PRISM :: Browsing by Author "Godley, Jenny"

Browsing by Author "Godley, Jenny"

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Open Access
A goodness-of-fit test for the bivariate necessary-but-not-sufficient relationship
(2020-07-31) Ilagan, Michael John; de Leon, Alexander R.; Kopciuk, Karen A.; Ngamkham, Thuntida; Godley, Jenny
In the social sciences, theory often casts bivariate relationships between constructs in terms of logical asymmetries. For example, in psychology, one theory is that intelligence is necessary but not sufficient for creativity. But as average-based linear models fail to accommodate nuances of logical asymmetries, a mismatch between theory and method is common in the literature. Recent methodological work proposed the Linear Ceiling and Floor Probability Region (LCFPR) model, which analyzes bivariate relationships in terms of necessity and sufficiency. However, an erroneous treatment of nested models and a lack of a formal goodness-of-fit test remain unaddressed in the LCFPR framework. In this thesis, I propose a goodness-of-fit test for LCFPR that addresses such shortcomings. A simulation study shows that, using a nonparametric quantile, the power and size of the test are largely acceptable. Analyses of real datasets demonstrate the proposed procedure. Conclusions and future directions are outlined in the final chapter.
Open Access
An exploration of the subjective social status construct in patients with acute coronary syndrome
(2018-02-06) Tang, Karen L; Pilote, Louise; Behlouli, Hassan; Godley, Jenny; Ghali, William A
Abstract Background Perception of low subjective social status (SSS) relative to others in society or in the community has been associated with increased risk of cardiovascular disease. Our objectives were to determine whether low SSS in society was associated with barriers to access to care or hospital readmission in patients with established cardiovascular disease, and whether perceptions of discordantly high SSS in the community modified this association. Methods We conducted a prospective cohort study from 2009 to 2013 in Canada, United States, and Switzerland in patients admitted to hospital with acute coronary syndrome (ACS). Data on access to care and SSS variables were obtained at baseline. Readmission data were obtained 12 months post-discharge. We conducted multivariable logistic regression to model the odds of access to care and readmission outcomes in those with low versus high societal SSS. Results One thousand ninety patients admitted with ACS provided both societal and community SSS rankings. The low societal SSS cohort had greater odds of reporting that their health was affected by lack of health care access (OR 1.48, 95% CI 1.11, 1.97) and of experiencing cardiac readmissions (1.88, 95% CI 1.15, 3.06). Within the low societal SSS cohort, there was a trend toward fewer access to care barriers for those with discordantly high community SSS though findings varied based on the outcome variable. There were no statistically significant differences in readmissions based on community SSS rankings. Conclusion Low societal SSS is associated with increased barriers to access to care and cardiac readmissions. Though attenuated, these trends remained even when adjusting for clinical and sociodemographic factors, suggesting that perceived low societal SSS has health effects above and beyond objective socioeconomic factors. Furthermore, high community SSS may potentially mitigate the risk of experiencing barriers to access to health care in those with low societal SSS, though these associations were not statistically significant. Subjective social status relative to society versus relative to the community seem to represent distinct concepts. Insight into the differences between these two SSS constructs is imperative in the understanding of cardiovascular health and future development of public health policies.
Open Access
Attitudes and Experiences of LGBTQI2S Inclusion in Figure Skating: The Role of Known Intergroup Contact
(2019-08-13) Schnell, Andrew Jonathan; Bridel, William; Godley, Jenny; Paskevich, David M.; Din, Cari; Janoviček, Nancy
The sport landscape has shifted in recent years in relation to LGBTQI2S inclusion by way of greater awareness through academic research and popular publications, increased numbers of publicly “out” athletes, and the development of ally organizations. In an effort to augment academic and practitioner knowledge, this research project explored contemporary attitudes of athletes, coaches, officials, and administrators toward LGBTQI2S persons in figure skating. An online survey with Likert-scale and open-ended questions was made available to current members of Skate Canada, the national governing body for figure skating in Canada. Intergroup contact theory and queer theory were utilized as the theoretical foundations through which to analyse and cogitate data generated from 106 responses. Results from the quantitative and qualitative analyses indicated (1) that attitudes toward LGBTQI2S inclusion in figure skating were mostly positive, albeit with some reservations stemming from concerns about the fair and equal participation of trans persons in sport; (2) that known intergroup contact was significantly connected to attitudes toward LGBTQI2S inclusion, particularly in relation to personal support and advocacy of these persons; (3) that individuals’ underlying (non)heteronormative assumptions regarding gender as essentialist or relativist contributed greatly to the conceptualization of trans inclusion in sport as either fair or unfair; and, (4) that respondents tended to phrase their support of LGBTQI2S persons as a desire or willingness to seek educational and/or advocacy opportunities regarding inclusive practices. The knowledge gained from this research will be used to invoke more inclusive practices within Canadian figure skating specifically, as well as sport more generally. Increased quantity and quality of intergroup contact with LGBTQI2S persons, and improved educational/environmental advocacy for inclusion in figure skating and sport more generally are recommended.
