David Baba

ORCID Identifier(s)

0000-0002-2503-3605

Graduation Semester and Year

2022

Language

English

Document Type

Dissertation

Degree Name

Doctor of Philosophy in Nursing

Department

Nursing

First Advisor

Deborah F Behan

Abstract

A quasi-experimental study was conducted to investigate the effectiveness of a shared-decision-making (SDM) intervention using a decision aid (DA) with medication adherence and social support of African American/Black adults with type 2 diabetes. Orem's self-care theory and self-care deficit theory were the guiding frameworks to conceptually define and explain medication adherence as a self-care demand and shared decision making and social support as conditioning factors for promoting medication adherence. The medication adherence and social support levels of 31 men and women with diabetes were measured before and three months after implementing the SDM intervention. Participants' hemoglobin A1c test results were documented, and mixed-linear model analysis was conducted to determine the effectiveness of the SDM intervention. The results indicated that the diabetes medication adherence after the SDM was effective with a significant increase in the subjects’ medication adherence from pretest (6.55) to posttest (7.14) (p=.001). The subjects’ level of social support reduced from 42.47 before the SDM intervention to 42.42 after the SDM intervention, and social support was not significantly related to medication adherence (p=.307). Given that the increase in the subjects' medication adherence was less than the predicted level (2) in the hypothesis, further research is recommended to determine what the SDM might include for an intervention that will have a greater impact on medication adherence.

Keywords

Medication adherence shared-decision making

Disciplines

Medicine and Health Sciences | Nursing

Comments

Degree granted by The University of Texas at Arlington

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Nursing Commons

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