The science of diabetes self-management and care最新文献_第8页

Long-Term Results of a Digital Diabetes Self-Management and Education Support Program Among Adults With Type 2 Diabetes: A Retrospective Cohort Study. 数字糖尿病自我管理和教育支持计划在成人 2 型糖尿病患者中的长期效果：回顾性队列研究

The science of diabetes self-management and care Pub Date : 2024-02-01 Epub Date: 2024-01-19 DOI: 10.1177/26350106231221456

Ashley Berthoumieux, Sarah Linke, Melinda Merry, Alison Megliola, Jessie Juusola, Jenna Napoleone

{"title":"Long-Term Results of a Digital Diabetes Self-Management and Education Support Program Among Adults With Type 2 Diabetes: A Retrospective Cohort Study.","authors":"Ashley Berthoumieux, Sarah Linke, Melinda Merry, Alison Megliola, Jessie Juusola, Jenna Napoleone","doi":"10.1177/26350106231221456","DOIUrl":"10.1177/26350106231221456","url":null,"abstract":"Purpose: The purpose of this study is to examine the long-term impact of a digital diabetes self-management education and support (DSMES) program on A1C among adults with type 2 diabetes (T2DM).Methods: Data analyzed were from a retrospective cohort of commercially insured members with T2DM enrolled in the Omada for Diabetes program between January 1, 2019, and January 31, 2022 (n = 1,322). Linear mixed models measured changes in A1C and weight across 12 months (collected at baseline and every 3 months over 1 year) overall and stratified by A1C at baseline (≥8% vs <8%).Results: On average, members were 53.5 years old, 56.9% female, and 71.5% White, with a mean baseline body mass index (BMI) of 36.9 and A1C of 7.6%. Members with baseline A1C ≥8% demonstrated clinically and statistically significant adjusted mean reductions in A1C during follow-up, from 9.48% at baseline to 7.33%, 7.57%, 7.59%, and 7.47% at 3, 6, 9, and 12 months, respectively. Those with A1C <8% maintained glycemic stability (6.73%, 6.50%, 6.54%, 6.62%, and 6.51%, respectively). Collectively, members experienced a -1.17 kg/m2 mean reduction in BMI over 12 months.Conclusions: This study provides real-world evidence that members with elevated baseline A1C (≥8%) enrolled in a digital DSMES program experienced clinically meaningful and statistically significant reductions in A1C. Those with baseline A1C within goal treatment range (<8%) maintained glycemic stability over 1 year. The findings support existing evidence that scalable digital DSMES solutions can help individuals with T2DM manage their condition.","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"19-31"},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139491981","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluation of a Pharmacist-Managed Diabetes Transitions of Care Medication Management Clinic. 评估由药剂师管理的糖尿病过渡护理用药管理诊所。

The science of diabetes self-management and care Pub Date : 2024-02-01 Epub Date: 2024-01-20 DOI: 10.1177/26350106231221463

Hayley M Hall, Kadin C Ashley, Aric D Schadler, Kristina W Naseman

{"title":"Evaluation of a Pharmacist-Managed Diabetes Transitions of Care Medication Management Clinic.","authors":"Hayley M Hall, Kadin C Ashley, Aric D Schadler, Kristina W Naseman","doi":"10.1177/26350106231221463","DOIUrl":"10.1177/26350106231221463","url":null,"abstract":"Purpose: The purpose of this study was to determine the impact of a pharmacist-managed transitions of care (TOC) clinic on outcomes in a posthospitalization population with diabetes.Methods: A retrospective single center cohort study utilized electronic health records to identify discharged patients followed by the inpatient endocrinology team. The primary outcome was 30-day readmission rates in the target population. Secondary outcomes include 90-day readmission rates, time to first follow-up, emergency department/urgent care encounters, change in A1C, retention with endocrinology, referrals for diabetes education, and types of interventions. The control group included patients prior to the initiation of the TOC clinic compared to patients seen in the TOC clinic, evenly matched by A1C. Readmission rates and other clinical data were queried up to 4 months after discharge.Results: Patients in the TOC cohort had similar 30-day readmission rates compared to the non-TOC cohort and were found to have lower A1C values within 120 days of discharge. Overall, patients in the TOC cohort were more likely to have a follow-up appointment and had closer follow-up after discharge.Conclusion: This study highlights that although there was no difference in readmission rates, a pharmacist-managed diabetes TOC clinic may decrease time to follow-up and improve long-term diabetes outcomes.","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"32-43"},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139503310","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Information Needs and Its Association With Depressive Symptoms in People With Type 2 Diabetes. 2 型糖尿病患者的信息需求及其与抑郁症状的关系。

