Sarah A Stotz1, Katharine A Ricks2, Stephanie A Eisenstat3, Deborah J Wexler4, Seth A Berkowitz2,5. 1. Colorado School of Public Health, Centers for American Indian and Alaska Native Health, University of Colorado Anschutz Medical Campus, Aurora, Colorado. 2. Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina. 3. Division of General Internal Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts. 4. Diabetes Center, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts. 5. Division of General Medicine & Clinical Epidemiology, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Abstract
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.
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.
Authors: Hilary K Seligman; Morgan Smith; Sophie Rosenmoss; Michelle Berger Marshall; Elaine Waxman Journal: Am J Public Health Date: 2018-07-19 Impact factor: 9.308
Authors: Seth A Berkowitz; Jean Terranova; Liisa Randall; Kevin Cranston; David B Waters; John Hsu Journal: JAMA Intern Med Date: 2019-06-01 Impact factor: 21.873
Authors: Hilary K Seligman; Courtney Lyles; Michelle B Marshall; Kimberly Prendergast; Morgan C Smith; Amy Headings; Georgiana Bradshaw; Sophie Rosenmoss; Elaine Waxman Journal: Health Aff (Millwood) Date: 2015-11 Impact factor: 6.301
Authors: Ronit A Ridberg; Janice F Bell; Kathryn E Merritt; Diane M Harris; Heather M Young; Daniel J Tancredi Journal: Prev Chronic Dis Date: 2019-06-13 Impact factor: 2.830
Authors: Alicia A Gonzalez-Zacarias; Ana Mavarez-Martinez; Carlos E Arias-Morales; Nicoleta Stoicea; Barbara Rogers Journal: Front Public Health Date: 2016-09-12