COMING SOON! PQDT Open is getting a new home!

ProQuest Open Access Dissertations & Theses will remain freely available as part of a new and enhanced search experience at

Questions? Please refer to this FAQ.

Dissertation/Thesis Abstract

Review of type 2 diabetes self-management programs in Hawai'i and mental health
by Anglese, Tucker, M.A., University of Hawai'i at Hilo, 2015, 25; 1596439
Abstract (Summary)

Background Type 2 diabetes is a complex chronic condition. To achieve positive outcomes patients must have an understanding of diabetes and self-efficacy to carry out self-management. Studies have shown that diabetes self-management education interventions positively affect physical and mental health outcomes, thereby improving the patient’s diabetes self-management.

Purpose The purpose of this article was to determine if four diabetes self-management programs (DSMP) on the Island of Hawaii are providing competent care based on national standards of curriculum components, addressing mental health concerns affecting diabetes self-management, and providing culturally adapted care.

Methods: This study was carried out in three stages: 1) selecting programs for analysis; 2) comparing evaluated programs based on American Association of Diabetes Educators Self-care behaviors through the review of program manuals and supplemental materials; and 3) interviewing program directors.

Results A review of community-based, self-management programs on Hawaii Island reveals that they provide competent care based on national Diabetes Self-Management Education standards. The reviewed programs appear to be successful and include culturally adapted education. However, assessments for mental health are not currently being used to assess a patient’s need for treatment of common mental health problems such as depression.

Conclusion The current evidence of a connection between diabetes and depression indicates that DSMPs should assess for depression and provide effective treatment, especially for ethnic groups that have a high prevalence of diabetes and diabetes-related hospitalizations. More research is needed to determine how programs could better address culture and mental health concerns related to diabetes self-management education.

Indexing (document details)
Advisor: Kim, Sunyoung
Commitee: Daub, Katharyn, Higa-McMillan, Charmaine
School: University of Hawai'i at Hilo
Department: Counseling Psychology
School Location: United States -- Hawaii
Source: MAI 54/06M(E), Masters Abstracts International
Subjects: Mental health, Behavioral psychology, Nutrition, Counseling Psychology
Keywords: Culturally-adapted, Depression, Self-management, Type 2 diabetes
Publication Number: 1596439
ISBN: 978-1-321-97636-6
Copyright © 2021 ProQuest LLC. All rights reserved. Terms and Conditions Privacy Policy Cookie Policy