Careyva, Beth, M.D.

Diaz, Liselly

Goodrich, Samantha A.

Hansen, Susan E, MA

Johnson, Melanie B, MPA

Lenhart, Clare, PHD

Marsh, Jessecae K, PhD

Rivera, Alicia

Shaak, Kyle, BS

Stello, Brian, MD

English

Lehigh Valley Health Network: LVHN Scholarly Works

Lehigh Valley Health NetworkLVHN Scholarly WorksDepartment of Family MedicineExploring Health Beliefs Among Hispanic Adultswith Prediabetes (Poster).Kyle Shaak BSLehigh Valley Health Network, Kyle.Shaak@lvhn.orgBeth Careyva M.D.Lehigh Valley Health Network, beth_a.careyva@lvhn.orgSusan E. Hansen MALehigh Valley Health Network, Susan_E.Hansen@lvhn.orgMelanie B. Johnson MPALehigh Valley Health Network, Melanie_B.Johnson@lvhn.orgSamantha A. GoodrichLehigh Valley Health Network, Samantha_A.Goodrich@lvhn.orgSee next page for additional authorsFollow this and additional works at: https://scholarlyworks.lvhn.org/family-medicinePart of the Family Medicine CommonsThis Poster is brought to you for free and open access by LVHN Scholarly Works. It has been accepted for inclusion in LVHN Scholarly Works by anauthorized administrator. For more information, please contact LibraryServices@lvhn.org.Published In/Presented AtShaak, K. Careyva, Beth. Hansen, S. Johnson, M. Goodrich, S. Rivera, A. Diaz, L. Marsh, J. Lenhart, C. Stello, B. (2016, Nov).Exploring Health Beliefs Among Hispanic Adults with Prediabetes. Poster Presented at: North American Primary Care Research Group,Colorado Spring, CO.AuthorsKyle Shaak BS, Beth Careyva M.D., Susan E. Hansen MA, Melanie B. Johnson MPA, Samantha A. Goodrich,Alicia Rivera, Liselly Diaz, Jessecae K. Marsh PhD, Clare Lenhart PHD, and Brian Stello MDThis poster is available at LVHN Scholarly Works: https://scholarlyworks.lvhn.org/family-medicine/345References:1.  U.S. Department of Health and Human Services. National Healthcare Quality and Disparities Report 2014. AHRQ Publication No. 15-0007. www.ahrq.gov/research/findings/nhqrdr14/2014nhqdr.pdf. Accessed August 14, 2015.2.  Walker EA, Cabon A, Schechter CB, et al. Measuring comparative risk perceptions in an urban minority population: the Risk Perception Survey for Diabetes. Diabetes Educ. 2007;33(1):103-110.The research represented in this poster presentation was funded by the LVHN Research Support Fund.© 2016 Lehigh Valley Health NetworkFigure 1:  Familiarity with Prediabetes and DiabetesOBJECTIVE:To explore prediabetic Hispanic adults’ perceived personal health status and risk of progression to diabetes.  STUDY DESIGN:Initial mailing consisting of an introduction letter, 34 question, bilingual (Spanish and English) survey, and interview interest form. Survey questions included elements of the validated Risk Perception Survey for Developing Diabetes2 (RPS-DD); the remainder of the survey consisted of original questions created by the study team. Questions addressed: •  Demographics•  Trust and satisfaction with the healthcare system•  Health behaviors•  Personal health beliefs (validated)•  Diabetes risk knowledge (validated)SETTING:Registry of potential participants was created from patient panels at four practices serving an urban Eastern Pennsylvania community. PARTICIPANTS:•  Hispanic patients •  18-65 years old•  Diagnosis of prediabetes•  HbA1c between 5.7% and 6.4% in past year (Stratified into mild (5.7-6.0%) and intermediate (6.1-6.4%) hyperglycemia)•  Prevalence of prediabtetes (PreDM) is increasing.  •  Hispanic adults with PreDM are 1.7 times more likely to progress to diabetes (DM) and 50% more likely to die from DM-related complications.1•  Understanding the health beliefs of the Hispanic community is necessary to address these health disparities with effective and culturally appropriate interventions.DATA COLLECTION:414 individuals met inclusion criteria and 120 (29%) eligible surveys were returned. Responses were de-identified and entered into an online database, REDCap.DATA ANALYSIS:SPSS was used to analyze survey data.