Date of Conferral

2020

Degree

Doctor of Public Health (DrPH)

School

Public Health

Advisor

Mary Lou Gutierrez

Abstract

Provider cultural competence is poorly understood in relation to the outcome of Type 2 diabetes patient health behaviors. The purpose of this study was to examine the association between provider cultural competence and diabetes patient health behaviors. The chronic care model provided the conceptual framework for this study. The research questions were designed to determine whether 5 measures of provider cultural competence play a role in diabetes patient health behavior change. The research design of the study was a quantitative cross-sectional survey using the 2017 National Health Interview Survey. The 2,342 participants included in the study represent a national sample of patients with Type 2 diabetes. The binary logistic regression analyses indicated an association between provider cultural competence and reducing fat or calorie intake (p = .009) with the odds of a diabetes patient reducing fat or calories 2.35 times more likely when treated with respect by the provider. Age and gender were independent predictors of fat and calorie intake, age of physical activity, fat or calorie intake, and weight loss program. There was insufficient evidence to determine associations between provider cultural competence and increasing physical activity and participating in a weight loss program. Future research should include further examination of provider cultural competence and diabetes patient health behavior changes. The implications for social change include evidence to support the implementation and training of provider cultural competence within the healthcare industry among diabetes patients.

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