Department
Nursing
School
School of Nursing
Committee Chair
Melanie T. Turk
Committee Member
Pamela Spigelmyer
Committee Member
Mary K. Anthony
Keywords
Diabetes Distress, Personal Health Record, Technology, Intention to Use
Abstract
Background: Diabetes distress (DD) is defined by emotional and behavioral challenges caused from diabetes and its management. Diabetes self-care behaviors can be compromised by DD. Personal Health Record (PHR) use has been associated with improvements in HbA1c, blood pressure, and LDL-C, but the relationship between DD and PHR use is unknown. Aims: 1) to determine differences between sociodemographic variables and intention to use and actual use of PHR in hospitalized persons with Type 2 Diabetes Mellitus (T2DM), 2) to investigate the relationship between DD, intention to use a PHR and actual use of a PHR within 30 days of hospital discharge, 3) to investigate the relationship between DD, self-care behaviors, and clinical indicators of diabetes self- management, and 4) to investigate the relationship between DD and PHR-related performance expectancy, effort expectancy, social influence, and facilitating conditions. Method: Using a cross-sectional survey design, 99 inpatients reported their level of DD, self-care behaviors, and intention to use a PHR. Results: The mean intention to use the PHR score was 3.4; however, 85.9% did not use the PHR after discharge. Higher levels of DD were associated with higher HbA1c, rho= 0.26, p= 0.01, but DD was not related to intention to use or actual use of a PHR, p= 0.26 and p=0.66. Limitations and Implications: The small number of PHR users and possible recall or social desirability biases are limitations. Nurses should recognize that hospitalization might contribute to DD. Conclusion: Future research is needed to understand associations between diabetes distress and PHR use.
Language
English
Recommended Citation
Fisher-Grace, K. (2021). Investigating Relationships between Diabetes Distress, Diabetes Self-Care Behaviors, Intention to Use and Actual Use of a Personal Health Record within 30 Days of Hospital Discharge in Persons with Type 2 Diabetes (Doctoral dissertation, Duquesne University). Retrieved from https://dsc.duq.edu/etd/2117
Additional Citations
Fisher-Grace K, Turk MT, Anthony MK, Chia LR. Use of Personal Health Records to Support Diabetes Self-management: An Integrative Review. Computers Informatics Nursing. 2021 Jun;39(6):298-305. doi: 10.1097/CIN.0000000000000682. PMID: 33315699.