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措施的机会：患者的观点

目的

这项研究的目的是探讨患者对与糖尿病自我管理有关的社会经济障碍以及应对这些障碍的干预措施的观点。

方法

焦点小组（n = 8）是针对不同的2型糖尿病成年人（T2D； n = 53）进行的。研究人员使用了半结构化版主指南；重点小组进行了录音和逐字记录。研究人员采用常数比较法进行定性含量分析，并利用Atlas.ti（8.1.1版）对分析过程进行数字化处理。

结果

调查结果揭示了三个主要主题：（1）现有的食物和营养资源不足以支持糖尿病的健康饮食；（2）健康饮食对糖尿病的治疗至关重要，但是社会经济环境使这一挑战变得艰巨；（3）参与者支持几种广泛的首选干预策略。首先，他们赞同根据社会经济状况（SES；例如，侧重于粮食资源管理，敏感的健康指导和营养咨询）进行生活方式干预。接下来，他们表示热衷于基于小组的学习机会，例如烹饪班和与SES同行相似的支持小组。最后，他们提出了健康的食物获取资源。

结论

参与者的建议应纳入干预措施的制定中。最终，应对这些干预策略进行测试和完善，以帮助改善2型糖尿病患者的健康状况。