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dc.contributor.authorFrackman, Gabrielle
dc.date.accessioned2018-07-12T17:01:52Z
dc.date.available2018-07-12T17:01:52Z
dc.date.issued2017
dc.identifier.citationSource: Dissertation Abstracts International, Volume: 79-02(E), Section: B.;Advisors: Jeffrey Gonzalez.
dc.identifier.urihttps://yulib002.mc.yu.edu/login?url=http://gateway.proquest.com/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqm&rft_dat=xri:pqdiss:10741906
dc.identifier.urihttps://hdl.handle.net/20.500.12202/472
dc.description.abstractThis dissertation examined relationships between dispositional hope (hope), and key diabetes treatment-related processes and outcomes (diabetes self-management, self-reported and objective medication adherence and glycemic control). It was hypothesized that higher levels of hope would be significantly associated with more favorable diabetes self-management and control. The final sample was comprised of 104 participants with type 2 diabetes recruited from Albert Einstein College of Medicine and Montefiore Medical Center. Participants included individuals from the original sample of 120 who completed follow-up measures of: hope and its component parts (agency and pathways), diabetes-related emotional distress, diabetes self-management and medication adherence. Participants provided blood samples or access to recent medical records of HbAlc. Adherence was monitored by MEMS caps over three months of follow-up. Moderation effects of hope on the relationship between emotional burden of diabetes and outcome variables were assessed, as were interaction effects between agency and pathways on diabetes self-management and control. Hope was associated with greater self-reported (r = .24,p < .01) and objective medication adherence (r= -21,p < .01). Entered separately into regression models, hope components were significantly associated with better adherence; however, entered into the model together, effects were generally not independent, with the exception of pathways remaining significantly associated with better objective adherence (MEMS). Hope was significantly related to better self-reported medication adherence, while only pathways was significantly related to better objective adherence (MEMS). Hope was not related to diabetes self-management or glycemic control. Results suggest hope might be used to better predict diabetes treatment adherence. Results did not generally support Snyder's two-factor model nor suggest that hope buffers against effects of diabetes distress on diabetes self-management and treatment adherence.
dc.publisherProQuest Dissertations & Theses
dc.subjectPsychology.
dc.subjectClinical psychology.
dc.subjectBehavioral psychology.
dc.titleDispositional hope and diabetes self-management: Exploring the roles of agency and pathways
dc.typeDissertation


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