Spousal support and food-related behavior change in middle-aged and older adults living with type 2 diabetes

Elizabeth A. Beverly, Carla K. Miller, Linda A. Wray

Research output: Contribution to journalArticlepeer-review

68 Scopus citations

Abstract

One of the most challenging diabetes-related behavior changes is adhering to a healthful diet. Drawing on the social cognitive theory and social support literature, this qualitative study explores how spousal support influences dietary changes following a diagnosis of type 2 diabetes in middle-aged and older adults. The purpose of this study was to determine how aspects of the spousal relationship translate into behavior changes, specifically adherence to a healthful diet. Analyses revealed five core themes related to dietary adherence: control over food, dietary competence, commitment to support, spousal communication, and coping with diabetes. The themes can be categorized within two key social cognitive theory constructs: reinforcement and self-efficacy. Implications from the focus group data can inform the development of more effective, targeted nutrition messages and programs to provide specific knowledge and skills.

Original languageEnglish (US)
Pages (from-to)707-720
Number of pages14
JournalHealth Education and Behavior
Volume35
Issue number5
DOIs
StatePublished - Oct 2008

All Science Journal Classification (ASJC) codes

  • Arts and Humanities (miscellaneous)
  • Public Health, Environmental and Occupational Health

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