Academic Commons

Theses Doctoral

An Avatar Video Intervention on Type 2 Diabetes for Women of Color Using Brief Motivational Interviewing: Predictors of Self-efficacy Post-video for Performing the American Association of Diabetes Educator’s Seven Self-care Behaviors

Gesinde, Bukunmi

This online study evaluated the efficacy of an e-health avatar/cartoon video with women of color living with type 2 diabetes for a minimum of 2 years. After considerable dropout, the sample size declined from n=149, as 50.3% (n=75, 50.33%) did not complete the survey. After eliminating those who did not watch “all” or “most” of the video, the sample declined further. The final sample (n=64) was 31.3% (n=20) U.S.-born, 100% (n=64) female, 79.7% (n=51) Black, and 12.5% (n=8) Asian—with mean age of 49.28 (Min=22, Max=79, SD=13.24).
Using backwards stepwise regression, higher post-video global self-efficacy to perform AADE7 Self-Care Behaviors™ was significantly predicted by: higher level of coping self-efficacy—stopping unpleasant emotions and thoughts (B=0.131, p =.001); and higher age (B=0.026, p=.002) with the R2=.331 (Adjusted R2 =.298; 29.8% of the variance was explained).
However, less emphasis should be placed on findings from this controversial regression with small sample size. Instead, as this is an online evaluation of a brief online video intervention, what are important are results of pre- versus post-video paired t-test results. These suggested that engagement in the brief online intervention of watching the new video was associated with: a significant increase in type 2 diabetes self-management knowledge for performing the AADE7™ Self-Care Behaviors; and, a significant increase for stages of change, self-efficacy, and motivation to perform the 7 diabetes self-management behaviors.
Finally, the mixed methods data were important for underscoring the value of the study’s quantitative findings. Some 89.1% (n=57) would recommend the video to other women of color living with type 2 diabetes. Reflecting how the video intervention was a true innovation in integrating a brief form of motivational interviewing with relapse prevention, consider sample emergent themes: video was motivational; and video covered relapse prevention and problem solving, using a menu of options.
There is value in ensuring exposure to an e-health avatar video on the AADE7 Self-Care Behaviors™ that also integrates the evidence-based approaches of motivational interviewing and relapse prevention, in order to meet the health education needs of those diagnosed with type 2 diabetes.

Files

  • thumnail for Gesinde_tc.columbia_0055E_10975.pdf Gesinde_tc.columbia_0055E_10975.pdf application/pdf 1.37 MB Download File

More About This Work

Academic Units
Health and Behavior Studies
Thesis Advisors
Wallace, Barbara C.
Degree
Ed.D., Teachers College, Columbia University
Published Here
August 27, 2019
Academic Commons provides global access to research and scholarship produced at Columbia University, Barnard College, Teachers College, Union Theological Seminary and Jewish Theological Seminary. Academic Commons is managed by the Columbia University Libraries.