The influence of positive mental health on self-management of chronic disease, and the mediating roles of social support, self-efficacy, and coping behaviors
May 15, 2016 - August 15, 2016
Southeastern North Carolina has one of the highest prevalence and mortality rates of Chronic Kidney Disease (CKD) in the US. Engagement in self-management skills has been demonstrated to improve physical and psychosocial outcomes for patients with chronic disease, including CKD and associated comorbidities. Individual and community-level factors contributing to engagement have been identified, although the mechanisms leading to increased self-management are less clear. Many components of positive mental health, such as optimism, social support, self-efficacy, and adaptive coping behaviors, are known to be protective risk factors for health outcomes. However, very few studies have examined the association between positive mental health and self-management behaviors. We hypothesize that positive mental health has a direct correlation with self-management behaviors, and that social support, self-efficacy, and coping behaviors mediate between these variables. This study will use a mixed methods approach to determine the strength of association between these variables among individuals with CKD or at risk for CKD. The mechanism linking positive mental health and self-management behaviors will be explored qualitatively. Understanding how positive mental health is related to self-management will be important in formulating future interventions designed to reduce the burden of CKD in Southeastern North Carolina.