Open Access
Black African and Caribbean Youth Inclusion Practices: The Role of Hip-hop
(2017) Lewis, Stefan; Madibbo, Amal; Godley, Jenny; Apentiik, Rowland
In this thesis I explore the ways in which Black African and Caribbean immigrant youth in Calgary, Alberta, use Hip-hop culture to foster feelings of inclusion in Canadian society. It is projected that by 2016, 25% of the youth population in Canada was immigrant. While some immigrant youth are on par socio-economically with their Canadian-born counterparts, others face barriers that make inclusion strenuous. First and second generation Black African and Caribbean immigrant youth in particular face social and economic barriers in Alberta. I argue that in addressing the problems faced by these youth, the potential of Hip-hop culture as a strategy to counter these barriers has been historically under-explored. Based on this data, my thesis identifies the racial and cultural barriers that these youth encounter in contemporary Canadian society, as well as the role that Hip-hop plays in shaping their inclusion process.
Open Access
Designing Graduate Training on Academic and Research Integrity: Graduate Student and Experts' Experiences
(2024-04-10) Dahal, Bibek; Eaton, Sarah; Godley, Jenny
Academic and research integrity is an integral part of graduate training across academic disciplines. This conference session explores academic and research integrity experts’ and graduate student’s experience designing self-paced graduate level training courses that aim to promote graduate students’ ethical decision-making practices in their academic and research activities. Designing training with students (not for students) ensures the inclusion of students’ voices and perspectives, promoting effective training implementation. We argue that student(s) inclusion is essential in designing graduate training to promote academic and research integrity, upholding the equity principle of “nothing about us without us”.
Open Access
The Effect of Political Ideology on Moral Judgments of Minority Group Members
(2019-09-30) Parker, Daniel J.; Ellard, John H.; MacInnis, Cara C.; Lee, Kibeom; Godley, Jenny
There is evidence liberals are more likely to perceive minority group members as victims of racial discrimination and unfair treatment compared to conservatives. We examined whether perceived victim status affects people's moral judgments towards minority groups by exploring the effect of political ideology on people's moral judgments of crimes committed by minority group members. A sample of white University undergraduates (N = 365; 299 women; 65 men; 1 non-binary, Mage = 20.96, SD = 8.16) were assessed on their political orientation, completed relevant individual difference measures, and then read a fabricated news article describing an identical looting and assault committed by either a white man, a Muslim man, or an unidentified man. Overall participants were less morally outraged and less punitive towards the Muslim perpetrator compared to the white perpetrator and this relationship was further moderated by political ideology. The findings suggest that not only was liberalism associated with being less morally outraged and less punitive towards a minority group member compared to a white ingroup member but also more outraged and more punitive towards a white person compared to an unidentified person. This study was limited by its use of an all white undergraduate sample with overall ideological orientation skewed towards liberalism. Future research should explore this phenomenon using a non-student sample, should include other minority groups as targets, and test more thoroughly for the ways granting victim status can affect moral judgments.
