{"id":{"repo_id":"umkc","oai_identifier":"oai:mospace.umsystem.edu:10355/86527"},"canonical_url":"https://search.dev.ndltd.org/etd/umkc/oai:mospace.umsystem.edu:10355/86527","repository":{"repo_id":"umkc","name":"University of Missouri - Kansas City","base_url":"https://mospace.umsystem.edu/oai/request"},"display":{"title":"Effects of healthcare system distrust on cognition in African American older adults with type two diabetes mellitus","abstract":"Healthcare system distrust has been linked to poorer Type two diabetes management (T2DM) management, but its impact on cognitive functioning in individuals with T2DM has not been assessed. This study aimed to analyze how healthcare system distrust might affect cognitive functioning in African American older adults. To examine the relationship between healthcare system distrust and cognition in African American older adults with T2DM, this study assessed healthcare distrust, diabetes management, psychosocial functioning, and cognitive functioning. Fifty participants aged 60-88 years were recruited from the community. Participants completed a 60-minute telephone battery. It was hypothesized that (1) individual differences in healthcare system distrust would be negatively related to diabetes management, (2) diabetes management was hypothesized to be negatively related to cognitive functioning, (3) healthcare system distrust would be negatively related to cognitive functioning, and (4) a negative relationship between healthcare system distrust and cognitive functioning would be partially mediated by T2DM management. We found that healthcare system distrust may be related to functional cognition in African American older adults with T2DM, and that diabetes management may mediate this relationship.","abstract_html":"Healthcare system distrust has been linked to poorer Type two diabetes management (T2DM) management, but its impact on cognitive functioning in individuals with T2DM has not been assessed. This study aimed to analyze how healthcare system distrust might affect cognitive functioning in African American older adults. To examine the relationship between healthcare system distrust and cognition in African American older adults with T2DM, this study assessed healthcare distrust, diabetes management, psychosocial functioning, and cognitive functioning. Fifty participants aged 60-88 years were recruited from the community. Participants completed a 60-minute telephone battery. It was hypothesized that (1) individual differences in healthcare system distrust would be negatively related to diabetes management, (2) diabetes management was hypothesized to be negatively related to cognitive functioning, (3) healthcare system distrust would be negatively related to cognitive functioning, and (4) a negative relationship between healthcare system distrust and cognitive functioning would be partially mediated by T2DM management. We found that healthcare system distrust may be related to functional cognition in African American older adults with T2DM, and that diabetes management may mediate this relationship.","abstract_has_math":false,"creators":["Bergner, Jessica L"],"institution":"University of Missouri--Kansas City","degree_name":"Ph.D. (Doctor of Philosophy)","degree_level":"Doctoral","degree_discipline":"Clinical Health Psychology (UMKC)","degree_department":null,"school":null,"contributors":[],"advisors":["McDowd, Joan M."],"committee_chairs":[],"committee_members":[],"year":2022,"date_issued":"2022","date_published":"2022","updated_at":"2026-07-24T05:18:49Z","subjects":[],"languages":[],"rights":[],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"https://hdl.handle.net/10355/86527","outbound_label":"Handle","outbound_source":"dc:identifier.uri"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor.advisor","label":"Advisor","values":["McDowd, Joan M."]},{"key":"dc:creator","label":"Author","values":["Bergner, Jessica L"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date.accessioned","label":"Dc Date Accessioned","values":["2021-08-10T16:10:46Z"]},{"key":"dc:date.available","label":"Dc Date Available","values":["2021-08-10T16:10:46Z"]},{"key":"dc:date.issued","label":"Date","values":["2022"]},{"key":"thesis:degree_discipline","label":"Discipline","values":["Clinical Health Psychology (UMKC)"]},{"key":"thesis:degree_level","label":"Degree Level","values":["Doctoral"]},{"key":"thesis:degree_name","label":"Degree Name","values":["Ph.D. (Doctor of Philosophy)"]},{"key":"thesis:institution_name","label":"Thesis Institution Name","values":["University of Missouri--Kansas City"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier.uri","label":"Identifier URI","values":["https://hdl.handle.net/10355/86527"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description","label":"Description","values":["Title from PDF of title page viewed August 16, 2021","Dissertation advisor: Joan McDowd","Vita","Includes bibliographical references (pages 65-85)","Thesis Ph.D.--Department of Psychology. University of Missouri--Kansas City, 2021"]},{"key":"dc:description.abstract","label":"Abstract","values":["Healthcare system distrust has been linked to poorer Type two diabetes management (T2DM) management, but its impact on cognitive functioning in individuals with T2DM has not been assessed. This study aimed to analyze how healthcare system distrust might affect cognitive functioning in African American older adults. To examine the relationship between healthcare system distrust and cognition in African American older adults with T2DM, this study assessed healthcare distrust, diabetes management, psychosocial functioning, and cognitive functioning. Fifty participants aged 60-88 years were recruited from the community. Participants completed a 60-minute telephone battery. It was hypothesized that (1) individual differences in healthcare system distrust would be negatively related to diabetes management, (2) diabetes management was hypothesized to be negatively related to cognitive functioning, (3) healthcare system distrust would be negatively related to cognitive functioning, and (4) a negative relationship between healthcare system distrust and cognitive functioning would be partially mediated by T2DM management. We found that healthcare system distrust may be related to functional cognition in African American older adults with T2DM, and that diabetes management may mediate this relationship."]},{"key":"dc:title","label":"Title","values":["Effects of healthcare system distrust on cognition in African American older adults with type two diabetes mellitus"]}]}],"canonical_facts":{"dc:contributor.advisor":["McDowd, Joan M."],"dc:creator":["Bergner, Jessica L"],"dc:date.accessioned":["2021-08-10T16:10:46Z"],"dc:date.available":["2021-08-10T16:10:46Z"],"dc:date.issued":["2022"],"dc:description":["Title from PDF of title page viewed August 16, 2021","Dissertation advisor: Joan McDowd","Vita","Includes bibliographical references (pages 65-85)","Thesis Ph.D.--Department of Psychology. University of Missouri--Kansas City, 2021"],"dc:description.abstract":["Healthcare system distrust has been linked to poorer Type two diabetes management (T2DM) management, but its impact on cognitive functioning in individuals with T2DM has not been assessed. This study aimed to analyze how healthcare system distrust might affect cognitive functioning in African American older adults. To examine the relationship between healthcare system distrust and cognition in African American older adults with T2DM, this study assessed healthcare distrust, diabetes management, psychosocial functioning, and cognitive functioning. Fifty participants aged 60-88 years were recruited from the community. Participants completed a 60-minute telephone battery. It was hypothesized that (1) individual differences in healthcare system distrust would be negatively related to diabetes management, (2) diabetes management was hypothesized to be negatively related to cognitive functioning, (3) healthcare system distrust would be negatively related to cognitive functioning, and (4) a negative relationship between healthcare system distrust and cognitive functioning would be partially mediated by T2DM management. We found that healthcare system distrust may be related to functional cognition in African American older adults with T2DM, and that diabetes management may mediate this relationship."],"dc:identifier.uri":["https://hdl.handle.net/10355/86527"],"dc:title":["Effects of healthcare system distrust on cognition in African American older adults with type two diabetes mellitus"],"thesis:degree_discipline":["Clinical Health Psychology (UMKC)"],"thesis:degree_level":["Doctoral"],"thesis:degree_name":["Ph.D. (Doctor of Philosophy)"],"thesis:institution_name":["University of Missouri--Kansas City"]},"updated_at":"2026-07-24T05:18:49Z"}