Purpose

The overall purpose of the study was to explore perceptions of family support in diabetes self-management among African American adults with type 2 diabetes.

Methods

A qualitative study using focus group methodology and individual interviews was conducted. Thirty-seven African American adults with type 2 diabetes were recruited in the Midwest, United States. Data were analyzed using qualitative content analysis.

Results

Themes emerged from the perspectives of the social interdependence theory. Positive family support included emotional support, instrumental support, and specific information or advice on diabetes management strategies. Positivity, family communication, and healthy eating/meal planning were perceived as helpful family behaviors. Negative support was perceived as intentional or unintentional behaviors. Family members’ help in decision-making included goal setting with family member(s) and help in making decisions on diet and exercise. Recommendations included exercise and nutritional programs, support groups, family involvement, and materials and resources. Motivations for attending diabetes programs included involving family members, sharing success stories, seeing positive results, encouraging and caring, and providing incentives.

Conclusions

Intervention programs for African Americans should specifically target challenges in family support, healthy eating, and physical activity at an interpersonal level. Health care providers should assess family roles and family support to facilitate diabetes self-management for African Americans.

中文翻译：

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非裔美国成年人对家庭支持的 2 型糖尿病的看法：类型、质量和建议

目的

该研究的总体目的是探讨非裔美国成人 2 型糖尿病患者对糖尿病自我管理中家庭支持的看法。

方法

使用焦点小组方法和个人访谈进行了定性研究。在美国中西部招募了 37 名患有 2 型糖尿病的非洲裔美国成年人。使用定性内容分析对数据进行分析。

结果

主题是从社会相互依存理论的角度出现的。积极的家庭支持包括情感支持、工具支持以及有关糖尿病管理策略的具体信息或建议。积极性、家庭沟通和健康饮食/膳食计划被认为是有益的家庭行为。负面支持被视为有意或无意的行为。家庭成员在决策方面的帮助包括与家庭成员一起设定目标以及帮助做出饮食和运动的决定。建议包括锻炼和营养计划、支持小组、家庭参与以及材料和资源。参加糖尿病计划的动机包括让家庭成员参与、分享成功故事、看到积极的结果、鼓励和关怀以及提供奖励。

结论

针对非裔美国人的干预计划应专门针对人际层面的家庭支持、健康饮食和体育活动方面的挑战。卫生保健提供者应评估家庭角色和家庭支持，以促进非裔美国人的糖尿病自我管理。