Date
8-6-2025
Department
School of Health Sciences
Degree
Doctor of Philosophy in Health Sciences (PhD)
Chair
Chloe Fields
Keywords
chronic conditions, hypertension, type 2 diabetes, self-management, self-management support programs, culturally tailored programs
Disciplines
Public Health
Recommended Citation
Henny, Moya Camille, "The Exploration of Self-Management Support Programs for African American Adults Ages 18 to 75 in Harnett County, North Carolina" (2025). Doctoral Dissertations and Projects. 7296.
https://digitalcommons.liberty.edu/doctoral/7296
Abstract
This phenomenological study explored the health needs and self-management experiences of African American adults ages 18 to 75 living with type 2 diabetes and hypertension in Harnett County, North Carolina. The study aimed to understand how self-management support programs could be better tailored to meet the cultural, social, and behavioral needs of this population, who face a disproportionate burden of these chronic conditions. Guided by Critical Care Theory, Chronic Care Model, and Social Cognitive Theory, the research examined how systemic inequalities, community resources, and personal beliefs shaped participants’ ability to manage their health. Data were collected through in-depth, semi-structured interviews and analyzed using a six-step thematic analysis process, supported by NVivo software. Findings revealed major challenges, including limited access to culturally responsive care, economic hardships, and a lack of social support. Despite these barriers, participants described strong motivators like family support, the desire to avoid serious complications, personal milestones, and faith. Strategies included preparing healthier versions of traditional foods, using medication reminders, staying active through walking or gardening, attending church health ministries and support groups, and consistently monitoring their blood sugar and blood pressure at home. These findings provide important insights for designing culturally tailored self-management support programs that not only address individual-level behaviors but also consider the broader systemic and community-level factors affecting African American adults living with diabetes and hypertension.
