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Res Nurs Health. 2019 Jun;42(3):226-233. doi: 10.1002/nur.21941. Epub 2019 Mar 10.

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 information

1
College of Nursing, University of Florida, Gainesville, Florida.
2
Institute of Food and Agricultural Sciences, University of Florida, Gainesville, Florida.
3
College of Agriculture and Life Science, University of Florida, Gainesville, Florida.
4
Choctaw Nation of Oklahoma, Oklahoma.

Abstract

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.

KEYWORDS:

American Indian; family; intervention; management; multigenerational; prevention; type 2 diabetes

PMID:
30854672
PMCID:
PMC6465130
[Available on 2020-06-01]
DOI:
10.1002/nur.21941
[Indexed for MEDLINE]

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