W. Anderson-loftin et L. Moneyham, Long-term disease management needs of southern African Americans with diabetes, DIABET EDUC, 26(5), 2000, pp. 821-832
PURPOSE
this qualitative study explored the issues, concerns, and needs of low-inco
me, southern African Americans in managing type 2 diabetes over time.
METHODS
Two focus groups (N=22) were conducted with the target population to collec
t data. Group sessions were audiotaped and transcribed verbatim. Content an
alysis was used to analyze the data.
RESULTS
The data revealed an overall theme of learning to live with diabetes, which
consisted of 3 processes (1) symptom management, (2) making healthy choice
s, and (3) emotional adjustment. This article focuses on the processes of s
ymptom management and making healthy choices. Findings suggest that the seq
uential processes of symptom management and making healthy choices occurred
over time primarily through experiential learning in this population and w
ere influenced by social support, caring and collaborative provider-client
relationships, and access to resources and culturally sensitive supportive
services.
CONCLUSIONS
Experiential educational methods that incorporate social support and access
to resources may be more appropriate than the traditional didactic method
of teaching diabetes self-care.