The science of diabetes self-management and care Pub Date : 2024-02-01 Epub Date: 2023-12-30 DOI: 10.1177/26350106231215788

Jinjin Yuan, Jinle Wang, Yueying Wang, Huihui Wu, Yun Jia, Chunyan Zhao, Bingqian Zhu, Cynthia Fritschi

{"title":"Information Needs and Its Association With Depressive Symptoms in People With Type 2 Diabetes.","authors":"Jinjin Yuan, Jinle Wang, Yueying Wang, Huihui Wu, Yun Jia, Chunyan Zhao, Bingqian Zhu, Cynthia Fritschi","doi":"10.1177/26350106231215788","DOIUrl":"10.1177/26350106231215788","url":null,"abstract":"Purpose: The purpose of this study was to describe the information needs and examine its association with depressive symptoms in people with type 2 diabetes (T2D).Methods: A descriptive, correlational design was used. People with T2D (N = 358) were recruited from 12 communities in Shanghai, China. Self-reported information needs and depressive symptoms were measured using the Information Needs in Diabetes Questionnaire and Patient Health Questionnaire-9 (PHQ-9), respectively. Multivariate linear regression analysis was performed.Results: The participants were 64.8 years on average, and 46.6% were men. One hundred fifty-one (42.2%) had depressive symptoms (PHQ-9 ≥ 5). Participants had the least knowledge about \"diabetes research,\" \"acute complications,\" and \"lifestyle adjustment.\" The sample had the highest levels of information needs about topics including \"mental strain,\" \"treatment/therapy,\" and \"diabetes in everyday life.\" Compared to those without depressive symptoms, those experiencing depressive symptoms were less informed and had higher levels of need for further information. Controlling for covariates, higher levels of need for further information were significantly associated with greater depressive symptoms (B = 0.368, 95% CI, 0.155-0.582, P = .001).Conclusions: This study demonstrated areas that should be prioritized when meeting patients' information needs. It also showed the potential negative effect of unmet information needs on depression. These findings may help develop a more tailored intervention for people with T2D.","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"65-73"},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139076100","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Barriers and Facilitators of Self-Management for Older Adults Living With Type 2 Diabetes Mellitus: A Qualitative Study in China. 2 型糖尿病老年患者自我管理的障碍和促进因素：中国定性研究。

The science of diabetes self-management and care Pub Date : 2024-02-01 Epub Date: 2024-01-19 DOI: 10.1177/26350106231221454

Chen Wu, Ruiyang Xu, Jiepin Cao, Shan Wang, Sijing Peng, Chunyan Wang, Kefang Wang

{"title":"Barriers and Facilitators of Self-Management for Older Adults Living With Type 2 Diabetes Mellitus: A Qualitative Study in China.","authors":"Chen Wu, Ruiyang Xu, Jiepin Cao, Shan Wang, Sijing Peng, Chunyan Wang, Kefang Wang","doi":"10.1177/26350106231221454","DOIUrl":"10.1177/26350106231221454","url":null,"abstract":"Purpose: The purpose of the study was to explore the barriers to and facilitators of self-management among older adults with type 2 diabetes mellitus (T2DM).Methods: This study followed a qualitative descriptive methodology. Older adults with T2DM living in Jinan, Shandong Province, China were recruited using purposive sampling. Information saturation was used to gauge the sample size. Semistructured interviews were conducted with 23 participants. The data analysis was guided using a thematic approach. Themes were inducted from the interview data undergirded by the cumulative complexity model.Results: The key findings of this study are presented in terms of 2 themes: facilitators of T2DM self-management and barriers to T2DM self-management. Each theme has subthemes, including that having family members with diabetes, having family members who are health care professionals, and visual cues were factors for good self-management practices by older adults with T2DM. Conversely, poor health status (ie, multimorbidity and lower-limb dysfunction and pain) and intergenerational care responsibilities were identified as barriers to effective self-management. Moreover, the use of media resources, especially traditional media, was found to both assist and hinder participants in their self-management practices.Conclusion: The findings from this study can inform new research to build on existing self-management promotion programs and restructure existing services to improve the self-management of older adults with T2DM. With the increase in the number and types of media outlets, our finding implies that researchers or clinical practitioners may develop strategies to leverage media resources to enhance the self-management of diabetes among older adults with T2DM.","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"44-55"},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139491979","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Preparing Community Health Workers to Empower Latino(a)s With Diabetes: A Real-World Implementation Study. 培养社区卫生工作者，增强拉丁裔糖尿病患者的能力：真实世界实施研究》。

