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DIABETES MANAGEMENT IN THE EVERYDAY LIVES OF EMERGING ADULTS
by
Elizabeth Ann Pyatak
A Dissertation Presented to the
FACULTY OF THE USC GRADUATE SCHOOL
UNIVERSITY OF SOUTHERN CALIFORNIA
In Partial Fulfillment of the
Requirements for the Degree
DOCTOR OF PHILOSOPHY
(OCCUPATIONAL SCIENCE)
December 2010
Copyright 2010 Elizabeth Ann Pyatak
Object Description
| Title | Diabetes management in the everyday lives of emerging adults |
| Author | Pyatak, Elizabeth Ann |
| Author email | beth.pyatak@usc.edu; pyatakposse@me.com |
| Degree | Doctor of Philosophy |
| Document type | Dissertation |
| Degree program | Occupational Science |
| School | School of Dentistry |
| Date submitted | 2010 |
| Restricted until | Unrestricted |
| Date published | 2010-12-06 |
| Advisor (committee chair) | Clark, Florence |
| Advisor (committee member) |
Lawlor, Mary Carlson, Mike Neville-Jan, Ann Weigensberg, Marc |
| Abstract | Purpose: To develop an in-depth understanding of the experiences of young adults with diabetes, with a particular focus on how engagement in occupation influences their ability to successfully manage diabetes, and likewise how their diabetes management strategies shape their participation in occupation.; Methods: Participants were eight young adults with type 1 diabetes. Each participant completed eight semi-structured interviews examining factors that influenced diabetes management in their everyday lives. Thematic analysis drawing on narrative and phenomenological approaches was used to examine data across cases and characterize the participants' experiences of engagement in occupation and diabetes management.; Results: Seven themes characterized the relationship between occupation and diabetes care, including (a) emotional reactions to diabetes; (b) negotiating unanticipated events; (c) embodied knowledge; (d) healthcare access and satisfaction; (e) shifting physical contexts; (f) social support, sensitivity, and stigma; and (g) schedules, routines, and special events. These illustrate the tension participants experienced between engaging in desired occupations and attending to their disease.; Five themes characterized the decisions of participants who were nonadherent to diabetes treatment recommendations, including (a) misleading healthcare providers; (b) adhering to alternative standards; (c) treatment fatigue and burnout; (d) social support problems; and (e) emotions, confidence, and self-efficacy. Participants' non-adherent decisions were sometimes, but not always, associated with poor control of diabetes.; Finally, an overview of current behavioral interventions for diabetes management and systematic review of the literature on occupational therapy and diabetes care is presented. This chapter provides suggestions for developing a diabetes management intervention based on occupational science principles.; Conclusion: Young people make calculated decisions about how to balance diabetes care with competing goals and priorities in their everyday lives. At times this leads to the subjugation of diabetes care in favor of participation in occupations they perceive as being incompatible with their diabetes care regimen. At other times it leads to the development of creative strategies that optimize both their diabetes care and their ability to engage in meaningful occupations. The findings of this study contribute to a growing body of literature suggesting that a reconceptualization of the relationship between occupation and health is warranted. |
| Keyword | occupational science; occupational therapy; diabetes self-management; emerging adulthood; type 1 diabetes; adherence |
| Language | English |
| Part of collection | University of Southern California dissertations and theses |
| Publisher (of the original version) | University of Southern California |
| Place of publication (of the original version) | Los Angeles, California |
| Publisher (of the digital version) | University of Southern California. Libraries |
| Provenance | Electronically uploaded by the author |
| Type | texts |
| Legacy record ID | usctheses-m3576 |
| Contributing entity | University of Southern California |
| Rights | Pyatak, Elizabeth Ann |
| Repository name | Libraries, University of Southern California |
| Repository address | Los Angeles, California |
| Repository email | http://www.usc.edu/isd/libraries/services/ask_a_librarian/email/ |
| Filename | etd-Pyatak-3938 |
| Archival file | uscthesesreloadpub_Volume23/etd-Pyatak-3938.pdf |
Description
| Title | Page 1 |
| Contributing entity | University of Southern California |
| Full text | DIABETES MANAGEMENT IN THE EVERYDAY LIVES OF EMERGING ADULTS by Elizabeth Ann Pyatak A Dissertation Presented to the FACULTY OF THE USC GRADUATE SCHOOL UNIVERSITY OF SOUTHERN CALIFORNIA In Partial Fulfillment of the Requirements for the Degree DOCTOR OF PHILOSOPHY (OCCUPATIONAL SCIENCE) December 2010 Copyright 2010 Elizabeth Ann Pyatak |
