Partnering With Families to Refine and Expand a Diabetes Intervention for Mexican Americans.

Partnering With Families to Refine and Expand a Diabetes Intervention for Mexican Americans.
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DOI:
10.1177/0145721714528996
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发表时间:
2014-07
期刊:
The Diabetes educator
影响因子:
--
通讯作者:
Murdaugh C
Murdaugh C
中科院分区:
其他
文献类型:
--
作者:
McEwen MM;Murdaugh C

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本研究的目的是完善和扩展一个文化定制的个人层面的糖尿病自我管理干预家庭层面的干预。采用基于社区的参与性研究原则,在美国-墨西哥边境地区的墨西哥裔美国成人(n = 12)2型糖尿病(T2 DM)和家庭成员(n = 12)参加了6个焦点小组访谈,由双语,双文化主持人进行。确定了T2 DM管理的促进因素和障碍。成绩单进行了分析,使用定性内容分析。通过迭代分析过程,5个类别代表了T2 DM参与者:(1)我的家人可以用来支持我们管理T2 DM的策略,(2)对我的挑战敏感,(3)停止告诉我吃什么或做什么,(4)我们如何和平共处,(5)我感到支持。家庭成员确定的类别是(1)一起改变行为,(2)分享而不是控制,(3)支持积极的行为,(4)你的行为让我感到沮丧。家庭被强化为成功管理T2 DM的主要影响因素。家庭支持要求家庭重视和发展T2 DM管理的知识和技能。这种家庭干预建立在家庭资产和关系的基础上,从传统的外部激励的个人模式转变为在墨西哥裔美国成年人中建立管理T2 DM的共同承诺。
The purpose of this study was to refine and expand a culturally tailored individual-level diabetes self-management intervention to a family-level intervention. Using community-based participatory research principles, Mexican American adults (n = 12) with type 2 diabetes mellitus (T2DM) and family members (n = 12) in the United States–Mexico border region participated in 6 focus group interviews, conducted by bilingual, bicul-tural facilitators. Facilitators and barriers to T2DM management were identified. Transcripts were analyzed using qualitative content analysis. Through an iterative analysis process, 5 categories represented participants with T2DM: (1) strategies my family can use to support our managing T2DM, (2) be sensitive to my challenges, (3) stop telling me what to eat or do, (4) how can we peacefully coexist, and (5) I feel supported. Categories identified by family members were (1) changing behaviors together, (2) sharing not controlling, (3) supporting positive behaviors, and (4) your behaviors frustrate me. The family was reinforced as a major influence for successful T2DM management. Family support requires that families value and develop knowledge and skills for T2DM management. This family intervention builds on family assets and relationships, shifting from traditional externally motivated individual models to create a shared commitment to manage T2DM among Mexican American adults.
DOI: 10.1111/j.1545-5300.2009.01275.x
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发表时间: 2012
影响因子: 3.4
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发表时间: 2013-07
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影响因子: --
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影响因子: 16.2
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