title: Spousal support and food-related behavior change in middle-aged and older adults living with type 2 diabetes.
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.
authors: The Pennsylvania State University, University Park, PA 16802, USA. eab203@psu.edu
authors: Elizabeth A
authors: EA
authors: Beverly
authors: Carla K
authors: CK
authors: Miller
authors: Linda A
authors: LA
authors: Wray
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003924:Diabetes Mellitus, Type 2 / Q000178:diet therapy*; D003927:Diet, Diabetic / Q000523:psychology*; D005247:Feeding Behavior / Q000523:psychology*; D005260:Female; D017144:Focus Groups; D015438:Health Behavior; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008019:Life Style; D008297:Male; D008393:Marriage; D008875:Middle Aged; D010349:Patient Compliance / Q000523:psychology*; D012944:Social Support; D018454:Spouses / Q000523:psychology*