Using Focus Groups to Characterize the Health Beliefs and Practices of Black Women with Non-Insulin-Dependent Diabetes

1996 ◽  
Vol 22 (1) ◽  
pp. 39-46 ◽  
Author(s):  
NANCY A. MAILLET ◽  
GAIL D'ERAMO MELKUS ◽  
GERALYN SPOLLETT
Keyword(s):  
Black Women ◽  
Focus Group ◽  
Health Beliefs ◽  
Group Intervention ◽  
Minority Groups ◽  
Diabetes Management ◽  
Diabetes Education ◽  
Insulin Dependent Diabetes ◽  
Insulin Dependent ◽  
Health Beliefs And Practices

The purpose of this focus group intervention was to characterize the health beliefs, self care practices, diabetes education needs, weight-loss issues, and facilitators and barriers to diabetes health care in black women with non-insulin-dependent diabetes. Major themes that emerged from the focus group were motivation to prevent complications, unrealistic weight goals set by providers, multiple barriers to diet and exercise, and a dual role of family as supporter and deterrent to diabetes management, especially related to diet. These findings suggest that culturally sensitive and appropriate patient educational programs must be provided for minority groups such as black women who have higher rates of diabetes-related complications.

scholarly journals Assessment of Psychopathology in Adolescents with Insulin-Dependent Diabetes (IDD) and the Impact on Treatment Management

Children ◽  
2021 ◽  
Vol 8 (5) ◽  
pp. 414
Author(s):  
Maria Melania Lica ◽  
Annamaria Papai ◽  
Andreea Salcudean ◽  
Maria Crainic ◽  
Cristina Georgeta Covaciu ◽  
...  
Keyword(s):  
Mental Health ◽  
Treatment Adherence ◽  
Diabetes Management ◽  
Short Form ◽  
Insulin Dependent Diabetes ◽  
Control Group ◽  
Treatment Management ◽  
Insulin Dependent ◽  
Impact On Treatment ◽  
The Impact

Assessing mental health in children and adolescents with insulin-dependent diabetes (IDD) is an issue that is underperformed in clinical practice and outpatient clinics. The evaluation of their thoughts, emotions and behaviors has an important role in understanding the interaction between the individual and the disease, the factors that can influence this interaction, as well as the effective methods of intervention. The aim of this study is to identify psychopathology in adolescents with diabetes and the impact on treatment management. A total of 54 adolescents with IDD and 52 adolescents without diabetes, aged 12–18 years, completed APS–SF (Adolescent Psychopathology Scale–Short Form) for the evaluation of psychopathology and adjustment problems. There were no significant differences between adolescents with diabetes and control group regarding psychopathology. Between adolescents with good treatment adherence (HbA1c < 7.6) and those with low treatment adherence (HbA1c > 7.6), significant differences were found. In addition, results showed higher scores in girls compared with boys with IDD with regard to anxiety (GAD), Major Depression (DEP), Post-Traumatic Stress Disorder (PTSD), Eating Disturbance (EAT), Suicide (SUI) and Interpersonal Problems (IPP). No significant differences were found regarding the duration of the disease. Strategies such as maladaptive coping, passivity, distorted conception of the self and the surrounding world and using the negative problem-solving strategies of non-involvement and abandonment had positive correlation with poor glycemic control (bad management of the disease). The study highlighted the importance of promoting mental health in insulin-dependent diabetes management.

Hepatomegaly and short stature in a 14-year-old with type 1 diabetes mellitus: case report

2020 ◽  
Author(s):  
Miriam T Fox ◽  
Jaclyn Tamaroff ◽  
Andrew G Percy ◽  
Stephanie Baker ◽  
Courtney Altshuler ◽  
...  
Keyword(s):  
Short Stature ◽  
Diabetes Management ◽  
Case Reports ◽  
Growth Failure ◽  
Acute Onset ◽  
Insulin Dependent Diabetes ◽  
Delayed Onset ◽  
Mauriac Syndrome ◽  
Regular Menses ◽  
Insulin Dependent

Abstract Background Mauriac syndrome is a rare consequence of poorly controlled insulin-dependent diabetes, characterized by hepatomegaly, growth failure, delayed onset of puberty, and cushingoid features. Case reports of patients with Mauriac syndrome are found infrequently in the literature given historic improvements in diabetes management due to readily available insulin therapy. Methods We describe a case of a 14-year-old girl who presented with acute onset abdominal pain, distention, and orthopnea. Results She had a history of poorly controlled insulin-dependent diabetes as well as short stature. Abdominal imaging revealed impressive hepatomegaly. Laboratory testing showed markedly elevated triglycerides and cholesterol. Mauriac syndrome was suspected and diagnosed by liver biopsy, which demonstrated significant glycogenic hepatopathy. Conclusions This case provides an illustrative example of Mauriac syndrome in a child who did not experience delayed onset of puberty and continued to have regular menses unlike what has been previously described. Furthermore, this case highlights the important consideration for significant dyslipidemia in patients with Mauriac syndrome and discusses the challenges of controlling insulin-dependent diabetes in the adolescent population.

Evaluation of an Activated Patient Diabetes Education Newsletter

1994 ◽  
Vol 20 (1) ◽  
pp. 29-34 ◽  
Author(s):  
Robert M. Anderson ◽  
James Thomas Fitzgerald ◽  
Martha M. Funnell ◽  
Patricia A. Barr ◽  
Cathie J. Stepien ◽  
...  
Keyword(s):  
Public Health ◽  
Diabetes Mellitus ◽  
Patient Education ◽  
Diabetes Education ◽  
Insulin Dependent Diabetes Mellitus ◽  
Insulin Dependent Diabetes ◽  
Dependent Diabetes Mellitus ◽  
Insulin Dependent ◽  
To Receive ◽  
Patient Diabetes

This study evaluated a monthly; activated patient newsletter sent to over 7000 patients in Michigan with diabetes. The newsletter provided concise and action-oriented information about diabetes care. Patients who had signed up to receive the newsletter during the first 4 months of the project (1863) were surveyed to determine how many patients found the newsletter helpful; 80% (1498) of the patients replied. Patients who found the newsletter most helpful were older, had lower incomes, and reported more corrtplications, less understanding of diabetes, and being in poorer overall health. They also were more likely to have non-insulin-dependent diabetes mellitus (NIDDM) than insulin-dependent diabetes mellitus (IDDM). We concluded that the activated patient newsletter is a useful public health/patient education intervention for persons with diabetes. Such a newsletter should be part of a coordinated system of ongoing patient care, education, screening, and social and psychological support.

The Experience of Living With Insulin-Dependent Diabetes: Lessons for the Diabetes Educator

1995 ◽  
Vol 21 (1) ◽  
pp. 33-37 ◽  
Author(s):  
Cheri A. Hernandez
Keyword(s):  
Diabetes Mellitus ◽  
Diabetes Education ◽  
Insulin Dependent Diabetes Mellitus ◽  
Insulin Dependent Diabetes ◽  
Dependent Diabetes Mellitus ◽  
New Paradigm ◽  
Education Programs ◽  
Diabetes Educator ◽  
Insulin Dependent ◽  
Diabetes Educators

The purpose of this grounded theory study was to investigate the experience of living with insulin-dependent diabetes mellitus. Data were collected from interviews with four participants, and from their diabetes papers and journals. This article summarizes the results of the data collection and presents implications for diabetes educators. The results challenge the traditional compliance/adherence paradigm within which current diabetes education programs operate and provide evidence of the need to move to a new integration paradigm. The new paradigm would replace adherence relationships with collaborative alliances between clients and educators and encourage educators to practice empathy as a way of knowing.

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