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3 →- MakaleYalnız künye2026Scopus SJRQ2Self-regulation in blood glucose management among middle-aged and older adults with type 2 diabetes in a rural and semi-rural setting: A qualitative study
Akeren, İhsan; Akeren, Zahide
Type 2 diabetes mellitus (T2DM) is a chronic metabolic disease with increasing prevalence, particularly among middle-aged and older adults. Effective blood glucose management is essential for preventing complications and improving quality of life. Although self-regulation has been widely examined in diabetes management, little is known about how middle-aged and older adults living in rural and semi-rural settings apply self-regulation strategies in daily life. This qualitative study explored the blood glucose management experiences of individuals aged 50 years and older with T2DM using Zimmerman’s cyclical self-regulated learning model. Face-to-face interviews were conducted with 16 hospitalized participants meeting the rural or semi-rural residence criterion. Data were analyzed using an inductive-deductive hybrid thematic approach and organized with MAXQDA 20. Three main themes and 13 subthemes were identified: preparation and awareness, barriers and management behaviors, and self-evaluation and internal awareness. During the forethought phase, participants described knowledge, motivation, awareness, and planning but also reported misconceptions about diet and blood glucose management. In the performance phase, behavioral, emotional, cognitive, and social barriers, comorbidities, and poor adherence to dietary recommendations were common. During self-reflection, participants recognized physical symptoms and emotional influences but rarely reported systematically evaluating outcomes or modifying subsequent management behaviors. The findings indicate that inadequate knowledge, emotional challenges, comorbidities, limited social support, and ineffective coping strategies may disrupt the cyclical self-regulation process. Educational interventions for middle-aged and older adults in rural and semi-rural settings should strengthen knowledge, support self-management behaviors, and promote evaluation of outcomes and adaptation of future actions.
- MakaleYalnız künye2024Scopus SJRQ2The effect of loneliness on fear of aging: Mediated by social support
Akeren, Zahide; Akeren, Ihsan
The study aimed to examine the relationships between loneliness, perceived support and fear of old age, to determine how they differ according to some socio-demographic variables and of loneliness to reveal the mediating role of perceived social support in the effect on fear of old age. In the descriptive cross-sectional study conducted between November 2023 and January 2024, the Loneliness Orientation Scale (LOS), Multidimensional Perceived Social Support Scale (MSPSS) and Fear of Old Age Scale (FOS) were used. Correlational analysis was used in the analysis of data collected from 611 participants aged 18–65 with two-stage sampling, T-test and ANOVA were used in the comparison of means, and the Hayes’ PROCESS macro was used to determine the mediating role of perceived social support. Women, singles, young people, those with low education and income fear old age more. There is a positive correlation between loneliness and fear of aging, and a negative correlation between these two and perceived social support. As a result, perceived social support is a partial mediator in the effect of loneliness on fear of old age and it should be considered as an effective source in reducing fear of old age.
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- MakaleYalnız künye2023Scopus SJRQ2The willingness of elderly care program students to care for older adults and the associated factors: a multi-centered research
Okur, Elif; Akbal, Yağmur; Yagci Sentürk, Aysun; Daştan, Buket; Kuralay, Çiğdem
Prospective technicians for elderly care are indispensable elements that should be included in the relevant system to meet the ever-increasing care needs of the aging world population and increase the quality of care. This research was conducted to evaluate the attitudes of students in the elderly care program at the associate degree toward the older adults and their willingness to provide care. The sample of this descriptive and cross-sectional study comprised 525 volunteer students in elderly care programs in five vocational schools of higher education located in northeastern Turkey between June 2020 and September 2020. Mean, standard deviation, number, percentage, independent t-test, and correlation analysis were used to evaluate the data. The study showed that the mean age of the students involved in the study was 20.3 ± 1.6. 77.7% of them were female, and 61.9% were in the first grade. Students’ willingness to care for older adults was found to be at a moderate level (36.3 ± 6.0). The students had a negative attitude (137.4 ± 26.7) about aging and elderliness. The willingness of male students to care for older adults was significantly higher (p <.05). Those who did not live with an older adult in the same house before had a more negative attitude toward them (p <.05). To get rid of personal and social stereotypes and have a positive attitude toward older adults, students should be provided to work in clinical environments that will allow them to spend more time with them.
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Tam Kayıt
| Alan | Değer | Dil |
|---|---|---|
| creativeworkseries.issn | 0360-1277 | |
| dc.date.accessioned | 2026-10-29T19:08:05.729786840Z | |
| dc.date.available | 2026-10-29T19:08:05.729786840Z | |
| dc.identifier.uri | https://rdlopen.rawdatalibrary.net/r/bayburt/11147 | |
| dc.publisher | Routledge | |
| dc.rights | info:eu-repo/semantics/openAccess | |
| dc.title | Educational Gerontology |


