Divergent Models of Diabetes among American Indian Elders

Henderson, L. Carson

doi:10.1007/s10823-010-9128-4

Cited by 15 publications

(15 citation statements)

References 12 publications

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“…However, some patients prefer providers to emphasize the potential benefits of adhering, rather than the risks of non-compliance [ 41 , 43 , 44 , 58 ]. Those with increasing complications and intensifying treatment sometimes feel they have already failed at managing the disease, creating a “vicious circle of low motivation” [ 41 , 61 , 68 – 74 ]. Distress – whether from diabetes or other sources – can also demotivate medication adherence [ 71 , 75 , 76 ].…”

Section: Resultsmentioning

confidence: 99%

“…A patient's health beliefs and cultural background will also affect the relationship s/he desires with the prescribing physician [ 44 , 48 , 50 , 59 , 60 , 62 , 69 , 71 , 72 , 74 , 89 , 91 , 117 ]. For instance, patients who are members of historically oppressed communities by the dominant culture can be suspicious of medical advice [ 69 , 71 , 74 , 89 , 117 ]. Patients from cultures that perceive physicians as high status individuals with significant authority may feel uncomfortable asking questions [ 20 , 93 , 98 ].…”

Section: Resultsmentioning

confidence: 99%

“…Social and cultural beliefs also affect patient preferences for allopathic (Western biomedicine) compared to traditional medications. Some patients express their intention to take them alongside traditional medications [ 53 , 56 , 62 , 74 , 89 ]. Many patients indicate a preference for traditional or herbal medications, and a suspicion or distrust of allopathic medication [ 20 , 44 , 53 , 62 , 69 , 79 , 83 , 88 , 89 , 92 , 94 , 116 , 117 ].…”

Section: Resultsmentioning

confidence: 99%

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Type 2 diabetes patients’ and providers’ differing perspectives on medication nonadherence: a qualitative meta-synthesis

Brundisini

Vanstone

Hulan

et al. 2015

BMC Health Serv Res

128

167

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BackgroundPoor adherence to medication regimens increases adverse outcomes for patients with Type 2 diabetes. Improving medication adherence is a growing priority for clinicians and health care systems. We examine the differences between patient and provider understandings of barriers to medication adherence for Type 2 diabetes patients.MethodsWe searched systematically for empirical qualitative studies on the topic of barriers to medication adherence among Type 2 diabetes patients published between 2002–2013; 86 empirical qualitative studies qualified for inclusion. Following qualitative meta-synthesis methods, we coded and analyzed thematically the findings from studies, integrating and comparing findings across studies to yield a synthetic interpretation and new insights from this body of research.ResultsWe identify 7 categories of barriers: (1) emotional experiences as positive and negative motivators to adherence, (2) intentional non-compliance, (3) patient-provider relationship and communication, (4) information and knowledge, (5) medication administration, (6) social and cultural beliefs, and (7) financial issues. Patients and providers express different understandings of what patients require to improve adherence. Health beliefs, life context and lay understandings all inform patients’ accounts. They describe barriers in terms of difficulties adapting medication regimens to their lifestyles and daily routines. In contrast, providers' understandings of patients poor medication adherence behaviors focus on patients’ presumed needs for more information about the physiological and biomedical aspect of diabetes.ConclusionsThis study highlights key discrepancies between patients’ and providers’ understandings of barriers to medication adherence. These misunderstandings span the many cultural and care contexts represented by 86 qualitative studies. Counseling and interventions aimed at improving medication adherence among Type 2 diabetes might become more effective through better integration of the patient’s perspective and values concerning adherence difficulties and solutions.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Type 2 diabetes patients’ and providers’ differing perspectives on medication nonadherence: a qualitative meta-synthesis