The science of diabetes self-management and care Pub Date : 2024-02-01 Epub Date: 2024-01-20 DOI: 10.1177/26350106231220012

Laura Porterfield, Zuleica Santiago Delgado, Premal G Patel, Michael L Goodman, Kendall M Campbell, Elizabeth M Vaughan

{"title":"Preparing Community Health Workers to Empower Latino(a)s With Diabetes: A Real-World Implementation Study.","authors":"Laura Porterfield, Zuleica Santiago Delgado, Premal G Patel, Michael L Goodman, Kendall M Campbell, Elizabeth M Vaughan","doi":"10.1177/26350106231220012","DOIUrl":"10.1177/26350106231220012","url":null,"abstract":"Purpose: The purpose of the study was to evaluate the delivery of diabetes self-management education (DSME) to Latino(a) adults by community health workers (CHWs).Methods: Investigators developed an evidence-based, bilingual (Spanish/English) diabetes education curriculum and trained 10 CHWs on its content. CHWs then implemented the curriculum in 6-month diabetes group visit programs for low-income Latino(a)s with type 2 diabetes in nonacademic 501(c)3 community clinics. Investigators evaluated efficacy of the training through successful implementation, measured by participant group visit acceptance and attendance.Results: Participants (n = 70) reported high levels of program satisfaction (3.8/4.0), improvement in quality of life (9.7/10), meeting of individual needs (3.8/4.0), and acceptability (9.7/10.0). Content analyses revealed that 87.1% of participants would not change the program or wanted to extend it. Participant attendance was 81.6%.Conclusions: Investigators demonstrated the ability to develop a training that nonmedical personnel (CHWs) successfully implemented in a real-world study. This study provides a curricular framework for CHW-led education that may serve as a template to extend to other diseases and populations.","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"56-64"},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10851650/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139503290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Impact of Gaming (Gamification) on Diabetes Self-Care Behaviors and Glycemic Outcomes Among Adults With Type 2 Diabetes. 游戏（游戏化）对2型糖尿病成年人糖尿病自我护理行为和血糖结果的影响。

The science of diabetes self-management and care Pub Date : 2023-12-01 Epub Date: 2023-11-05 DOI: 10.1177/26350106231208153

Veronica Joyce Brady, Nitha Mathew Joseph, Hsiao-Hui Ju

{"title":"Impact of Gaming (Gamification) on Diabetes Self-Care Behaviors and Glycemic Outcomes Among Adults With Type 2 Diabetes.","authors":"Veronica Joyce Brady, Nitha Mathew Joseph, Hsiao-Hui Ju","doi":"10.1177/26350106231208153","DOIUrl":"10.1177/26350106231208153","url":null,"abstract":"Purpose: The purpose of this systematic review was to determine if the use of gaming (gamification) among persons with type 2 diabetes improves diabetes self-management behaviors and diabetes outcomes.Methods: A systematic review was conducted using electronic databases including MEDLINE, Embase, Web of Science, and CINAHL. Studies reporting on the impact of gaming on at least 1 of the Association of Diabetes Care and Education Specialists self-care behaviors (ADCES7) were included.Results: The review included 9 studies, 8 of which were of strong/high quality. Five of the self-care behaviors were addressed in at least 1 of the included studies. However, taking medications and problem solving were not reported in any of the studies. Physical activity and self-efficacy or quality of life (healthy coping) were the most frequently reported ADCES7 behaviors. Six of the studies used A1C as an outcome measure, with a reduction reported in all the studies except 1.Conclusion: Type 2 diabetes affects a person holistically, necessitating a range of self-care behaviors to effectively manage the chronic condition. Novel gaming interventions may improve coping mechanisms, lifestyle behaviors, medication engagement, and monitoring of risks and problems, all of which are essential in facilitating optimal diabetes self-management.","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"493-511"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10666525/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71489834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Adolescents' Experiences of Transition to Self-Management of Type 1 Diabetes: Systematic Review and Future Directions. 青少年向1型糖尿病自我管理过渡的经历：系统回顾和未来方向。

