Assessing the relationship between multimorbidity, psychosocial variables, and clinical outcomes among older adults living in rural Appalachia
Bibliographic Data
| ID | 7844325 |
|---|---|
| Authors | Brittany L Smalls (0000-0003-3727-346X, University of Kentucky College of Medicine, USA), Adebola Adegboyega (0000-0002-8764-6589), Adebola O Adegboyega (University of Kentucky College of Nursing, USA), Courtney L Ortz (0000-0003-0396-924X, University of Kentucky College of Medicine, USA), Patience E Simon-Okube (University of Kentucky College of Nursing, USA), Philip M Westgate (0000-0003-2991-268X, University of Kentucky College of Public Health, USA), Nancy Schoenberg (0000-0002-4227-6326), Nancy E Schoenberg (University of Kentucky College of Medicine, USA) |
| Year | 2025 |
| Volume | 30 |
| Issue | 11 |
| Pages | 2945-2956 |
| Publication date | 2025-09-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Journal of Health Psychology (JOURNAL) |
| Journal identifiers | ISSN: 1359-1053 • E-ISSN: 1461-7277 |
| Publisher | SAGE Publications (PUBLISHER • US) |
| DOI | 10.1177/13591053241302131 |
| PMID | 39665410 |
| OpenAlex | W4405327072 |
| Language | EN |
| References cited | 37 |
The objective of this study was to assess the relationship between multimorbidity, psychosocial variables, and clinical outcomes among older adults with type 2 diabetes (T2D) in rural Appalachia. Point-of-care clinical data (e.g. A1c, systolic blood pressure, diastolic blood pressure) and self-reported survey data, that includes psychosocial factors (e.g. distress, depressive symptoms, social support, perceived stress), chronic conditions, and sociodemographic variables were obtained from older adults living in rural Appalachia. Clinical data and psychosocial variables were treated as outcome variables, whereas the number of comorbid conditions was treated as the predictor variable. Stress was significantly associated with multimorbidity (β = 0.24, SE = 0.08, p = 0.01). However, T2D distress, social support, disability, and depression did not have statistically significant relationships with multimorbidity. Further research should assess the role of stress on psychosocial factors and clinical outcomes in rural-dwelling older adults
Appalachia · Appalachian Region · Environmental health · Geography · Psychiatry · Psychosocial · Chronic Disease Management Strategies · Diabetes Management and Education · Medicine · Primary Care and Health Outcomes · Psychology · Gerontology
SF-36 Health Survey Update
Assessment of Diabetes-Related Distress
Overview of the SF-36 Health Survey and the International Quality of Life Assessment (Iqola) Project
Patient Self-management of Chronic Disease in Primary Care
The Effects of Stress on Physical Activity and Exercise
Global, regional, and national burden of diabetes from 1990 to 2021, with projections of prevalence to 2050
Psychometric evaluation of the Problem Areas in Diabetes (Paid) survey in Southern, rural African American women with Type 2 diabetes
Faith Moves Mountains
Measuring social health in the patient-reported outcomes measurement information system (PROMIS)
Content validity in the PROMIS social-health domain
Evaluating Dietary Knowledge and Barriers to Self-Management of Type 2 Diabetes in Rural Kentucky
| Highly cited | No |
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