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Developing a culturally tailored multigenerational intervention to prevent and manage type 2 diabetes in American Indian families living in rural settings: Findings from a focus group study
Author(s) -
Scarton Lisa,
Velazquez Ilse,
O'Neal LaToya J.,
Iyerm Samvit,
Cannady Tamela,
Choate Annette,
Mitchell Cayla,
Wilkie Diana J.
Publication year - 2019
Publication title -
research in nursing and health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.836
H-Index - 85
eISSN - 1098-240X
pISSN - 0160-6891
DOI - 10.1002/nur.21941
Subject(s) - focus group , type 2 diabetes , psychological intervention , gerontology , medicine , intervention (counseling) , population , exploratory research , culturally appropriate , diabetes management , family medicine , nursing , diabetes mellitus , environmental health , sociology , anthropology , endocrinology
The study purpose was to understand the characteristics of interventions that would be most relevant and beneficial to address the diabetes‐related needs and challenges of rural American Indians/Alaska Natives (AIAN) with type 2 diabetes (T2D) and their families. In an exploratory study design, we held a total of seven focus groups in Florida and rural Oklahoma. Groups included 3–13 individuals (62 total, 77% were female, mean age 55.3 [11.4] years and mean duration of diabetes 10.4 [ SD 9.1] years) who were referred by staff from HealthStreet, Consent2Share mechanism, and by tribal educators. All groups were moderated by the same American Indian research team member using a discussion guide with open‐ended questions, followed by probes. Findings revealed themes centered on optimal intervention components, barriers to type 2 diabetes—prevention and management (T2D‐PM), personal experiences with T2D, and impact of family behaviors on T2D‐PM. Findings indicate that the participants desire diabetes programs that include family members and a hands‐on, culturally meaningful approach. Creating an intervention based on the AIAN community's insights that include the entire family may improve T2D‐PM outcomes for this population.