•  Diabetes risk knowledge, personal control, worry, and optimistic bias scores were determined using the validated scoring guide.•  Summarizations of all variables were calculated with descriptive statistics. •  Demographic groups’ RPS-DD scores were compared utilizing independent t-tests and ANOVAs.RESULTS:•  Over 75% of respondents had prior knowledge of their PreDM.•  Majority knew a family member (73%) and/or a friend/coworker (60%) with DM or PreDM. •  Exercise (77%) and nutritional programs (50%) were most commonly selected as preferred healthy lifestyle interventions. •  Significant differences in Risk Knowledge scores were found between education levels (p=.001). •  Awareness of PreDM diagnosis indicated higher worry scores (p=.027). •  No significant differences were found between mild and intermediate hyperglycemic participants.DISCUSSION:High level of interest in healthy eating and exercise to prevent progression to DM reveals that disparities could be improved with low-cost interventions. Little difference was found in responses across demographic groups.  However, the difference in risk knowledge of those with lower educational attainment highlights an opportunity for DM specific education.NEXT STEPS:Moving forward, qualitative analysis of one-on-one interviews will examine health beliefs in more detail.  Participants will also provide feedback on a PreDM infographic.Figure 2:  Interest in Healthy Lifestyle InterventionsTable 1. Demographics   Prediabetes Type Number PercentMild Hyperglycemia 98 81.7%Intermediate Hyperglycemia 22 18.3%Sex Number PercentFemale 84 70.0%Male 36 30.0%Race Number PercentWhite 35 29.2%Black, African American 3 2.5%American Indian or Alaskan Native 2 1.7%Other 64 53.3%Missing 17 14.2%Highest Completed Level of Education Number PercentLess than High School 28 23.3%High School or Equivalent (GED) 53 44.2%Non College/Business/Trade/Technical School 14 11.7%2-Year Associates Degree 6 5.0%4-Year College Degree and Agove 16 13.3%Missing 3 2.5%Language Spoken Most of the Time at Home Number PercentEnglish 13 10.8%Spanish 89 74.2%Other 16 13.3%Missing 2 1.7%Table 3. Risk Knowledge Score Comparisons  Risk Knowledge Score t (p)Education Level Number PercentHS or less 61 5.203.57 (.001)More than HS 30 6.43Aware of Diagnosis Number PercentYes 72 5.680.79 (.430)No 16 5.31Family Member with DM or PreDM Number PercentYes 68 5.74.691 (.492)No 13 5.38Friend/coworker with DM or PreDM Number PercentYes 56 5.891.519 (.133)No 15 5.20Table 2. Scores from Risk Perception Survey for             Developing DiabetesRisk Perception Survey -               Developing Diabetes Category Mean Median S.D.Diabetes Risk Knowledge* 5.59 5.50 1.65Personal Control** 3.05 3.00 0.53Personal Worry** 3.21 3.50 0.73Optimistic Bias** 2.14 2.00 0.78*  Minimum score of 0 and Maximum of 11** Minimum score of 0 and Maximum of 41Lehigh Valley Health Network, Allentown, PA; 2Lehigh University, Bethlehem, PA; 3East Stroudsburg University, East Stroudsburg, PAExploring Health Beliefs Among Hispanic Adults with PrediabetesKyle Shaak BS1, Beth Careyva MD1, Susan Hansen MA1, Melanie Johnson MPA1, Samantha Goodrich PhD1, Alicia Rivera BA1, Liselly Diaz1, Jessecae Marsh PhD2, Clare Lenhart PhD3, Brian Stello MD1BACKGROUNDRESULTS

Exploring Health Beliefs Among Hispanic Adults with Prediabetes (Poster).

https://scholarlyworks.lvhn.org/cgi/viewcontent.cgi?article=1357&context=family-medicine

Exploring Health Beliefs Among Hispanic Adults with Prediabetes (Poster).

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