Purpose

The purpose of the study was to explore patient perspectives on socioeconomic barriers related to diabetes self-management and interventions to address these barriers.

Methods

Focus groups (n = 8) were conducted with a diverse sample of adults with type 2 diabetes (T2D; n = 53). Researchers used a semistructured moderator guide; focus groups were audio recorded and transcribed verbatim. Researchers employed the constant comparison method for qualitative content analysis and utilized Atlas.ti (Version 8.1.1) to digitalize the analytic process.

Results

Findings revealed 3 primary themes: (1) Existing food and nutrition resources are insufficient to support healthy eating for diabetes; (2) healthy eating is critical for diabetes management, but socioeconomic circumstances make doing so challenging; and (3) participants supported several broad categories of preferred intervention strategies. First, they endorsed lifestyle intervention informed by socioeconomic status (SES; eg, focusing on food resource management, sensitive health coaching and nutritional counseling). Next, they expressed enthusiasm for group-based learning opportunities, such as cooking classes and support groups with similar SES peers. Finally, they suggested healthy food access resources.

Conclusions

Participant suggestions should be incorporated into intervention development. Ultimately, these interventional strategies should be tested and refined to help improve health for individuals with type 2 diabetes.

中文翻译：

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解决 2 型糖尿病管理的社会经济障碍的干预机会：患者观点

目的

该研究的目的是探讨患者对与糖尿病自我管理和干预相关的社会经济障碍的看法，以解决这些障碍。

方法

焦点小组（n = 8）与不同样本的 2 型糖尿病（T2D；n = 53）成人进行。研究人员使用了半结构化的主持人指南；焦点小组被录音并逐字转录。研究人员采用恒定比较方法进行定性内容分析，并利用 Atlas.ti（版本 8.1.1）将分析过程数字化。

结果

调查结果揭示了 3 个主要主题： (1) 现有的食物和营养资源不足以支持糖尿病患者的健康饮食；(2) 健康饮食对糖尿病管理至关重要，但社会经济环境使这样做具有挑战性；(3) 参与者支持几大类首选干预策略。首先，他们赞同以社会经济地位为依据的生活方式干预（SES；例如，专注于食物资源管理、敏感的健康指导和营养咨询）。接下来，他们表达了对基于小组的学习机会的热情，例如烹饪班和与类似 SES 同行的支持小组。最后，他们提出了健康食品获取资源的建议。

结论

参与者的建议应纳入干预发展。最终，应对这些干预策略进行测试和改进，以帮助改善 2 型糖尿病患者的健康状况。