Careyva, Beth, M.D.

Hayes, Jordan

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Lehigh Valley Health NetworkLVHN Scholarly WorksResearch Scholars Poster PresentationExploring Health Beliefs Among Hispanic Adultswith Prediabetes (Poster)Jordan HayesLehigh University, jordan.hayes@lvhn.orgBeth Careyva M.D.Lehigh Valley Health Network, beth_a.careyva@lvhn.orgFollow this and additional works at: http://scholarlyworks.lvhn.org/research-scholars-postersThis 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 AtHayes, J., Careyva, B., (2016, July, 29) Exploring Health Beliefs Among Hispanic Adults with Prediabetes. Poster presented at LVHNResearch Scholar Program Poster Session, Lehigh Valley Health Network, Allentown, PA.© 2016 Lehigh Valley Health NetworkLehigh Valley Health Network, Allentown, PennsylvaniaExploring Health Beliefs Among Hispanic Adults with Prediabetes• Prediabetes is diagnosed based on elevated glucose levels that are not in the diabetes range• Almost one in three Americans have prediabetes1• Hispanics have higher rates of diabetes than non-Hispanic whites• Without intervention, 15-30% of those with prediabetes will develop type 2 diabetes. • Exercise, medication, and a healthy diet can delay or even prevent the onset of diabetes in prediabetic patients404 surveys sent, 120 valid responses80.7% (n=92) had previous knowledge of prediabetes diagnosis.69% (n=81) had an education level of < high school (HS). Phase 1 Registry createdStratified by Hemoglobin A1c (Low risk: 5.7‐6%; Intermediate: 6.1‐6.4%)Validated survey tool distributed: Risk Perception Survey for Developing Diabetes (RPS‐DD) 2Phase 2 Conduct interviews with 20 survey respondentsUse surveys and interviews to understand the role of risk knowledge and health beliefs in patient activationJordan Hayes, Beth Careyva, MDBACKGROUND / INTRODUCTIONMETHODSOUTCOMES RESULTSCONCLUSIONSRisk Group n Mean t‐score (p) RiskKnowledge Low 73 5.550 .442 (.660)Intermediate 19 5.740Personal Control Low 89 3.076 .967 (.336)Intermediate 22 2.955Worry Low 93 3.231 .775 (.440)Intermediate 21 3.095Optimistic Bias Low 88 2.142 .004 (.997)Intermediate  21 2.1429• Participants who knew someone with diabetes or had an education level greater than high school scored higher on risk knowledge • Overall risk knowledge scores were low  • There were no significant differences in health beliefs between those with low and intermediate risk of developing diabetes  • For lifestyle modifications to decrease risk, respondents preferred exercise and nutrition programs to technology-based interventionsTable 1: Risk knowledge and health beliefs scoresRisk Knowledge t‐score (p) Education Level n Mean 3.5 (.001)HS or Less 61 5.2More than HS 30 6.43Family Member with Diabetesn Mean .691 (.492)Yes 68 5.74No 13 5.38Friend/Coworker with Diabetesn Mean 1.519 (.133)Yes 56 5.89No 15 5.2REFERENCESPatients with prediabetes had low risk knowledge scoresEducation around risk of progression to diabetes  is neededEducation level is important in determining a respondent’s risk knowledgeFuture interventions may want to tailor messaging based on education levelThere were no correlations between risk knowledge and health beliefs.Knowing someone with diabetes was the primary driver for risk knowledge and health beliefsTable 2: Impact of education, family members and friends with diabetes vs. risk knowledge 1. Centers for Disease Control and Prevention. National diabetes statistics report: estimates of diabetes and its burden in the United States, 2014. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, 2014. 2. Joiner, K. L., Sternberg, R. M., Kennedy, C. M., Fukuoka, Y., Chen, J., & Janson, S. L. (2016). Perception of Risk for Developing Diabetes Among Foreign‐Born Spanish‐Speaking US Latinos. The Diabetes Educator. doi:10.1177/0145721716646204 

Exploring Health Beliefs Among Hispanic Adults with Prediabetes (Poster)

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Exploring Health Beliefs Among Hispanic Adults with Prediabetes (Poster)

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