The course of illness can be influenced by biological, psychological, and/or social factors covering a broad range of topics that include stress, coping, and behaviors that either promote health and prevent illness, or contribute to the development of clinical problems. Health and wellness are important to our daily lives and this is true even in the context of being diagnosed with a chronic illness such as diabetes mellitus. The interplay between emotions, cognitive, and behavioral/physical factors can affect all aspects of health and illness. Individual differences such as culture, ethnicity, lifestyle, religion, gender, identity development, financial status, and social support should be considered when analyzing the individual’s response to a chronic illness. Numerous research studies have investigated the impact of one or more of these factors in terms of the effect on chronic disease outcomes. These outcomes can include symptom management and/or progression of the severity of the disease.

Explanatory theories often describe factors that contribute to health problems, or interfere with prevention activities, and thus provide targets for change. One such theory is the Health Belief Model (HBM) which addresses perceptions of the health problem. These perceptions include the degree of threat in terms of susceptibility and severity, any benefits to be obtained by avoiding the perceived threat, and various internal (e.g., self-efficacy) and external (e.g., barriers to care) factors that influence the individual’s decision to act. Other theories emphasize motivations that influence a continuum of stages of behavioral change. The Transtheoretical Model (TTM) of behavior change is a theory of this type. The response to chronic illness and the illness experience itself can be described by these models. In managing chronic disease, there are coping strategies and behavior changes that support optimal outcomes and therapeutic interventions can be designed for greater effectiveness by using these two models. For your paper you will choose from the two options below. The option you choose will provide the focus and title for your paper.

• Option A:  Diabetes      Mellitus and the Transtheoretical      Model of Behavior Change????
• Option B:  Diabetes      Mellitus and the Health      Belief Model????

To support your work, you will perform research using the University Library and/or other search methods to provide references to support your work. You must include a minimum of three peer-reviewed sources, published within the past five years relating to diabetes mellitus and to either the Transtheoretical Model of Behavior Change (Option A) or the Health Belief Model (Option B). The use of additional scholarly and/or peer-reviewed references is highly recommended. These may be obtained from academic, professional, or governmental agency sources. Dictionaries, encyclopedias, non-academic websites, and media outlet sites or publications are not appropriate resources for academic writing and are not appropriate for inclusion in this paper. You may reference your textbook and other required or recommended materials from the course but these will not fulfill the minimum reference requirement.

In your paper you will provide an analysis of your research by addressing the following elements:

• Personal      impact of chronic illness
• Impact      of chronic illness on friends and family
• Methods      of coping
• Interventions      to encourage healthy lifestyle choices
• Motivations      for adhering to recommended self-care guidelines
• Beliefs      about illness that support or reduce self-efficacy and the ability to take      action.

Use the following headings to organize your paper into four sections as follows:

• Introduction:  Explain      how the TTM or HBM can be used to explain the individual’s response to      chronic illness
• Body: Analyze the impact of      chronic illness on friends and families, coping strategies used in chronic      illness, social and psychological factors involved in the illness      experience, long-term social and psychological implications of chronic      illness, and therapeutic interventions based on your model
• Conclusion: Summarize how      the TTM or HBM explains the individual’s approach to illness and behavior      change
• Appendix: Complete the      provided TTM table (Option A) or the HBM table (Option B), thinking of the      diabetic individual’s adherence to self-care recommendations. Copy and      paste your completed table into the Appendix of your paper.

This paper must include the biopsychosocial aspect of your research with emphasis on biological, psychological, and social factors. Be sure to elaborate on these factors using information drawn from your research and text readings.

Throughout your paper, include in-text citations for all statements of facts obtained through your research. Remember that direct quotes (identical phrases or sentences taken from a source) require in-text citations with appropriate formatting. Statements of opinion should be clearly stated as such, and include a rationale to support why you hold this opinion (e.g., personal or professional experience, your research findings).

Writing the Paper

The Paper:

1. Must be five to seven      double-spaced pages in length not including the title and references      pages, and formatted according to APA style.
2. Must begin with an introductory paragraph that has a succinct thesis statement.
3. Must include paragraphs of a minimum of three sentences.
4. Must address the topic of the paper with critical thought.
5. Must end with a conclusion that reaffirms your thesis.
6. Must use at least three peer-reviewed sources.
7. Must document all sources in APA style.
8. Must include a separate reference page, formatted according to APA style

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ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

• Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
• Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
• One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
• I encourage you to incorporate the readings from the week (as applicable) into your responses.

Weekly Participation

• Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
• In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
• Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
• Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

APA Format and Writing Quality

• Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
• Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
• I highly recommend using the APA Publication Manual, 6th edition.

Use of Direct Quotes

• I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
• As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
• It is best to paraphrase content and cite your source.

 

LopesWrite Policy

• For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
• Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
• Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
• Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

Late Policy

• The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
• Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
• If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
• I do not accept assignments that are two or more weeks late unless we have worked out an extension.
• As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

Communication

• Communication is so very important. There are multiple ways to communicate with me: 
  • Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
  • Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

Transtheoretical And Health Belief Models