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ERIC Number: ED559464
Record Type: Non-Journal
Publication Date: 2013
Pages: 197
Abstractor: As Provided
Reference Count: N/A
ISBN: 978-1-3032-9692-5
Evaluating the "Healthy Diabetes" Caribbean Food Plate and Website Portal for Diabetes Prevention and Management: Results of an Online Study and Implications for Reducing Health Disparities
Thomas, Nigel M.
ProQuest LLC, Ed.D. Dissertation, Teachers College, Columbia University
Given the challenge of cooking traditional Caribbean meals so they are consistent with the goals of diabetes prevention and management, the researcher created and evaluated a new website portal as e-health tailored to be culturally appropriate and teach the following: how to cook and prepare "Healthy Diabetes" Caribbean Plates. A social marketing campaign resulted in a convenience sample (N = 152) with 54% born in the U.S. and 46% born in the Caribbean. The sample had a mean age of 36 years (M = 35.8, SD = 8.9, Min 25, Max 6), a modest level of acculturation (M = 3.3, SD, 1.0, Min 2, Max 6), and 19.1% had been formally diagnosed with Type 2 Diabetes; 19.1% also had a spouse/partner so diagnosed. After spending a recommended 10 to 15 minutes browsing the new website portal the overall rating of the Website was "good to very good" (M = 7.9, SD = 1.7, Min 3.2 Max 10). Results showed stage of change for cooking healthy before exploring the website had a sample Mean of 2.45 (between contemplation and preparation stages, SD = 1.477) versus the after Mean of 2.91 (closest to preparation stage SD = 1.139); t = -5.379, df = 147 (P < 0.001). Furthermore, results showed self-efficacy for cooking healthy before exploring the website was a Mean 3.52 (between 40% and 60% confident, or for being fairly confident SD = 1.509) versus the after Mean of 4.59 (closest to 80% confident or a good level of confidence, SD = 1.154); t = - 10.353, df = 147 (P < 0.001). Thus, these results suggest the website served as a brief intervention for increasing readiness and self-efficacy to engage in cooking healthy meals. The backwards stepwise regression showed a "higher" overall website rating was predicted by a higher rating of overall quality of care received from the primary care physician (B = 0.333, SE = 0.115, p = 0.004) and a "higher" number of people that the participant cooks for with Type 2 diabetes (B= 0.281, SD = 0.123, p = 0.024)--[R[superscript 2] = 0.081, Adjusted R[superscript 2] = 0.068, 6.8 % of variance explained]. [The dissertation citations contained here are published with the permission of ProQuest LLC. Further reproduction is prohibited without permission. Copies of dissertations may be obtained by Telephone (800) 1-800-521-0600. Web page:]
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Publication Type: Dissertations/Theses - Doctoral Dissertations
Education Level: N/A
Audience: N/A
Language: English
Sponsor: N/A
Authoring Institution: N/A