Open Access
Epidemiology of Alcohol-Related Hepatitis, Alcohol-Related Cirrhosis, and Non-Alcohol-Related Cirrhosis in Alberta, Canada: An Administrative Data Validation and Population-Based Study
(2024-07-22) Swain, Liam Andrew; Shaheen, Abdel-Aziz; Godley, Jenny; McLaren, Lindsay; Tang, Karen; Brenner, Darren
Background: Population-based studies evaluating the epidemiology of chronic liver diseases rely on accurate case definitions. This thesis aimed to develop new coding algorithms for alcohol- (AC) and non-alcohol-related cirrhosis (NAC) to use alongside a previously validated alcohol-related hepatitis (AH) coding algorithm to examine population-level AC, NAC, and AH hospitalization rate trends from 2012-2022, in Alberta, Canada. Methods: Using a randomly selected cohort of 700 admissions with diagnostic codes for alcohol- and cirrhosis-related conditions from the 2008-2022 Calgary Discharge Abstract Database (DAD), we validated (using electronic medical record review) newly developed and commonly used AC/NAC case definitions. The newly validated coding algorithms were used to select all adult AC/NAC/AH hospitalizations in the Alberta DAD from 2012-2022. All admissions were postal code matched to the 2016 Alberta Census data aggregated to the DA level. Temporal trends in annual sex/age-standardized hospitalization rates per 100,000 Alberta population were examined using Joinpoint analysis stratified by sex, age, area-level income quartile, and rural/urban residency. Results: Our new AC algorithm selecting codes for AC, alcohol-related hepatic failure, or alcohol use disorder (AUD) with a decompensated cirrhosis condition or NAC code provided higher accuracy than previous methods (AUROC 0.88 vs. 0.50-0.81, p<0.001). Our new NAC algorithm, excluding AUD codes and selecting for a NAC or a primary decompensated cirrhosis condition code provided higher accuracy than previous approaches (AUORC 0.87 vs. 0.58-0.76, p<0.001). Using these new algorithms, we determined that between 2012-2022, AC hospitalization rates increased only for urban females, those <35 years of age, and for those living in regions with the highest area-level income. AH hospitalization rates increased predominantly for people <35 years and for females. During the COVID-19 pandemic AC/AH hospitalization rates significantly increased for those from rural and low-income areas. NAC hospitalization rates were not impacted by the COVID-19 pandemic, only increasing in people ≥65 years. Conclusions: The new case definitions exhibit enhanced AC/NAC identification accuracy compared to previous methods. Over the past decade, AC/AH hospitalizations increased in younger and female populations, and NAC hospitalizations steadily increased in older populations.
Open Access
Exploring Relationships Between Socio-Economic Status and the Health Correlates of Excess Weight Among Canadians
(2013-05-27) Higgins, Benjamin Roscoe; Godley, Jenny
Previous studies have examined the relationship between social class and body mass index (BMI) in Canada, illustrating a class gradient in body weight. Few researchers have examined the relationship between social class and comorbidities of excess weight. Using the Canadian Health Measures Survey (Cycle 1), I employ multivariate linear and logistic regression techniques to explore the relationship between socioeconomic status (SES), sociodemographic characteristics, and weight-related health (BMI and comorbidities of excess weight) among Canadians. I use the Edmonton Obesity Staging System to operationalize comorbidities of excess weight as sub-clinical indicators of medical conditions associated with excess weight (aerobic fitness), medical symptoms (hypertension), and functional limitations. I find that the relationship between SES and weight-related health varies by gender, measure of SES, and measure of weight-related health, concluding that to better understand how social class influences weight-related health, researchers need to expand how ‘weight’ is measured.
Open Access
Exploring the Pathways through which Occupation Affects the Well-being of Immigrants in Canada
(2023-09-12) Pasaraba, Lori Jane Masil; Godley, Jenny; Kazemipur, Abdolmohammad; Chowdhury, Tanvir Turin
This thesis builds on the current literature on immigrant well-being by providing a nationally representative examination of how occupation, measured in terms of occupational socio-economic score (OSS), affects immigrant mental health and life satisfaction. Using the Canadian Community Health Survey (CCHS) 2003-2014 linked to the Longitudinal Immigration Database (IMDB) 1980-2018, I used modern mediation techniques to examine how personal income and community belonging act as personal resources that potentially mediate the effect of occupation on the mental health and life satisfaction of economic immigrants (n=8,997), sponsored immigrants (n=4,920), refugees (n=2,033) and non-immigrants (n=190,992). The Stress Process Model (SPM) frames the investigation. I find that OSS does indirectly affect well-being, but the mechanisms through which it operates differ for various immigrant groups, and across the two measures of well-being. Personal income positively links OSS and self-rated mental health for non-immigrants and economic immigrants, but not for sponsored immigrants or refugees. In terms of life satisfaction, income was a significant mediator for economic immigrants, sponsored immigrants, and non-immigrants. On the other hand, community belonging negatively links OSS to both self-rated mental health and life satisfaction for both sponsored immigrants and non-immigrants, but not for economic immigrants or refugees. These findings suggest the heterogeneity of ways through which resources impact the mental well-being of different immigrant groups. Several suggestions for future research and policy implications are also discussed.
