Coping with type 2 diabetes in the family context: a communal coping perspective

Type 2 diabetes is a chronic condition affecting more than 25 million adults in the United States (National Institutes of Health, 2011). The impact of diabetes is far reaching, influencing the lives of both the patient and his or her family. Accordingly, both people with type 2 diabetes and their family members cope with the illness in the context of their relationships with one another. In this dissertation, I explore the coping efforts of individuals with type 2 diabetes and their families using communal coping as a framework for the investigation (Afifi et al., 2006; Lyons et al., 1998). The communal coping model argues that people cope with stress in the context of their relationships and that coping responses are both cognitive and behavioral in nature. According to the model, communal coping exists along two continuous dimensions: (a) appraisal, which assesses whether people's cognitions are individual or shared, and (b) action, which pertains to whether people engage in sole or joint behavior to diminish the negative effects of their stress. Theoretically, the dimensions of communal coping cross to create four distinct types of coping: individual coping, parallelism, support-seeking, and communal coping. In this dissertation, I address two limitations of the communal coping model using two studies. First, the appraisal dimension of communal coping has not been explicated in extant research, so the in the first study, I interviewed 28 individuals with type 2 diabetes and their family members with a goal of conceptualizing what it means for people to appraise their stress as individual or shared. The results of the study revealed that appraisal consists of two elements: problem ownership and problem influence. Second, the typology proposed by communal coping theorists has not been systematically validated, so a second objective of this dissertation was to assess the typology quantitatively. The second study consisted of individuals with type 2 diabetes (N = 159) completing a survey assessing their family characteristics, their coping efforts, and their diabetes-related outcomes. Findings from the second study suggested that three distinct types of coping exist in these data, rather than the four proposed in the original communal coping typology. Results also indicated that generally, individuals fared better in terms of their self-care and their adherence when they coped alongside their family members. The conclusions from the two studies have theoretical implications for communal coping and practical implications for managing the type 2 diabetes

Lessons Learned Adapting and Implementing Another Organization’s Program to Promote Healthy Aging

Programming which promotes healthy aging may be lacking in states where nutrition and health interventions are directed earlier in life. Due to Maryland’s increasing aging population, a team of 10 University of Maryland Extension Family and Consumer Sciences educators received permission to adapt and implement the Iowa Department of Public Health’s, in partnership with the Iowa Department of Human Services and Department on Aging, Fresh Conversations program to fit the needs of Maryland’s older adults. The purpose of this manuscript is not to discuss research findings but rather to share our challenges, successes, and recommendations for adapting and implementing another state’s multi-session program to meet the needs of individual states’ communities. Specifically, we discovered communicating with partnering sites, offering food tastings, accommodating various food cultures/traditions, following the original program design, and efficiently collecting data or programmatic form responses needed careful consideration. Despite the challenges we encountered, we expanded our national and state partnerships; reached 2,836 educational contacts across the state; and developed a detailed planning, implementation, and evaluation protocol and training, which is being used as a template for other statewide program efforts

The James Webb Space Telescope Mission: Optical Telescope Element Design, Development, and Performance

The James Webb Space Telescope (JWST) is a large, infrared space telescope that has recently started its science program which will enable breakthroughs in astrophysics and planetary science. Notably, JWST will provide the very first observations of the earliest luminous objects in the Universe and start a new era of exoplanet atmospheric characterization. This transformative science is enabled by a 6.6 m telescope that is passively cooled with a 5-layer sunshield. The primary mirror is comprised of 18 controllable, low areal density hexagonal segments, that were aligned and phased relative to each other in orbit using innovative image-based wavefront sensing and control algorithms. This revolutionary telescope took more than two decades to develop with a widely distributed team across engineering disciplines. We present an overview of the telescope requirements, architecture, development, superb on-orbit performance, and lessons learned. JWST successfully demonstrates a segmented aperture space telescope and establishes a path to building even larger space telescopes.Comment: accepted by PASP for JWST Overview Special Issue; 34 pages, 25 figure

“Making Peace” with Bodies and Sexual Selves: Changes during COVID-19 among Adults in the United States