Brundisini

Vanstone

Hulan

et al. 2015

BMC Health Serv Res

128

167

View full text Add to dashboard Cite

show abstract

“…The prevalence of chronic diseases such as hypertension and diabetes in Indonesia has increased during the past decade [102,103]. Studies in other countries found that people's behavior in managing chronic illness, for example diabetes, were very complex and influenced by cultural beliefs and values [109][110][111][112]. Understanding people's cultural beliefs and values were key elements for a successful diabetes intervention program [113].…”

Section: Discussionmentioning

confidence: 99%

Health-Seeking Behavior of People in Indonesia: A Narrative Review

Widayanti¹,

Green²,

Heydon³

et al. 2020

JEGH

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KeywordsConcept of health and illness health-seeking behavior Indonesia pathway of seeking care social determinants of health traditional medicines utilization of health care A B S T R A C TThis review aims to locate existing studies on health-seeking behavior of people in Indonesia, identify gaps, and highlight important findings. Articles were retrieved from Medline, Scopus, Web of Science, Academic Search Complete (via Ebsco), and ProQuest with a number of key words and various combinations. Articles from Indonesian journals were also searched for with Google Scholar. A total of 56 articles from peer-reviewed journal databases and 19 articles from Indonesian journals were reviewed. Quantitative designs were applied more frequently than qualitative, and mixed methods designs were used in some studies. The majority gathered retrospective information about people's behaviors. Communicable diseases and maternity care were the most frequently studied conditions, in contrast to noncommunicable diseases. In terms of geographical distribution, most research was conducted on Java island, with very few in outside Java. Important findings are a model of Indonesian careseeking pathways, an understanding of determinants of people's care choices, and the role of sociocultural beliefs. The findings from this narrative review provide insight to what and how Indonesians make decisions to manage their illness and why. This makes an important contribution to understanding the problem of underutilization of medical services despite the government's extensive efforts to improve accessibility.

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“…Despite semantic similarities, there are many important differences in how persons living with diabetes subjectively interpret the meaning of diabetic control, of which health-care providers should be cognizant. Because divergent beliefs have been shown to negatively affect health care ( 43 , 44 ), attunement to nuanced interpretations could lead to collaborative alliances between patient and providers as well as congruent objectives and improved health outcomes. For instance, within the clinical encounter, if a provider uses the term diabetes control to denote glycemic control, they may consider whether the patient comprehends the intended connotation and to inquire about their personal interpretation.…”

Section: Discussionmentioning

confidence: 99%

Ascribed Meaning of Disease Control

Girling

Chard

Eckert

2017

Journal of Patient Experience

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Background:Contemporary treatment of type 2 diabetes mellitus (hereafter diabetes) heavily emphasizes “diabetes control,” largely defined by measurable blood glucose parameters. Little is known about how people living with the condition themselves define diabetes control within the lived experience of their disease.Methods:As part of a qualitative study investigating the subjective construction of diabetes, 83 in-depth interviews were conducted with African American and non-Hispanic white older adults. Using content analysis, 4237 pages of narrative data were analyzed to explore how informants conceptualized diabetes control.Findings:Four themes emerged from the data, describing varied understandings of diabetes control: (a) blood sugar regulation, (b) practicable treatment adherence, (c) bodily experience, and (d) degree of pharmaceutical need. Findings demonstrate that among persons with diabetes, the term diabetes control is multifaceted.Conclusion:While clinical guidelines have established target blood glucose parameters as the standard indicator of diabetes control, persons with diabetes conveyed varied and diverse meanings situated within personal experiences. To foster empathetic and collaborative care, health-care providers tending to this population may consider integrating the emergent themes into communicative and treatment approaches.

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Divergent Models of Diabetes among American Indian Elders

Cited by 15 publications

References 12 publications

Type 2 diabetes patients’ and providers’ differing perspectives on medication nonadherence: a qualitative meta-synthesis

Type 2 diabetes patients’ and providers’ differing perspectives on medication nonadherence: a qualitative meta-synthesis

Health-Seeking Behavior of People in Indonesia: A Narrative Review

Ascribed Meaning of Disease Control

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