Open Access
Impact of a farmers’ market healthy food subsidy on the diet quality of adults with low incomes in British Columbia, Canada: a pragmatic randomized controlled trial
(Elsevier, 2023-02-01) Aktary, Michelle L.; Dunn, Sharlette; Sajobi, Tolulope; O'Hara, Heather; Leblanc, Peter; McCormack, Gavin R.; Caron-Roy, Stephanie; Ball, Kylie; Lee, Yun Yun; Nejatinamini, Sara; Reimer, Raylene A.; Pan, Bo; Minaker, Leia M.; Raine, Kim D.; Godley, Jenny; Downs, Shauna; Nykiforuk, Candace I.J.; Olstad, Dana Lee
Adults with low incomes have lower diet quality than their higher income counterparts. In Canada, the British Columbia Farmers’ Market Nutrition Coupon Program (FMNCP) provides coupons to low-income households to purchase healthy foods in farmers’ markets.
Open Access
Investigating the Relationship Between Social and Spatial Cognitive Maps in Humans
(2021-07-22) Parmar, Jassleen; Iaria, Giuseppe; Lee, Kibeom; Ellard, John; Godley, Jenny
The present study aimed to understand the relationship between social and spatial cognitive maps. Speculation on Tolman’s original idea of a cognitive map suggests that cognitive maps are not exclusive to physical spaces and may instead include social spaces as well. Participants completed 5 social questionnaires, as well as 5 spatial tasks and the Santa Barbara Sense of Direction Scale. The results showed that participants who had more social competence, social capital, social support, and extraversion perceived themselves to be better at spatially navigating. However, their correlations with the objective spatial tasks showed that they were instead significantly poor at spatially navigating, but the effects were small. There was some discrepancy between the subjective and objective tasks and questionnaires. Overall, the results of this study show that there is a negative relationship between spatial navigation and the social questionnaires used.
Open Access
Leveling the Playing Field: How Inheritance Laws Structure Wealth Inequality Within and Across Welfare Capitalist Regimes, 1995-2020
(2023-10-30) Davison, Innes Taylor; Curtis, Joshua Patterson; Godley, Jenny; Tedds, Lindsay Melissa
Using Esping-Andersen’s welfare capitalism regimes as a template, as well as data from the Luxembourg Wealth Study (1995-2020), this thesis analyzes the degree to which wealth inequality exists cross-nationally, the forms that inheritance laws take, and what effect receiving an inheritance has on wealth disparities both within and across regimes. More specifically this research shows how and why inheritance policies at the household level within regimes are more effective at reducing wealth inequality. These findings are used to argue for the integration of inheritance policy into regime theory as an additional mechanism for explaining within-regime country-level similarities in terms of policy structure and its ensuing social and economic outcomes. These conclusions were based on a series of OLS and logistic country fixed effects models that explore the impact of inheritance on wealth accumulation within and across liberal, conservative, and social democratic welfare state regimes. These analyses are supplemented by analyzing whether receiving an inheritance leads to the expectation that a household will, in turn, provide an inheritance. Thus, as my research shows, the passing of intergenerational wealth strongly impacts the net worth of families across all wealth deciles and perpetuates structural inequality in the present as well for future generations. This underscores the effect inheritance has on both national and household-level wealth, thereby reinforcing the need for more social stratification and policy-driven research on the impact of inheritance on economic inequality.
Open Access
New Mothers' Networks in the Canadian Context: A Combined Methods Investigation into the Characteristics, Function, and Dynamics of First Time Mothers' Social Networks
(2013-02-12) Cullingham, Carol Marie; Godley, Jenny; Scott, Cathie
In this combined methods study, semi-structured qualitative interview data and quantitative social network survey data were used to describe the characteristics, functions, and dynamics of new mothers’ social networks in the Canadian context. The social networks of the mothers who participated were largely composed of a core network of close family and friends who provided a range of social support. First time mothers’ networks also included network members who provided support specific to the context of new motherhood, such as daytime companionship during the regular work week, which they found through existing ties when possible. When not, new mothers often sought this companionship through acquaintances or new friends, particularly other new mothers. Comparison of structured social network data with semi-structured interview data led to recommendations for better eliciting and describing these context specific ties in new mothers’ networks, including the use of a multi-pronged, context aware approach.
