Access Type
Open Access Dissertation
Date of Award
January 2023
Degree Type
Dissertation
Degree Name
Ph.D.
Department
Nursing
First Advisor
Maha Albdour
Abstract
Background: Diabetes self-management (DSM) is the mainstay of type 2 diabetes mellitus (T2DM) control. Adhering to self-management tasks is demanding, especially for women living with T2DM. Adult Arab Omani women living with T2DM are highly influenced by their social environment, which might impact women’s body appreciation and self-worth. The literature focused on these psychological determinants of DSM adherence behavior among Omani women living with T2DM is scared. Objective: Therefore, this study aimed to examine the relationship between social support and DSM behavior as mediated by body appreciation and self-worth in adult (≥ 40 years old) Arab Omani women living with T2DM, using Orem’s theory of self-care. Method: A non-experimental, qualitative, cross-sectional survey comprised a convenience sample of 132 adult Omani women 40 years and older from four healthcare centers in Muscat. The investigator used Arabic-translated versions of the Diabetes Self-Management Questionnaire, Social Support Scale from Diabetes Care Profile, Body Appreciation-2, and Rosenberger Self-Esteem. Data were analyzed using simple linear regression, while for mediation testing, the investigator used Andrew Hays’ (2013) PROCESS Macro simple mediation analysis. Results: Results showed that social support was positively associated with DSM adherence (R2 = 15, F (9,121), t = 3.03, p = .003). Body appreciation and self-worth did not mediate the relationship between social support and DSM adherence behavior. Yet, both Body appreciation and self-worth were strongly correlated with DSM Adherence behavior. Additionally, DSM adherence behavior was not associated with HbA1c (R2 = 16, F(9, 121), t = 2.64, p = .285) Conclusions: The study emphasizes the independent roles of internal psychosocial factors, such as body appreciation and self-worth, in enhancing DSM adherence behaviors in adult Omani women with T2DM. Future longitudinal studies of large samples should further investigate the impact of body appreciation and self-worth on DSM activities and re-evaluate the association with glycemic control.
Recommended Citation
Alharrasi, Samia, "The Role Of Body Appreciation And Self-Worth In The Social Support, Self-Management, And Glycemic Control Relationships With Type 2 Diabetes Mellitus Among Adult Arab Omani Women" (2023). Wayne State University Dissertations. 3937.
https://digitalcommons.wayne.edu/oa_dissertations/3937
