All ETDs from UAB

Advisory Committee Chair

Olivio J Clay

Advisory Committee Members

Michael G Crowe

Fernando Ovalle

Bulent Turan

Andrea Cherrington

Document Type

Dissertation

Date of Award

2014

Degree Name by School

Doctor of Philosophy (PhD) College of Arts and Sciences

Abstract

Objectives: The authors investigated the relationships between race, cognitive function, life-space mobility, comorbidity, and depressive symptoms over time; as well as the relationships between race, cognitive function, life-space mobility, comorbidity, and diabetes distress over time. Methods: The sample included 224 community-dwelling older adults (age 65<) previously diagnosed with diabetes. The current study utilized data from telephone interviews at three different time points (baseline, 1 year follow up, and 2 year follow up). Results: A number of significant correlations were found. Potentially most importantly, results from the final model indicated that those participants who were lowest in self-efficacy were the most at-risk for experiencing diabetes distress and/or depressive symptoms. Conclusion: Findings suggest that interventions aimed at reducing diabetes distress and/or depressive symptoms within this population should focus on social support and disease specific self-management education as two cost-effective and easily manipulated avenues to achieving this goal.

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