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- Title
571-P: Motivation, Self-Efficacy, Social Support, and Patient Activation among Racially/Ethnically Diverse Adults with Prediabetes.
- Authors
RODRIGUEZ, LUIS A.; THOMAS, TAINAYAH; FINERTIE, HOLLY; TURNER, CASSIE D.; HEISLER, MICHELE; SCHMITTDIEL, JULIE
- Abstract
Background: Black, Latino, and Asian Americans experience higher diabetes incidence rates compared to White adults. According to self-determination theory, psychosocial factors such as autonomous motivation, self-efficacy, perceived social support and patient activation influence the likelihood of initiating and engaging in health behaviors that prevent diabetes. Whether these psychosocial factors differ by race/ethnicity among adults with prediabetes and if these may contribute to observed racial/ethnic disparities in diabetes incidence is unknown. Methods: Using baseline survey data from a diabetes prevention intervention study at Kaiser Permanente Northern California and Michigan Medicine, we measured autonomous motivation and self-efficacy on a 1-7 scale, perceived social support on a 12-72 scale, and activation on a 0-100 scale. Multivariable linear regression models estimated mean racial/ethnic differences, adjusting for age, sex and clinic. Results: Of 296 prediabetic adults, 40% were White, 37% Black, 10% Latino, and 6% Asian American. Mean autonomous motivation was high (6.6/7) and did not differ by race/ethnicity (all p-values >0.05). Self-efficacy was higher for Black vs. White adults (6.1 vs. 5.7; p-value < 0.05). Black and Latino adults had higher values of perceived social support compared to White adults, and Asian American adults had the lowest (all p-values < 0.05). Mean activation was higher in Asian American and Latino compared to White adults, but lower in Black adults (p-values < 0.05). Conclusion: Autonomous motivation was high in adults with prediabetes, underscoring the opportunity to address diabetes prevention efforts at the population level. However, Asian American adults reporter lower social support and Black adults reported lower patient activation than other groups. Differences in these psychosocial factors should be considered when tailoring diabetes prevention efforts and outreach. Disclosure: L. A. Rodriguez: None. T. Thomas: None. H. Finertie: None. C. D. Turner: None. M. Heisler: None. J. Schmittdiel: None. Funding: Permanente Medical Group; National Institute of Diabetes and Digestive and Kidney Diseases (T32DK11668401)
- Publication
Diabetes, 2021, Vol 70, pN.PAG
- ISSN
0012-1797
- Publication type
Article
- DOI
10.2337/db21-571-P