Date of Award

2016

Document Type

Dissertation

Degree Name

Doctor of Philosophy (PhD)

College

College of Nursing

First Advisor

Gail W. Stuart

Second Advisor

Martina Mueller

Third Advisor

Cristina Lopez

Fourth Advisor

Janet York

Abstract

Hispanic adults are almost twice as likely to have been diagnosed with diabetes than non-Hispanic whites, and Hispanic women have a 1.5 times greater chance of dying from the disease than non-Hispanic white women. Diabetes type 2 (DM2) is the most common type, and accounts for up to 95% of newly diagnosed cases. Although physical activity (PA) is an essential component to DM2 self-management, Hispanic women are less physically active than Hispanic men, and over 40% of these women do not engage in leisure-time PA. Motivational Interviewing (MI) has been found to improve PA levels for non-Hispanic adults with DM2, and may be a feasible PA intervention for Hispanic women either at risk for or diagnosed with DM2. This dissertation includes 2 literature reviews and the dissertation study, a single-arm quasi-experimental intervention study. The literature reviews investigated how social ecological levels have been applied to PA interventions for Hispanic women with DM2, and explored the effectiveness of MI for PA self-management for adults with DM2. Last, the PI conducted a study to determine the feasibility of MI counseling for PA self-management among Hispanic women either at risk for or diagnosed with DM2 in the community setting. Preliminary results indicate MI may be a feasible approach for PA self-management with Hispanic women either at risk for or diagnosed with DM2. The findings within this dissertation help direct future studies, and begin to address health disparities facing Hispanic women.

Rights

All rights reserved. Copyright is held by the author.

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