Ethnic differences in outcomes of diabetes care and the role of self-management behavior

2008 ◽  
Vol 72 (1) ◽  
pp. 146-154 ◽  
Author(s):  
L.C. Lanting ◽  
I.M.A. Joung ◽  
I. Vogel ◽  
A.H. Bootsma ◽  
S.W.J. Lamberts ◽  
...  
Keyword(s):  
Ethnic Differences ◽  
Diabetes Care ◽  
Self Management ◽  
Management Behavior

Interventions to Support Diabetes Self-Management: The Key Role of the Patient in Diabetes Care

2007 ◽  
Vol 3 (4) ◽  
pp. 226-228 ◽  
Author(s):  
Jim Nuovo ◽  
Thomas Balsbaugh ◽  
Sue Barton ◽  
Ronald Fong ◽  
Jane Fox-Garcia ◽  
...  
Keyword(s):  
Diabetes Care ◽  
Self Management

Perspectives of Parents With Type 1 Diabetes: Role of Children in Self-Management and Support

2020 ◽  
Vol 46 (6) ◽  
pp. 552-558
Author(s):  
Jodi Krall ◽  
Vicki S. Helgeson ◽  
Eunjin Lee Tracy ◽  
MaryJane S. Campbell ◽  
Mary Korytkowski ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Diabetes Care ◽  
Family Members ◽  
Romantic Partners ◽  
Self Management ◽  
Individual Family ◽  
Specific Support ◽  
Care Family

Purpose The purpose of this study was to examine parents’ perceptions of the role children play in their type 1 diabetes (T1DM) care. Family members are a resource to support T1DM self-management, but how children are involved in their parents’ diabetes has not been well explored. Methods Parents with T1DM (n = 85) and a subset of their romantic partners (n = 55) participated in interviews during which they described their children’s knowledge of and involvement in diabetes care. Interviews were transcribed, responses coded/tallied, and themes identified. Results All parents reported that children knew of their diabetes, which they learned about progressively from a young age. Most parents reported children to be accepting and understanding of the ways that diabetes affected their family experiences (eg, pause to treat low blood glucose). When asked about specific support, parents rated “making parent feel better about diabetes” as the most frequently occurring behavior. Some parents felt that children, particularly younger ones, occasionally detracted from T1DM management, but this was usually expected and considered transient. Regardless of child age, many parents did not want diabetes to burden children and limited their involvement. Both parents with T1DM and partners requested resources to enhance child awareness and preparedness to support diabetes. Respondents, particularly partners, were also interested in learning how to communicate better as a family and share perspectives on how diabetes affects individual family members. Conclusions Diabetes care and education specialists should consider developmentally and relationally appropriate ways to engage children of parents with T1DM in education and self-management.

Diabetes Self-Management in African Americans: An Exploration of the Role of Fatalism

2003 ◽  
Vol 29 (1) ◽  
pp. 105-115 ◽  
Author(s):  
Leonard E. Egede ◽  
Ramita J. Bonadonna
Keyword(s):  
Type 2 Diabetes ◽  
African Americans ◽  
Self Management ◽  
Spiritual Beliefs ◽  
Management Behavior ◽  
Four Dimensions ◽  
Psychology Theory ◽  
The Individual

PURPOSE This study was conducted to explore the concept of fatalism in relation to diabetes self-management behavior in African Americans with type 2 diabetes. METHODS Participants (n=39) were recruited from a clinic sample of African Americans with type 2 diabetes. Seven focus groups were conducted; the sessions were recorded, transcribed, and analyzed to identify themes related to fatalism and diabetes self-management. The ISAS paradigm (individual, symbols, audience, situation), a social psychology theory, provided the theoretical framework for the study. RESULTS Four dimensions of fatalism were identified: the meaning of diabetes, the illness experience, the individual's coping response, and the individual's religious and spiritual beliefs. For the participants in this study, fatalism seemed to characterize the nature of the interaction between the individual with diabetes and others, the meanings they attached to such interactions, and the decision to adopt an effective or ineffective diabetes self-management behavior. CONCLUSIONS Fatalism was associated with diabetes self-management in African Americans with diabetes and was multidimensional in this population; the construct appeared to differ conceptually from the perspective of current measures.

scholarly journals A perspective piece on Diabetes Self-Management Education and Support (DSMES) programmes for under-represented groups with T2DM in the UK

2021 ◽  
Author(s):  
Michelle Hadjiconstantinou ◽  
Lauren M Quinn ◽  
Frances Tippins ◽  
Sally Schreder ◽  
Kamlesh Khunti ◽  
...  
Keyword(s):  
Diabetes Care ◽  
Management Education ◽  
Digital Health ◽  
Self Management ◽  
Alternative Source ◽  
Vast Number ◽  
Targeted Interventions ◽  
The Uk ◽  
Number Of Individuals

Self-management is critical for optimisation of diabetes care, and diabetes self-management education and support (DSMES) programmes are well recognised to improve biomedical, behavioural and psychological outcomes for people living with diabetes. The aim of this perspective piece is (1) to delineate the barriers experienced by under-represented groups with type 2 diabetes mellitus (T2DM) and (2) to evaluate the role of targeted interventions and digital health as potential solutions to address these barriers and bridge the gaps in diabetes care. Common barriers to accessing DSMES programmes include practical issues such as timing and location, as well as psychological barriers such as stigma. Available evidence shows that tailoring diabetes self-management programmes to fit with people’s culture or specific needs increases effectiveness and acceptability of DSMES programmes in seldom heard groups. Digital-based self-management programmes have the opportunity to reach a vast number of individuals and offer an alternative source to empower people with T2DM. However, technology may also widen health inequalities and increase social isolation. Therefore, further research is required to establish bespoke and effective diabetes self-management programmes for under-represented individuals with T2DM.

Associations of depression and diabetes distress with self-management behavior and glycemic control.

2020 ◽  
Author(s):  
Andreas Schmitt ◽  
Eileen Bendig ◽  
Harald Baumeister ◽  
Norbert Hermanns ◽  
Bernhard Kulzer
Keyword(s):  
Glycemic Control ◽  
Self Management ◽  
Diabetes Distress ◽  
Management Behavior

The Role of Personal Control in Adaptive Functioning

2009 ◽  
pp. 270-278 ◽  
Author(s):  
Suzanne C. Thompson
Keyword(s):  
Ethnic Differences ◽  
Perceived Control ◽  
Adaptive Functioning ◽  
Coping Skills ◽  
Personal Control ◽  
Future Research ◽  
Sense Of Control ◽  
Beneficial Effects ◽  
Controllable Factors

A sense of personal control is an important resource that helps people maintain emotional stability and successfully negotiate their way through life. People foster their perceived control by focusing on reachable goals, creating new avenues for control, and accepting difficult-to-change circumstances. In general, perceived control need not be realistic in order to have beneficial effects, although in the area of health promotion, overestimating one's control can reduce the motivation to engage in protection. Research on ethnic differences in the benefits of a sense of personal control suggests that those from more collectivistic cultures or subcultures may be less benefited by a sense of personal control, relying instead on a socially derived sense of control. Successful interventions to enhance personal control include programs that bolster coping skills, give options and decisions to participants, and provide training that encourages attributions to controllable factors. Future research should further explore ethnic differences in the effects of personal control, the consequences of unrealistic control perceptions, and interventions to enhance the sense of control.

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