Date of Conferral

2022

Degree

Doctor of Education (Ed.D.)

School

Nursing

Advisor

Debra Lewis

Abstract

Chronic kidney disease (CKD) is a health problem that affects African Americans more often than Whites and other ethnic groups. Individuals with CKD need to develop strategies to help with the disease and life challenges. Social support, self-management, and self-efficacy are factors that may influence how individuals with CKD cope with the disease. This quantitative correlational study examined the relationships among self-management, self-efficacy, and coping behaviors in African Americans with CKD in Stages 3 or 4. In addition, the moderating effect of social support on the extent to which self-management and self-efficacy account for the variance of coping behaviors in African Americans with CKD was examined. The theory used to guide this study is social cognitive theory. A convenience sampling method was used to recruit the study participants, who then completed a demographic questionnaire and four survey instruments. Results indicated that there is an effect between self-management, self-efficacy, and coping among African Americans in Stages 3 or 4 with CKD. Additionally, there was no moderating effect on the relationship between self-efficacy and coping; however, social support has a significant moderating effect on the relationship between self-efficacy and coping among African Americans in Stages 3 or 4 with CKD. The results of this study have the potential to impact social change by identifying factors that may be used to empower patients with CKD in Stages 3 or 4 to develop strategies to cope with the disease, slow its advancement, and lead to enhanced quality of life.

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