The science of diabetes self-management and care Pub Date : 2023-12-01 Epub Date: 2023-11-05 DOI: 10.1177/26350106231206779

Paula Leocadio, Carol Kelleher, Eluska Fernández, Colin P Hawkes

{"title":"Adolescents' Experiences of Transition to Self-Management of Type 1 Diabetes: Systematic Review and Future Directions.","authors":"Paula Leocadio, Carol Kelleher, Eluska Fernández, Colin P Hawkes","doi":"10.1177/26350106231206779","DOIUrl":"10.1177/26350106231206779","url":null,"abstract":"Purpose: The purpose of this systematic literature review was to explore studies that report the experiences of adolescents, their families, and health care professionals of adolescents' transition to self-management of type 1 diabetes (T1DM).Methods: SocINDEX, PsycInfo, APA PsycArticles, and MEDLINE electronic databases were searched. Studies reporting on experiences of transition to self-management of T1DM for adolescents, their parents, siblings, and health care professionals published between January 2010 amd December 2021 were included. The Mixed Methods Appraisal Tool guided trustworthiness and relevance of selected studies.Results: A total of 29 studies met the inclusion criteria. Findings indicate that adolescents' experiences of transitioning to self-management of T1DM are interconnected with the supports provided by others (eg, family, teachers, friends). Considering interdependence and collective lived experiences is essential to developing effective and personalized family, peer, and social interventions to facilitate transition and to avoid negative outcomes in later life. The renegotiation of roles within the network of supports that impact adolescents' transition and adolescents' self-negotiation have been neglected.Conclusion: Transition to self-management of T1DM is a dynamic and iterative process comprising of continuous shifts between interdependence and independence, making it challenging for all involved. A number of research gaps and avenues for future research are outlined.","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"477-492"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10666500/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71489832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Group Versus Individual Diabetes Education for Persons With Experience of Homelessness in Canada. 加拿大无家可归者的团体与个人糖尿病教育。

The science of diabetes self-management and care Pub Date : 2023-12-01 Epub Date: 2023-09-28 DOI: 10.1177/26350106231201365

Breanna McSweeney, Rachel B Campbell, Eshleen K Grewal, Jenny Gu, David J T Campbell

{"title":"Group Versus Individual Diabetes Education for Persons With Experience of Homelessness in Canada.","authors":"Breanna McSweeney, Rachel B Campbell, Eshleen K Grewal, Jenny Gu, David J T Campbell","doi":"10.1177/26350106231201365","DOIUrl":"10.1177/26350106231201365","url":null,"abstract":"Purpose: The purpose of the study was to explore various forms of diabetes self-management education (DSME), including group and individual sessions, for persons with lived experiences of homelessness (PWLEH) in Canada.Methods: A qualitative descriptive study using open-ended interviews with health care and homeless sector service providers was utilized to serve those experiencing homelessness in 5 cities across Canada. NVivo qualitative data analysis software was used to facilitate thematic analysis, focusing on variations in DSME for PWLEH.Results: We conducted interviews with 96 unique health and social care providers. Four themes were identified through focused coding of interviews. First, the use of a harm reduction approach during diabetes education tailored to PWLEH considered patients' access to food, medications, and supplies and other comorbidities, including mental health and substance use disorders. The second theme related to the unsuitability of the curriculum in mainstream diabetes education in a group setting for PWLEH. Third, the role of group education in community building is to create supportive relationships among members. The final theme was the importance of trust and confidentiality in DSME, which were most easily maintained during individual education, compared to group formats.Conclusions: Overall, PWLEH experience unique challenges in managing diabetes. DSME adapted to these individuals' unique needs may be more successful and could be delivered in both individual and group settings.","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"415-425"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10666507/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41161940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Impact of Fatigue and Its Influencing Factors on Diabetes Self-Management in Adults With Type 2 Diabetes: A Structural Equation Modeling Analysis. 疲劳及其影响因素对2型糖尿病成年人糖尿病自我管理的影响：结构方程建模分析。

