Self-Management Decision Making of Cuban Americans With Type 2 Diabetes

2017 ◽  
Vol 29 (3) ◽  
pp. 222-228 ◽  
Author(s):  
Heather E. Cuevas ◽  
Sharon A. Brown
Keyword(s):  
Type 2 Diabetes ◽  
Cultural Context ◽  
Self Management ◽  
Management Decision ◽  
Individual Interviews ◽  
Management Decision Making ◽  
Qualitative Descriptive ◽  
Cuban Americans ◽  
Do So

Purpose: Although researchers have studied how individuals manage type 2 diabetes, none have examined how Cuban Americans do so. This article explores how Cuban Americans make self-management choices and examines whether an empowerment framework is viable for informing interventions. Design: A qualitative descriptive study was conducted ( n = 20) with Cuban Americans with type 2 diabetes. Individual interviews were analyzed with content analysis. Results: Motivation and temporal factors, such as knowledge of symptoms and the ability to plan ahead, positively affect self-management. Cultural factors, such as access to cultural foods, negatively affect self-management. Empowerment formed a comprehensive lens through which self-management decisions were acted on. Conclusion: Given the cultural context, empowerment and unique barriers and facilitators can affect diabetes self-management in this population. Strategies to promote healthy decisions must take into account the strengths of this community as well as its challenges.

scholarly journals Factors influencing diabetes self-management among Omani patients with type-2 diabetes: Patients’ perspectives

2017 ◽  
Vol 7 (12) ◽  
pp. 64 ◽  
Author(s):  
Hilal H. Alrahbi ◽  
Said A. Alghenaimi
Keyword(s):  
Type 2 Diabetes ◽  
Self Management ◽  
Individual Interviews ◽  
Factors Influencing ◽  
Patients With Diabetes ◽  
Quality Of Diabetes Care ◽  
Qualitative Descriptive ◽  
Purposive Sample

Background and aim: Management of diabetes requires using different approaches that include self-management in which the patients are the main key players. Diabetes self-management contributes to preventing diabetes-related complications and improving the QOL of patients with diabetes. The aim of this study was to explore the factors influencing diabetes self-management from the perspectives of the patients with type-2 diabetes in Oman.Methods: A qualitative descriptive design using semi-structured individual interviews was used to conduct this study. A purposive sample of 21 Omani patients with type-2 diabetes were interviewed. Interviews were transcribed verbatim and translated into English. Content analysis and constant comparison were used to analyze the data.Results: Eight factors influencing DSM were identified: awareness of diabetes complications and the importance of DSM, ability to adapt, support, fear of consequences, frustration and helplessness, complying with sociocultural norm/ritual, lack of care, and planning.Conclusions: To improve the quality of diabetes care and decrease the devastating diabetes-related complications, managing diabetes has to take the form of a collaborative approach that put into consideration the factors influencing diabetes self-management that were identified by this study.

scholarly journals A qualitative inquiry on self-management decision making among rural African Americans with type 2 diabetes

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 693-693
Author(s):  
Idethia Shevon Harvey
Keyword(s):  
Type 2 Diabetes ◽  
Decision Making ◽  
African Americans ◽  
Disease Management ◽  
Developmental Process ◽  
Qualitative Inquiry ◽  
Self Management ◽  
Management Decision ◽  
Management Decision Making

Abstract Living in a rural area has been recognized as a unique health disparity associated with higher rates of chronic disease. It is further compounded for those who are the most structurally vulnerable complicating access to care and negatively affecting health outcomes. Barriers to type 2 diabetes (T2DM) self-management remain a growing concern, particularly among minority communities living in underserved geographical areas. Much of the self-management research focused on compliance with medication regimens and modification of lifestyle choices. A less well-understood but arguably more critical aspect is the social factors in disease management decision-making. Purposive sampling was used to identify rural African Americans (n = 34). The mean age of participants was 65.9 years (SD = 12.3), and T2DM diagnosis was 15 years (SD = 12.4). The study utilized the consensual qualitative research methodology and the "Sort and Sift, Think and Shift" approach to identify themes. The participants reported an alternative way of integrating glucose monitoring through a "feedback loop" of body sensing. The longer they live with the condition (i.e., knowing my body), the more they can interpret whether they are hypoglycemic or hyperglycemic (i.e., deciphering the cues) to create and navigate their disease management strategy (i.e., body sensing). Self-management decision-making is a complex developmental process that includes disease trajectory and cultural and environmental factors. Findings from this study may provide a conceptual framework for ongoing inquiry and may provide insights to help T2DM educators and clinicians fully understand the complexity of long-term disease management among rural African Americans.

scholarly journals Group-based storytelling in disease self-management among people with diabetes

2019 ◽  
pp. 174239531985939 ◽  
Author(s):  
Enza Gucciardi ◽  
Erica Reynolds ◽  
Grace Karam ◽  
Heather Beanlands ◽  
Souraya Sidani ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Knowledge Exchange ◽  
Community Health Center ◽  
Self Management ◽  
Illness Management ◽  
Making Meaning ◽  
Shared Stories ◽  
Qualitative Descriptive ◽  
Underlying Mechanisms

