Women of low socioeconomic status living with diabetes: Becoming adept at handling a disease

Boonsatean, Wimonrut; Rosner, Irena Dychawy; Carlsson, Anna; Östman, Margareta

doi:10.1177/2050312115621312

Cited by 3 publications

(4 citation statements)

References 25 publications

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“…Studies that primarily had culturally diverse samples or focused on a specific cultural group found that nonadherence was more prevalent among patients who perceived that the illness, its progression, and complications were outside their control. 28,31,35,36 Patients who believed that managing diabetes was within their control and abilities often displayed high levels of motivation and self-efficacy to engage in and maintain the recommended treatment. 18 Further, some studies found that patients with a high internal locus of control regulated their medication based on how they were feeling (e.g., did not take the medication if they…”

Section: Locus Of Controlmentioning

confidence: 99%

“…Supportive family and community helped patients in their day-to-day management of diabetes. 5,6,22,33,36 The diagnosis of diabetes brought about a substantial change in the lifestyles of not only the patient but also their family members. This change was particularly experienced in dietary adherence such that patients whose families adjusted their food preferences to match the healthcare provider's recommendation reported better dietary management as compared to those whose families had not changed their food habits to suit the patient's diabetes diet.…”

Section: Family and Communitymentioning

confidence: 99%

“…Thus, dietary adherence in particular presented patients with a struggle as the recommendations did not align with their beliefs and habits regarding food. 2,[4][5][6]17,25,36…”

Section: Family and Communitymentioning

confidence: 99%

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Patients’ Experiences of Barriers and Facilitators for Adherence to Type 2 Diabetes Mellitus: A Meta-Ethnography

Sridharan

Chittem

Maya

2019

Journal of Social Health and Diabetes

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Objectives The main purpose of this article is to synthesize qualitative research exploring experiences of the factors that facilitated and hindered adherence among patients with type 2 diabetes mellitus (T2DM). Methods Twenty-six qualitative studies were purposefully included in the final sample. The Critical Appraisal Skills Program criteria for quality assessment of the studies was conducted. A meta-ethnographic approach proposed by Noblit and Hare (1988) was employed to analyze the studies. Using the “reciprocal translation” process, the authors searched for and consolidated the common themes. Results Three major themes were observed: (1) psychological determinants comprising illness beliefs, locus of control, and being forgetful; (2) sociocultural determinants of family and community, culture, and financial aspects; and (3) patients’ relationship with their physicians. Discussion The meta-ethnography underlines the importance of cultural nuances in the subjective experiences of the barriers and enablers of diabetes adherence. The findings support the need to include qualitative research methods to develop and evaluate interventions to improve T2DM adherence in patients. Clinical implications of this meta-ethnography include engaging in psychoeducation sessions for patients and caregivers, helping set reminders for patients, introducing communication skills training for healthcare providers, and including female caregivers/patients actively in diabetes care.

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Section: Locus Of Controlmentioning

confidence: 99%

Section: Family and Communitymentioning

confidence: 99%

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Patients’ Experiences of Barriers and Facilitators for Adherence to Type 2 Diabetes Mellitus: A Meta-Ethnography

Sridharan

Chittem

Maya

2019

Journal of Social Health and Diabetes

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“…Findings in accordance with research [48] demonstrating that adherence to health behavior is influenced not only by information but also by multiple socioeconomic, emotional, and cultural factors, i.e., motivation, support, and level of education. As found in earlier research on T2D populations, Thai family members were an important part of the social network providing various support, especially financial support, an aspect which is typical and relies on Thai social norms [27,49]. Moreover, the notion of the middle path, meaning being moderate in one's actions in order to attain optimal and realistic goals [50], may encourage the participants to be aware of harmful food and eat in moderation in order to keep their lives in balance and with satisfaction when living with the disease.…”

Section: Discussionmentioning

confidence: 73%

Untitled

2016

DMD

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Illness perception and self-management might be of importance in proactive care for patients with type 2 diabetes. Objective: The aim of the study was to examine the influences of socioeconomic status on the illness perception and self-management of Thai people with diabetes. Methods: A cross-sectional descriptive method was used to study 220 people with type 2 diabetes in a suburban area in Thailand. The participants were selected using a multistage sampling method. Data were collected through the structured interviews using the revised versions of the Diabetes Illness Perception scale and Diabetes Self-Management scale. Independent sample t test or Mann-Whitney U test was used for income and education subgroups comparisons as well as multiple logistic regression was analyzed the predictors of illness perception and self-management. Results: The results indicated that socioeconomic status, defined by income and educational level, showed the effects on some aspects of illness perception and self-management strategies in a type 2 diabetes population. Educational level demonstrated more effects on many subscales of illness perception and self-management than income and was also shown to be a predictor of self-management (OR 2.047, 95% CI 1.014-4.131, p-value 0.046). Conclusion: The study found that socioeconomic status had an impact on the illness perception and self-management of people with type 2 diabetes. Educational level demonstrated a significant influence on the perceptions and management of Thai people with diabetes, which was also true concerning income level, although to a lesser extent. Illuminating socioeconomic status in the context of religious beliefs may increase health care professionals' understanding of patients' experiences and management of their diabetes. This is especially important when designing appropriate interventions for patients of low education.

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Sex-related illness perception and self-management of a Thai type 2 diabetes population: a cross-sectional descriptive design

et al. 2018

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BackgroundIncreased knowledge concerning the differences in the illness perception and self-management among sexes is needed for planning proper support programs for patients with diabetes. The aim of this study was to investigate the illness perception and self-management among Thai women and Thai men with type 2 diabetes and to investigate the psychometric properties of the translated instruments used.MethodsIn a suburban province of Thailand, 220 women and men with type 2 diabetes participated in a cross-sectional descriptive study. The participants were selected using a multistage sampling method. Data were collected through structured interviews and were analyzed using group comparisons, and psychometric properties were tested.ResultsWomen and men with type 2 diabetes demonstrated very similar experiences regarding their illness perception and no differences in self-management. Women perceived more negative consequences of the disease and more fluctuation in the symptoms than men, whereas men felt more confident about the treatment effectiveness than women. Furthermore, the translated instruments used in this study showed acceptable validity and reliability.ConclusionsThe Thai sociocultural context may influence people’s perceptions and affect the self-care activities of Thai individuals, both women and men, with type 2 diabetes, causing differences from those found in the Western environment. Intervention programs that aim to improve the effectiveness of the self-management of Thai people with diabetes might consider a holistic and sex-related approach as well as incorporating Buddhist beliefs.

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Women of low socioeconomic status living with diabetes: Becoming adept at handling a disease

Cited by 3 publications

References 25 publications

Patients’ Experiences of Barriers and Facilitators for Adherence to Type 2 Diabetes Mellitus: A Meta-Ethnography

Patients’ Experiences of Barriers and Facilitators for Adherence to Type 2 Diabetes Mellitus: A Meta-Ethnography

Untitled

Sex-related illness perception and self-management of a Thai type 2 diabetes population: a cross-sectional descriptive design

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