Interdependence of the mind and body is paramount in the context of Type 2 Diabetes Mellitus (T2DM), as day-to-day cognitions and behaviors have direct implications for disease management and for potential complications. Cognitive representations of self-efficacy for prescribed treatment regimens strongly affect behavioral adherence; which, in turn, influences physiological functioning. Patients' successful and failed efforts at disease management are shaped by significant others, such as the spouse. Spouses may engage in strategies to support patients' efforts, or to control (i.e., regulate) such efforts. The overarching goal of our proposed investigation is to examine the influence of spousal involvement (support and control) on the interrelationships among cognitive, behavioral, and physiological components in patients' management of T2DM. Our dyadic study will: 1) examine associations among patient efficacy, adherence to dietary behaviors and medication usage, and diabetes outcomes; 2) examine the effects of spousal support and spousal control on the cognitive, behavioral, and physiological components of T2DM, and whether the influence of spousal involvement on patients' diabetes outcomes changes over time; and, 3) identify gender differences in spouses' involvement in patients' disease management, and the resultant cognitive, behavioral, and physiological responses of female and male T2DM patients. We will follow 120 older T2DM patients and their spouses over 12 months. We will combine intensive daily diary assessments to detect the antecedents and consequences of patients' day-to-day disease management with annual and mid-year interviews and medical assessments to detect changes in the nature and effectiveness of spouses' involvement and changes in patients' diabetes outcomes.

Agency
National Institute of Health (NIH)
Institute
National Institute on Aging (NIA)
Type
Research Project (R01)
Project #
3R01AG024833-03S1
Application #
7287058
Study Section
Special Emphasis Panel (ZRG1)
Program Officer
Nielsen, Lisbeth
Project Start
2004-09-30
Project End
2009-07-31
Budget Start
2006-09-30
Budget End
2007-07-31
Support Year
3
Fiscal Year
2006
Total Cost
$21,456
Indirect Cost
Name
Kent State University at Kent
Department
Psychology
Type
Schools of Arts and Sciences
DUNS #
041071101
City
Kent
State
OH
Country
United States
Zip Code
44242
Martire, Lynn M; Hemphill, Rachel C; Zhaoyang, Ruixue et al. (2018) Daily Marital Tension and Symptom Severity in Older Adults With Diabetes or Osteoarthritis. Ann Behav Med 52:842-853
Hemphill, Rachel C; Stephens, Mary Ann Parris; Rook, Karen S et al. (2013) Older adults' beliefs about the timeline of type 2 diabetes and adherence to dietary regimens. Psychol Health 28:139-53
Khan, Cynthia M; Stephens, Mary Ann Parris; Franks, Melissa M et al. (2013) Influences of spousal support and control on diabetes management through physical activity. Health Psychol 32:739-47
Stephens, Mary Ann Parris; Franks, Melissa M; Rook, Karen S et al. (2013) Spouses' attempts to regulate day-to-day dietary adherence among patients with type 2 diabetes. Health Psychol 32:1029-37
August, Kristin J; Rook, Karen S; Franks, Melissa M et al. (2013) Spouses' involvement in their partners' diabetes management: associations with spouse stress and perceived marital quality. J Fam Psychol 27:712-21
Henry, Shayna L; Rook, Karen S; Stephens, Mary A P et al. (2013) Spousal undermining of older diabetic patients' disease management. J Health Psychol 18:1550-61
Franks, Melissa M; Hemphill, Rachel C; Seidel, Amber J et al. (2012) Setbacks in diet adherence and emotional distress: a study of older patients with type 2 diabetes and their spouses. Aging Ment Health 16:902-10
Seidel, Amber J; Franks, Melissa M; Stephens, Mary Ann Parris et al. (2012) Spouse Control and Type 2 Diabetes Management: Moderating Effects of Dyadic Expectations for Spouse Involvement. Fam Relat 61:698-709
August, Kristin J; Rook, Karen S; Stephens, Mary Ann Parris et al. (2011) Are spouses of chronically ill partners burdened by exerting health-related social control? J Health Psychol 16:1109-19
Rook, Karen S; August, Kristin J; Stephens, Mary Ann Parris et al. (2011) When does Spousal Social Control Provoke Negative Reactions in the Context of Chronic Illness?: The Pivotal Role of Patients' Expectations. J Soc Pers Relat 28:

Showing the most recent 10 out of 12 publications