Exploring the barriers and facilitators of following a meal plan for Type 2 Diabetes: a survey using the theoretical domains framework

Wilson, Taylor (2020) Exploring the barriers and facilitators of following a meal plan for Type 2 Diabetes: a survey using the theoretical domains framework. Masters thesis, Memorial University of Newfoundland.

[img] [English] PDF - Accepted Version
Available under License - The author retains copyright ownership and moral rights in this thesis. Neither the thesis nor substantial extracts from it may be printed or otherwise reproduced without the author's permission.

Download (1MB)

Abstract

Background: Type 2 Diabetes Mellitus (T2DM) is a critical health topic in Newfoundland and Labrador (NL). In 2016, the Canadian Diabetes Association estimates that 179,000 residents in NL are living with diabetes or pre-diabetes, which is approximately 35% of our population and the highest prevalence within Canada. Patients with this disease find it challenging to make health-related choices to reduce the negative impacts associated with diabetes on their long-term well-being and to improve their lifestyles. Using a Theoretical Domains Framework (TDF), we will identify what domains play a significant role in creating barriers and facilitators for the self-management of T2DM. As the global prevalence of diabetes continues to grow and technology continues to develop, there is an obvious potential for technology to help support individuals self-manage T2DM. Purpose: The primary objective of the study is to identify which behavioral domains of the TDF (e.g., knowledge, social influence, skills) will predict the intention to follow a meal plan for the self-management of diabetes for subsequent intervention development. The secondary objective is to explore if patients in a Remote Monitoring Program (RMP) for diabetes would use technology to help manage their diabetes and whether they perceive technology as an effective tool for self-management. Methods: Patients enrolled in the RMP for T2DM through the Eastern Regional Health Authority, NL (n=300) received a questionnaire via mail as part of a cross-sectional study to assess their experience with following a meal plan for diabetes self-management. The questionnaire also included an open-ended question to evaluate the attitudes of NL residents regarding the effectiveness of technology as a self-management tool. Results: The Regression model (n=54) indicated only two significant predictors of meal plan intention, Emotions (b=-0.648, p=0.003) and Social Influences (b=0.475, p=0.0026), accounting for three quarters of the variance. Conclusions: Now that the influence of others in one’s social environment and one’s emotional health have been identified as the significant predictors of the self-management of T2DM, these domains will be the focus for the creation of intervention content in a subsequent project.

Item Type: Thesis (Masters)
URI: http://research.library.mun.ca/id/eprint/14383
Item ID: 14383
Additional Information: Includes bibliographical references (pages 62-71).
Keywords: Theoretical Domains Framework, Type 2 Diabetes, Newfoundland and Labrador, Behaviour Change
Department(s): Medicine, Faculty of
Date: May 2020
Date Type: Submission

Actions (login required)

View Item View Item

Downloads

Downloads per month over the past year

View more statistics