Open Access
Quantifying the contribution of modifiable risk factors to socio-economic inequities in cancer morbidity and mortality: a nationally representative population-based cohort study
(International Epidemiological Association [Associate Organisation], Oxford University Press [University Publisher], 2021-04-12) Nejatinamini, Sara; Godley, Jenny; Minaker, Leia M; Sajobi, Tolulope T; McCormack, Gavin R; Cooke, Martin J; Nykiforuk, Candace I J; Koning, Lawrence de; Olstad, Dana Lee
Compared with those with a higher socio-economic position (SEP), individuals with a lower SEP have higher cancer morbidity and mortality. However, the contribution of modifiable risk factors to these inequities is not known. This study aimed to quantify the mediating effects of modifiable risk factors to associations between SEP and cancer morbidity and mortality. Methods: This study used a prospective observational cohort design. We combined eight cycles of the Canadian Community Health Survey (2000/2001-2011) as baseline data to identify a cohort of adults (≥35 years) without cancer at the time of survey administration (n = 309 800). The cohort was linked to the Discharge Abstract Database and the Canadian Mortality Database for cancer morbidity and mortality ascertainment. Individuals were followed from the date they completed the Canadian Community Health Survey until 31 March 2013. Dates of individual first hospitalizations for cancer and deaths due to cancer were captured during this time period. SEP was operationalized using a latent variable combining measures of education and household income. Self-reported modifiable risk factors, including smoking, excess alcohol consumption, low fruit-and-vegetable intake, physical inactivity and obesity, were considered as potential mediators. Generalized structural equation modelling was used to estimate the mediating effects of modifiable risk factors in associations between low SEP and cancer morbidity and mortality in the total population and stratified by sex. Results: Modifiable risk factors together explained 45.6% of associations between low SEP and overall cancer morbidity and mortality. Smoking was the most important mediator in the total population and for males, accounting for 15.5% and 40.2% of the total effect, respectively. For females, obesity was the most important mediator. Conclusions: Modifiable risk factors are important mediators of socio-economic inequities in cancer morbidity and mortality. Nevertheless, more than half of the variance in these associations remained unexplained. Midstream interventions that target modifiable risk factors may help to alleviate inequities in cancer risk in the short term. However, ultimately, upstream interventions that target structural determinants of health are needed to reduce overall socio-economic inequities in cancer morbidity and mortality.
Open Access
Small area contextual effects on selfreported health: Evidence from Riverside, Calgary
(BioMed Central, 2010-05-20) Godley, Jenny; Haines, Valerie A.; Hawe, Penelope; Shiell, Alan
Open Access
The British Columbia Farmers' Market Nutrition Coupon Program reduces short-term household food insecurity among adults with low incomes: a pragmatic randomized controlled trial.
(ELSEVIER, 2023-10-06T06:00:00Z) Aktary, Michelle L; Dunn, Sharlette; Sajobi, Tolulope; O'Hara, Heather; Leblanc, Peter; McCormack, Gavin R; Caron-Roy, Stephanie; Lee, Yun Yun; Reimer, Raylene A; Minaker, Leia M; Raine, Kim D; Godley, Jenny; Downs, Shauna; Nykiforuk, Candace I J; Olstad, Dana Lee
The British Columbia Farmers' Market Nutrition Coupon Program (BC FMNCP) provides households with low incomes with coupons to purchase healthy foods from farmers' markets.
Open Access
The contribution of modifiable risk factors to socioeconomic inequities in cardiovascular disease morbidity and mortality: a nationally representative population-based cohort study
(Elsevier, 2023-04-12) Nejatinamini, Sara; Campbell, David JT; Godley, Jenny; Minaker, Leia M; Sajobi, Tolulope T; McCormack, Gavin R; Olstad, Dana Lee
This study examined the individual and joint effects of modifiable risk factors mediating the associations between socioeconomic position (SEP) and morbidity and mortality from cardiovascular diseases (CVD) in a nationally representative sample of adults in Canada. Participants in the Canadian Community Health Survey (n=289,800) were followed longitudinally for CVD morbidity and mortality using administrative health and mortality data. SEP was measured as a latent variable consisting of household income and individual educational attainment. Mediators included smoking, physical inactivity, obesity, diabetes and hypertension. The primary outcome was CVD morbidity and mortality, defined as the first fatal/nonfatal CVD event during follow-up (median 6.2 years). Generalized structural equation modeling tested the mediating effects of modifiable risk factors in associations between SEP and CVD in the total population and stratified by sex. Lower SEP was associated with 2.5 times increased odds of CVD morbidity and mortality (OR: 2.52, 95% CI: 2.28, 2.76). Modifiable risk factors mediated 74% of associations between SEP and CVD morbidity and mortality in the total population and were more important mediators of associations in females (83%) than males (62%). Smoking mediated these associations independently and jointly with other mediators. The mediating effects of physical inactivity were through joint mediating effects with obesity, diabetes or hypertension. There were additional joint mediating effects of obesity through diabetes or hypertension in females. Findings point to modifiable risk factors as important targets for interventions along with interventions that target structural determinants of health to reduce socioeconomic inequities in CVD.