ObjectiveWe explored the underlying mechanisms by which storytelling can promote disease self-management among people with type 2 diabetes.MethodsTwo, eight-session storytelling interventions were delivered to a total of eight adults with type 2 diabetes at a community health center in Toronto, Ontario. Each week, participants shared stories about diabetes self-management topics of their choice. Using a qualitative descriptive approach, transcripts from each session and focus groups conducted during and following the intervention were coded and analyzed using NVivo software. Through content analysis, we identified categories that describe processes and benefits of the intervention that may contribute to and support diabetes self-management.ResultsOur analysis suggests that storytelling facilitates knowledge exchange, collaborative learning, reflection, and making meaning of one’s disease. These processes, in turn, could potentially build a sense of community that facilitates peer support, empowerment, and active engagement in disease self-management.ConclusionVenues that offer patients opportunities to speak of their illness management experiences are currently limited in our healthcare systems. In conjunction with traditional diabetes self-management education, storytelling can support several core aspects of diabetes self-management. Our findings could guide the design and/or evaluation of future story-based interventions.

scholarly journals Barriers to Effective Diabetes Mellitus Self-Management (DMSM) Practice for Glycemic Uncontrolled Type 2 Diabetes Mellitus (T2DM): A Socio Cultural Context of Indonesian Communities in West Sulawesi

2019 ◽  
Vol 10 (1) ◽  
pp. 250-261 ◽  
Author(s):  
Rian Adi Pamungkas ◽  
Kanittha Chamroonsawasdi ◽  
Paranee Vatanasomboon ◽  
Phitaya Charupoonphol
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Social Engagement ◽  
Cultural Context ◽  
Healthcare Providers ◽  
Self Management ◽  
Glucose Levels ◽  
Village Health Volunteers

Diabetes mellitus self-management (DMSM) is an essential strategy used to maintain blood glucose levels and to prevent severe complications. Several barriers have been documented while implementing DMSM practices. A qualitative study aimed to explore barriers to effective DMSM practice among uncontrolled glycemic type 2 diabetes mellitus (T2DM) patients in Indonesia. We conducted in-depth interviews and focus group discussions (FGDs) among 28 key informants, including patients, family members, healthcare providers (HCPs), and village health volunteers (VHVs). The interviews and FGDs were audiotaped and transcribed verbatim. The results revealed six core themes with sub-categories of themes used by all participants to describe the barriers to effective DMSM practice among uncontrolled T2DM patients. The critical barriers of DMSM practice included low perception of susceptibility to and severity of the illness; inadequate knowledge and skill of diabetes mellitus self-management; lack of motivation to perform diabetes mellitus self-management; insufficient human resources; lack of social engagement; and social exclusion and feelings of embarrassment. Our findings provide valuable information regarding the barriers while implementing the DMSM practice. Healthcare providers should negotiate with both T2DM patients and caretakers to participate in a DMSM program at a community health care level.

scholarly journals We′ve come this far by faith: Faith and spirituality as a facilitator to self-care management of type 2 diabetes among African-American men

2015 ◽  
Vol 03 (01) ◽  
pp. 026-032 ◽  
Author(s):  
Ledric Sherman
Keyword(s):  
Type 2 Diabetes ◽  
African American ◽  
Diabetes Management ◽  
African American Men ◽  
Diabetes Education ◽  
Community Outreach ◽  
Phenomenological Approach ◽  
Self Management ◽  
Individual Interviews

Abstract Purpose: To explore and understand how the church, faith, and spirituality plays a role in type 2 diabetes management among African-American men (AA men). Materials and Methods: Participants (n = 19) were AA men ages 35-69 years, who were diagnosed with type 2 diabetes. Participants were recruited via community outreach efforts, including barbershops and churches located in predominantly African-American communities in southeast US. Upon the consent, individual interviews were conducted, audio-recorded and subsequently transcribed. Transcripts were analyzed using a phenomenological approach, and focused on identifying common themes among the descriptions of AA men′s experiences specific to type 2 diabetes. Results: Overall the participants from the present study stated that their faith in God as well as attending church does help them in their daily diabetes management. Interestingly, 2 of the 19 participants chose not to answer the faith and spirituality questions and 1 of the 19 stated that his faith was nonexistent. Conclusions: Diabetes self-management may be facilitated by incorporating the spiritual beliefs and virtues of AA men living with the illness. Little is still known, in general, about the process of how spirituality affects self-management of chronic illness. Further research should also focus on faith-based diabetes education among diabetics of all ethnic backgrounds.

On-Demand, App-Delivered Coaching to Enable Diabetes Self-Management in Adults with Type 2 Diabetes—A Feasibility Study

Diabetes ◽  
2018 ◽  
Vol 67 (Supplement 1) ◽  
pp. 50-LB
Author(s):  
JOHN B. HERNANDEZ ◽  
AMY ARMENTO LEE ◽  
SCOTT ROBERTSON ◽  
CARA SILVER ◽  
AMIT MAJITHIA
Keyword(s):  
Type 2 Diabetes ◽  
Feasibility Study ◽  
Self Management ◽  
On Demand
Sign in / Sign up

Export Citation Format

Share Document