Effects of a Family-Based Diabetes Intervention on Family Social Capital Outcomes for Mexican American Adults

McEwen, Marylyn Morris; Pasvogel, Alice; Murdaugh, Carolyn

doi:10.1177/0145721719837899

Cited by 15 publications

(42 citation statements)

References 54 publications

(80 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Strengths-based approaches to addressing health and health disparities have emerged in Indigenous and other racial/ethnic minority communities as a counterbalance to deficit discourses [4,[7][8][9]. Strengths-based methods move the research focus from characterizing 'problems', to identifying the strengths of individuals and communities; and building upon their cultural assets, knowledge and resilience as avenues for action [4,10].…”

Section: Introductionmentioning

confidence: 99%

A strengths-based approach to exploring diabetes management in an Indigenous minority population: A mixed methods study

et al. 2021

View full text Add to dashboard Cite

Indigenous and other marginalized racial/ethnic minorities have poorer health status than majority populations, including higher rates of type 2 diabetes. These disparities have typically been addressed using a ‘deficit-based’ discourse that isolates disease management from the broader social, economic, political context and does not incorporate patient perspectives. We aimed to explore factors affecting glycemic control among Indigenous Arabs with diabetes in Israel using a strengths-based approach that centered participants’ knowledge of their context, needs, resources and strengths. We conducted an exploratory sequential mixed methods study, which included 10 focus groups (5 men’s, 5 women’s) and 296 quantitative in-person surveys. Participants with diagnosed diabetes were randomly drawn from the patient list of the largest healthcare service organization (survey response rate: 93%). Prominent and interconnected themes emerged from focus group discussions, including: diet, physical activity, and social, economic, mental/psychological and political stress. The discussions raised the need for adapting diabetes management approaches to incorporate participants’ communal, physical and psychological well-being, and socioeconomic/political realities. The connections between these factors and diabetes management were also reflected in multivariable analyses of the survey data. Women (OR: 2.03; 95% CI: 1.09–4.63), people with disabilities (OR: 2.43; 95% CI: 1.28–4.64), and unemployed people (OR: 2.64; 95% CI: 1.28–5.44) had higher odds of economic barriers to diabetes management. Furthermore, female sex (OR: 2.26; 95% CI: 1.25–4.09), unemployment (OR: 4.07; 95% CI: 1.64–10.10), and suboptimal glycemic control (OR: 1.20, 95% CI: 1.03–1.41 per 1-unit increase in HbA1c) were associated with moderate-to-severe depressive symptoms. A pro-active, team-based healthcare approach incorporating Indigenous/minority participants’ knowledge, experience, and strengths has the potential to improve individuals’ diabetes management. Healthcare services should be structured in ways that enable providers to listen to their patients, address their key concerns, and foster their strengths.

show abstract

Section: Introductionmentioning

confidence: 99%

A strengths-based approach to exploring diabetes management in an Indigenous minority population: A mixed methods study

et al. 2021

View full text Add to dashboard Cite

show abstract

“…Moreover, it suggests that strategies that teach parents how to build family social capital through amplified family verbal and physical engagement, more effective family conflict management, greater family cohesion, and more frequent family interactions such as those at mealtime could improve the effectiveness of health, nutrition, and obesity prevention interventions. Indeed, findings from the one nutrition intervention study located, which was conducted with Mexican American adults with type 2 diabetes mellitus, demonstrate it is possible to improve family social capital and, thereby, improve disease self-management [ 70 ]. Future intervention studies should consider incorporating strategies to build family social capital and compare longitudinal outcomes to traditional interventions to determine the relative value of family social capital on health behaviors [ 71 ].…”

Section: Discussionmentioning

confidence: 99%

Family Social Capital: Links to Weight-Related and Parenting Behaviors of Mothers with Young Children

et al. 2021

View full text Add to dashboard Cite

Family social capital includes the social relationships, values, and norms shared by a family and is positively linked with children’s mental and physical health status. This cross-sectional study addresses a gap in the literature related to family social capital vis-à-vis weight-related behaviors and home environments of 557 mothers and their young children (ages 2 to 9 years). Mothers completed an online survey comprised of valid, reliable questionnaires assessing family relationships and weight-related behavioral and home environment measures. The measures that determined family social capital (i.e., supportive, engaged parenting behaviors; family cohesion; family conflict; and family meal frequency) yielded distinct tertile groups that differed significantly (p < 0.001) on every family social capital measure with large effect sizes. Analysis of variance with Tukey post-hoc test revealed greater family social capital was linked to significantly better maternal health, dietary intake, physical activity, and sleep behavior. Additionally, maternal modeling of healthy eating and physical activity, child feeding practices, and home environments was higher in groups with greater family social capital. Child mental and physical health, physical activity, and sleep quality were better in families with greater family social capital. Findings suggest greater family social capital is linked to healthier weight-related behaviors and home environments. Future intervention studies should incorporate strategies to build family social capital and compare longitudinal outcomes to traditional interventions to determine the relative value of family social capital on health behaviors.

show abstract

“…The family is often viewed as a "motivator" (Caballero, 2011, S12) or a critical role to help manage diabetes care for other family members (Burner et al, 2018). The greater the family support, the more likely Hispanics with T2D have access to diabetic resources (McEwen et al, 2019). On the contrary, a lack of family support is a "fundamental barrier" for managing their disease (Mansyur et al, 2015, p. 805).…”

Section: Discussionmentioning

confidence: 99%

Barriers to Access to Care in Hispanics With Type 2 Diabetes: A Systematic Review

Titus

Kataoka‐Yahiro

2020

Hisp Health Care Int

View full text Add to dashboard Cite

Introduction: Type 2 diabetes (T2D) is a major cause of death in the United States. Hispanics living in America suffer disproportionally with diabetes and is the fifth cause of death for them. A systematic review was conducted that highlighted barriers to access to care for Hispanics with T2D during the early years of the Affordable Care Act. Method: PubMed and CINAHL databases were searched (2010-2015) using PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analysis) guidelines. From 84 studies, seven qualitative/mixed methods studies were reviewed based on inclusion/exclusion criteria. Barriers were placed into three categories set a priori. Results: All study samples were from different states, representing barriers across the United States. Persistent barriers were self (100%), provider (100%), and environment (71%). Covariates (culture and genetics), individual resources (cost factors, time, and social support), lack of providers or providers specializing in T2D, and environmental factors (lack of diabetes education, nutrition, and exercise programs) were found to affect Hispanics with T2D access to care. Conclusion: Cost factors, time, lack of social support, providers, and relevant programs remain prevalent barriers. As the Hispanic population increases and changes in the health care system are evolving, additional barriers to access to care are likely to emerge and must be explored.

show abstract

Effects of a Family-Based Diabetes Intervention on Family Social Capital Outcomes for Mexican American Adults

Abstract: The purpose of the study is to test the effects of a culturally tailored family-based self-management education and social support intervention on family social capital with Mexican American (MA) adults with type 2 diabetes (T2DM) and their family member.

Cited by 15 publications

References 54 publications

A strengths-based approach to exploring diabetes management in an Indigenous minority population: A mixed methods study

A strengths-based approach to exploring diabetes management in an Indigenous minority population: A mixed methods study

Family Social Capital: Links to Weight-Related and Parenting Behaviors of Mothers with Young Children

Barriers to Access to Care in Hispanics With Type 2 Diabetes: A Systematic Review

Contact Info

Product

Resources

About