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京都大学 / 新制・課程博士 / 博士(農学) / 甲第24110号 / 農博第2515号 / 新制||農||1093(附属図書館) / 学位論文||R4||N5401(農学部図書室) / 京都大学大学院農学研究科食品生物科学専攻 / (主査)教授 井上 和生, 教授 谷 史人, 准教授 後藤 剛 / 学位規則第4条第1項該当 / Doctor of Agricultural Science / Kyoto University / DGAM

The purpose of this study was to examine the effects of diabetic teaching using methods of videotape instruction in the hospital. The study focused on measuring the amount of knowledge gained between diabetic patients who viewed a videotape program with and without the presence of a health educator. Data collected for each patient consisted of: age, sex, method of regulating their diabetes i.e. (insulin, oral pills and diet), degree of impairment during hospitalization, number of years each patient has known to have diabetes, prior hospitalization because of diabetes, prior diabetic education, and prior viewing of a videotape on avoiding diabetic complications. In a pre-test/post-test design, 32 patients were randomly assigned to one of two groups. Patients in group I received diabetic teaching using a videotape program without a health educator present, while patients in group II received diabetic teaching using a videotape program along with a health educator present. The post-test was administered on the day following the teaching. A significant increase in knowledge scores (p < .05) was demonstrated on the post-tests taken on the day after viewing the videotape program. A comparison was made between the two groups and results showed no significant difference in knowledge gain between them. It was interesting to note that the presence of the educator was apparently needed for significant knowledge gain scores (F = 7. 13, p < .05) in subjects who had reported to have had prior diabetic education compared to the group of subjects who reported that they had received no previous diabetic education. It would seem that the increased knowledge should serve as a first step to improved health. However, this study in no way demonstrated that the knowledge did lead to improved diabetic control. Perhaps the greatest success of the video program was that the patients expressed an interest in viewing the program and learning about the avoidance of diabetic complications. / M.S.

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Thesis (Ph. D.)--University of Texas at Austin, 2006. / Vita. Includes bibliographical references.

Thesis (M.S.)--University of Michigan, 1985.

Thesis (M.S.)--University of Michigan, 1985.

Thesis (Ph.D.)--University of Alberta, 2009. / A thesis submitted to the Faculty of Graduate Studies and Research in partial fulfillment of the requirements for the degree of Doctor of Philosophy in Nutrition and Metabolism, Agricultural, Food and Nutritional Science. Title from pdf file main screen (viewed on September 25, 2009). Includes bibliographical references.

Objective: To identify whether perceived stress is a risk-factor for higher cortisol levels and greater insulin resistance in Type 2 diabetic patients, using data from participants with and without diabetes in the National Survey of Midlife Development in the United States (MIDUS), specifically MIDUS II, Project 4. The following hypotheses were tested: (H1a) greater perceived stress would be associated with higher cortisol for Type 2 diabetic participants, (H1b) the perceived stress/cortisol relationship would be stronger for people with Type 2 diabetes than for those without it, (H2) greater perceived stress would be associated with higher Homeostatic Model Assessment-Insulin Resistance (HOMA-IR, insulin-resistance) for Type 2 diabetic participants, (H3a) subjective well-being would moderate the perceived stress/insulin resistance relationship for Type 2 diabetic participants, and (H3b) depression would moderate the perceived stress/insulin resistance relationship for Type 2 diabetic participants. Method: MIDUS, a longitudinal study of over 7,000 American adults, explores biopsychosocial factors that could contribute to variance in mental/physical health. Only complete data were utilized. Type 2 participants (n=115) consisted of 54 males and 62 females ranging in age from 36 to 81 years. Non-diabetic participants (n=1097) consisted of 470 males and 627 females ranging in age from 34 to 84 years. Results: None of the predicted relationships were statistically significant. Waist to hip ratio was significantly related to insulin resistance (r = .31, p = .001). Conclusions: Future studies should collect information about the type and duration of stressors in addition to perceptions about stress for those with Type 2 diabetes.