The science of diabetes self-management and care Pub Date : 2023-12-01 Epub Date: 2023-10-24 DOI: 10.1177/26350106231205029

Hsuan-Ju Kuo, Alexandra A García, Ya-Ching Huang, Julie A Zuñiga, Aprile D Benner, Heather Cuevas, Kang-Chih Fan, Chih-Yao Hsu

{"title":"Impact of Fatigue and Its Influencing Factors on Diabetes Self-Management in Adults With Type 2 Diabetes: A Structural Equation Modeling Analysis.","authors":"Hsuan-Ju Kuo, Alexandra A García, Ya-Ching Huang, Julie A Zuñiga, Aprile D Benner, Heather Cuevas, Kang-Chih Fan, Chih-Yao Hsu","doi":"10.1177/26350106231205029","DOIUrl":"10.1177/26350106231205029","url":null,"abstract":"Purpose: The purposes of this study were to (1) examine the relationships between fatigue, its influencing factors, and diabetes self-management and (2) test the mediation effects of fatigue on the link between the influencing factors and diabetes self-management in adults with type 2 diabetes.Methods: This cross-sectional, correlational study was guided by the theory of unpleasant symptoms. Data were collected using structured questionnaires. Fatigue was measured by the Fatigue Symptom Inventory and the Multidimensional Fatigue Inventory. Diabetes self-management was measured by the Summary of Diabetes Self-Care Activities. From March to July 2021, a convenience sample of 150 participants was recruited from 2 diabetes outpatient clinics of a regional hospital in Taiwan. Data were analyzed using structural equation modeling.Results: A more recent diagnosis of diabetes, more depressive symptoms, and lower sleep quality were related to higher fatigue. Higher fatigue correlated with less performance in diabetes self-management. Fatigue mediated the relationship between depressive symptoms, sleep quality, and diabetes self-management.Conclusions: Fatigue had a mediating effect on the link between psychological influencing factors and diabetes self-management. Future development of fatigue interventions integrating depressive symptoms and sleep management will likely increase the performance of diabetes self-management and improve the health outcomes in adults with type 2 diabetes. The study tested the theory of unpleasant symptoms using empirical data and will assist in building theory-guided fatigue interventions to improve diabetes self-management in people with type 2 diabetes.","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"438-448"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49694928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Cultural Beliefs and Practices in Self-Management of Diabetes Among Pnar Women in Meghalaya, India. 印度梅加拉亚Pnar妇女糖尿病自我管理的文化信仰和实践。

The science of diabetes self-management and care Pub Date : 2023-12-01 Epub Date: 2023-11-10 DOI: 10.1177/26350106231208155

Alacrity Muksor, Daksha Parmar

{"title":"Cultural Beliefs and Practices in Self-Management of Diabetes Among Pnar Women in Meghalaya, India.","authors":"Alacrity Muksor, Daksha Parmar","doi":"10.1177/26350106231208155","DOIUrl":"10.1177/26350106231208155","url":null,"abstract":"Purpose: The purpose of the study was to explore the cultural beliefs and practices of the Pnar tribe in terms of their self-management of diabetes.Methods: A qualitative study design using an ethnographic approach was adopted to understand the experiences of the Pnar women with type 2 diabetes. Around 60 women living with diabetes across 20 villages in the Thadlaskein rural block were interviewed in the Pnar language. Thematic analysis was employed to identify the pattern related to beliefs and cultural practices in the self-management of diabetes across the data set.Results: Misconceptions related to diet, such as all vegetables grown underground need to be avoided and bitter herbs and vegetables are good for blood glucose control, were reported. Participants used home remedies and complementary and alternative medicine to bring down their blood glucose levels. Participants believe that diabetes is an episodic or short-term illness and can be cured through herbal medicine. Participants reported that consuming atta or round flat bread made of wheat flour instead of rice caused \"acidity.\"Conclusions: Misconceptions are barriers to disease management, which are often shaped in people's minds by culture. Therefore, health care service providers must know what people think about diabetes and its management. Accordingly, information related to diabetes should be disseminated to the masses for effective management of diabetes.","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"462-476"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72016421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0