Dietary Challenges of Managing Type 2 Diabetes in African-American Women

a College of Nursing , University of Akron , Akron , Ohio , USA.
Women & Health (Impact Factor: 1.05). 02/2013; 53(2):173-84. DOI: 10.1080/03630242.2012.753979
Source: PubMed


The purpose of this qualitative study was to explore the challenge of self-management of diet in African-American women living with type 2 diabetes. Specifically, the women were asked to talk about dietary challenges of managing diabetes in the context of their personal lifestyle factors, such as daily routines, family responsibilities, and individual needs. Using a phenomenological approach, a descriptive, exploratory design was implemented using four facilitated focus groups. A convenience sample of 24 African-American women was recruited from a Family Practice Center in the Midwest. Data from each of the four focus groups were audiotaped and transcribed verbatim. Themes were compared and contrasted within and across each of the four focus groups until consensus was reached. Four themes were identified: frequent difficulties in changing dietary habits, need for individual guidance, support, and misinformation gaps. Overall, the participants expressed the need for more attention to the personal lifestyle factors they viewed as obstacles to managing diabetes.

Download full-text


Available from: Carolyn J Murrock, May 31, 2015
1 Follower
32 Reads
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Diabetes-specific distress is an important psychological issue in people with diabetes. The neighborhood environment has the potential to be an important factor for diabetes distress. This study investigates the associations between neighborhood characteristics and diabetes distress in adults with type 2 diabetes. We used cross-sectional data from a community-based sample of 578 adults with type 2 diabetes from Quebec, Canada. Information on perceived neighborhood characteristics and diabetes distress was collected from phone interviews. We used factor analysis to combine questionnaire items into neighborhood factors. Information on neighborhood deprivation was derived from census data. We performed linear regressions for diabetes distress and specific domains of diabetes distress (emotional, regimen-related, physician-related and interpersonal distress), adjusting for individual-level variables. Factorial analysis uncovered 3 important neighborhood constructs: perceived order (social and physical order), culture (social and cultural environment) and access (access to services and facilities). After adjusting for individual-level confounders, neighborhood order was significantly associated with diabetes distress and all specific domains of distress; neighborhood culture was specifically associated with regimen-related distress; and neighborhood access was specifically associated with physician-related distress. The objective measure of neighborhood material deprivation was associated with regimen-related distress. Neighborhood characteristics are associated with diabetes distress in people with type 2 diabetes. Clinicians should consider the neighborhood environment reported by their patients with diabetes when assessing and addressing diabetes-specific distress.
    Journal of psychosomatic research 08/2013; 75(2):147-52. DOI:10.1016/j.jpsychores.2013.05.009 · 2.74 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: The aim of this study was to assess dietary habits and related factors among type 2 diabetic mellitus patients for designing an effective nutrition intervention. A descriptive-analytical study was performed on 480 diabetic patients referred to four selected teaching hospitals affiliated to the Tehran University of Medical Sciences (TUMS) in Tehran for a period of nine months in 2012. Patients' dietary habits were measured by a 51-item self-report instrument with four general questions about dietary habits and four subscales reflecting domains including general diabetes information (12 items), planning, shopping for, and preparing meals (6 items), eating meals (17 items), and family influence on dietary habits (12 items). The collected data was analyzed by using SPSS software version 11.5. Results were considered significant at a conventional P < 0.05 level. Mean age of the participants was 59.96 ± 11.53 years. Mean scores in the domains were (53.72 ± 19.83), (57.31 ± 23.82), (52.27 ± 12.13), and (64.72 ± 14.3), respectively. Family influence on dietary habits was highlighted as the most important domain in the dietary habits instrument. Study results revealed that there was a significant association between the four domains and socioeconomic and some variables related to dietary habits such as dietary self-management, planned healthy lifestyle and attending diabetes educational programs. The important role of family on dietary habits among type 2 diabetic patients highlighted the role of perceived social support from the family. The results of the sociodemographic variables stressed the necessity of tailoring specific intervention programs accordingly.
    02/2014; 3:4. DOI:10.4103/2277-9531.127548
  • [Show abstract] [Hide abstract]
    ABSTRACT: Aims and objectivesThe aim of this study was to explore the experiences and concerns of individuals with type 2 diabetes mellitus, in a predominantly low socio-economic setting.Background Currently, approximately 1 million Australians have diabetes and rates have more than doubled since 1989. Type 2 diabetes mellitus accounts for approximately 85% of diabetes cases. Risk factors include obesity, older age, low socio-economic status, sedentary lifestyle and ethnicity. Older individuals from low socio-economic backgrounds are particularly at risk of both developing and of mismanaging their condition.DesignExploratory qualitative design.Methods Focus groups were used to collect data from 22 individuals, aged 40 to more than 70 years, with type 2 diabetes mellitus, who were attending local health services for their diabetes care. Focus groups ranged in size from four to eight individuals and all were recorded, transcribed and analysed. Data were analysed using a thematic analysis approach.ResultsParticipants described their experiences of managing their diabetes as emotionally, physically and socially challenging. Data analysis revealed four main themes including: (1) diabetes the silent disease; (2) a personal journey (3) the work of managing diabetes; and (4) access to resources and services. Throughout, participants highlighted the impact of diabetes on the family, and the importance of family members in providing support and encouragement to assist their self-management efforts.Conclusions Participants in this study were generally satisfied with their diabetes care but identified a need for clear simple instruction immediately post-diagnosis, followed by a need for additional informal information when they had gained some understanding of their condition.Relevance to clinical practiceFindings reveal a number of unmet information and support needs for individuals with type 2 diabetes mellitus. In particular, it is important for healthcare professionals and family members to recognise the significant emotional burden that diabetes imposes, and the type and quantity of information individuals with diabetes prefer. It is also important to consider levels of health literacy in the community when developing diabetes-related information or programmes.
    Journal of Clinical Nursing 11/2014; 24(7-8). DOI:10.1111/jocn.12724 · 1.26 Impact Factor
Show more