The COVID-19 pandemic has negatively impacted the physical and mental health of many and has necessitated widespread societal shifts, including changes to work and family activities. These changes have impacted individuals’ identity, including their sexual self-image and body image, yet research on perceptions of these changes is missing. This study reports on quantitative and qualitative data from an electronic survey with adults in the United States (N = 326) to examine these perceptions. Body appreciation did not significantly differ between demographic groups. Themes emerging from the qualitative results included changes in general self-image (becoming more restricted or disempowered), changes in sexual self-image (deepening, becoming more sexy/sexual, or less sexy/sexual), and changes in body image (positive, negative, and neutral). Our findings point to positive, negative, and neutral effects on sexual self-image and body image, implying that nuanced approaches are needed to understand how identity has transformed as a result of the COVID-19 pandemic

Communication in Online Forums About the Experience and Management of Relational Uncertainty in Military Life

Relational uncertainty is an undeniable aspect of military life, but the literature lacks knowledge about the lived experiences of military couples. We examined how individuals communicate in online forums about relational uncertainty in military life using a grounded theory approach to analyze 1,794 pages of threads. Results demonstrated that posters detected deception and/or recognized change, which led to volatile emotions, and ultimately prompted them to seek help for managing relational uncertainty. Posters dealt with their questions by engaging in self-care, justifying the partner\u27s behavior, postponing action, and doing relationship work. In reply, responders provided emotional support by offering comfort and reframing change. They provided informational support by recommending that posters acknowledge deception, take care of themselves, consider the partner\u27s perspective, defer major changes, and work on the relationship. These findings advance theorizing about relational uncertainty and social support; they also suggest guidelines for helping military couples manage relational uncertainty

Interspecific and intraspecific interference of Palmer amaranth (Amaranthus palmeri) and large crabgrass (Digitaria sanguinalis) in sweetpotato

AbstractField studies were conducted in 2016 and 2017 in Clinton, NC, to determine the interspecific and intraspecific interference of Palmer amaranth (Amaranthus palmeri S. Watson) or large crabgrass [Digitaria sanguinalis (L.) Scop.] in ‘Covington’ sweetpotato [Ipomoea batatas (L.) Lam.]. Amaranthus palmeri and D. sanguinalis were established 1 d after sweetpotato transplanting and maintained season-long at 0, 1, 2, 4, 8 and 0, 1, 2, 4, 16 plants m−1 of row in the presence and absence of sweetpotato, respectively. Predicted yield loss for sweetpotato was 35% to 76% for D. sanguinalis at 1 to 16 plants m−1 of row and 50% to 79% for A. palmeri at 1 to 8 plants m−1 of row. Weed dry biomass per meter of row increased linearly with increasing weed density. Individual dry biomass of A. palmeri and D. sanguinalis was not affected by weed density when grown in the presence of sweetpotato. When grown without sweetpotato, individual weed dry biomass decreased 71% and 62% from 1 to 4 plants m−1 row for A. palmeri and D. sanguinalis, respectively. Individual weed dry biomass was not affected above 4 plants m−1 row to the highest densities of 8 and 16 plants m−1 row for A. palmeri and D. sanguinalis, respectively

Interspecific and Intraspecific Interference of Palmer Amaranth (Amaranthus palmeri) and Large Crabgrass (Digitaria sanguinalis) in Sweetpotato

Field studies were conducted in 2016 and 2017 in Clinton, NC, to determine the interspecific and intraspecific interference of Palmer amaranth (Amaranthus palmeri S. Watson) or large crabgrass [Digitaria sanguinalis (L.) Scop.] in ‘Covington’ sweetpotato [Ipomoea batatas (L.) Lam.]. Amaranthus palmeri and D. sanguinalis were established 1 d after sweetpotato transplanting and maintained season-long at 0, 1, 2, 4, 8 and 0, 1, 2, 4, 16 plants m−1 of row in the presence and absence of sweetpotato, respectively. Predicted yield loss for sweetpotato was 35% to 76% for D. sanguinalis at 1 to 16 plants m−1 of row and 50% to 79% for A. palmeri at 1 to 8 plants m−1 of row. Weed dry biomass per meter of row increased linearly with increasing weed density. Individual dry biomass of A. palmeri and D. sanguinalis was not affected by weed density when grown in the presence of sweetpotato. When grown without sweetpotato, individual weed dry biomass decreased 71% and 62% from 1 to 4 plants m−1 row for A. palmeri and D. sanguinalis, respectively. Individual weed dry biomass was not affected above 4 plants m−1 row to the highest densities of 8 and 16 plants m−1 row for A. palmeri and D. sanguinalis, respectively