Open Access
The Effects of School Work Pressure on Depression and Substance Use: A Cross-National Study of School-Aged Children in Canada and Finland
(2015-05-27) Arguera, Nahum; Godley, Jenny
Studies suggest that adolescents report a variety of academic stressors, which can have detrimental effects on mental health. Using the Health Behaviour in School-Aged Children survey (2005/6 data), this study provides an analysis of the effects of school work pressures on depressive symptomology and substance use in adolescents in Canada and Finland. Using Pearlin’s stress process framework, the study also examines how socio-demographic indicators affect these stress outcomes. Results indicate that regardless of context, school work pressure negatively affects the mental health of students net of all socio-demographic indicators. However, this relationship is stronger in Finland than in Canada. Secondary results show that depressive symptomology is associated with smoking and alcohol consumption in both countries. School work pressure, however, only has an additional effect on the likelihood to drink alcohol among students in Finland. Ultimately, this study demonstrates that the mechanisms through which the stress process model operates differs by national context.
Open Access
The refinement of an online, theory-based intervention to decrease COVID-19 vaccination hesitancy in Canadian adults: Phase I of the iPROTECT Study
(2023-08-24) Seidel, Sydney; Campbell, Tavis; Campbell, David; Callahan, Brandy; Godley, Jenny
Background: Approximately 6.9 million deaths due to the coronavirus disease of 2019 (COVID-19) have occurred worldwide. While around 86% of Canadians are fully vaccinated against COVID-19, only 55% have received a booster dose. Current public health strategies to address COVID-19 vaccine hesitancy are inconsistent with health behaviour change theory. Self- determination theory (SDT) is an evidence-based framework which seeks to enhance individual motivation for behaviour change. The purpose of the present study is to refine and evaluate the preliminary effects of an online intervention grounded in SDT to address COVID-19 vaccination hesitancy in Canadian adults, using multi-phasic, pilot mixed methods studies. The present study is divided into two phases (Phases I a and b). Methods: Phase Ia: A purposive sample of 19 Canadian adults (18+) were recruited to participate in a one-on-one- semi-structured interview guided by the Think Aloud method to provide their perspectives on the intervention. Qualitative data was analyzed using Thematic Analysis. Phase Ib: A purposive sample of 70 Canadian adults completed the intervention to assess whether it produced indications of a preliminary clinical signal (i.e., defined by at least 40% of participants increasing their likelihood of receiving an additional COVID-19 vaccine one-week post-intervention). Acceptability and usability measures were collected as secondary outcomes. Results: Phase Ia revealed 4 overarching themes: (1) Normalization video is neutral and emphasizes agency, (2) Intervention language is impartial and accessible, (3) User experiences with the intervention are acceptable, and (4) Feedback for intervention refinement. Phase Ib demonstrated that a preliminary clinical signal was not achieved (20% of participants increased the likelihood at one-week follow-up). However, acceptability (uMARS Total App Quality = 4.38 out of 5) and usability (Total SUS = 80.72 out of 100) measures revealed high participant ratings. Conclusion: This preliminary work provides support for high levels of intervention usability and acceptability. Additional testing to assess for a clinical signal threshold should be conducted prior to progression toward proof-of-concept pilot testing.
Open Access
The Structure and Function of Support Networks for People with Diabetes
(2024-08-20) Parry, Garrett; Godley, Jenny; Klostermann, Janna; Campbell, David
This mixed methodology study integrates quantitative results from an analysis of Canadian Community Health Survey data (2015-2021) with qualitative results from an analysis of 15 semi-structured social network interviews to investigate the perceptions of support among those with diabetes. Findings show that in general, people with diabetes are less likely to feel reassured of their worth than those without diabetes. People with diabetes experience support for their diabetes care as nested within a relational history of supportive behaviours and within a pattern of relational interaction that makes diabetes-specific support appropriate. Relationships with other people with diabetes are often isolated from other social connections and are marked by ambivalence. Examining the perceptions of support for those with diabetes presents a unique opportunity to investigate how chronic health conditions impact networks and the behaviours that flow through them.