This qualitative ethnographic study explored barriers and facilitators of diabetes self-management among Vietnamese Americans (VA). Semi-structured interviews were conducted with a convenience sample of 23 VA with type 2 diabetes ages 43 to 83. The interviews were audio-recorded and transcribed verbatim. NVivo 8 software was used for content analysis. Data revealed participants face many barriers including: low diabetes literacy, limited English proficiency, unhealthy eating habits, lack of time and motivation, fear of pain, cost of monitoring supplies, side effects of medicines, beliefs of fatalism, and lack of transportation. Facilitators included witnessed sufferings, peer advice, family assistance, and self-reliance.
Wax's conception of field work as a dialectic process was supported. A collaborative, community focus and willingness to spend much time acquiring cultural knowledge can facilitate successful research on Indian health.
HeartMath® is a program designed to build resilience and enhance coping skills in response to stress, challenges and adversity (Institute of HeartMath®, 2014) through self-regulation and the use of biofeedback technology. Many faculty from the Florida Atlantic University's Christine E. Lynn College of Nursing have become certified HeartMath® trainers and have committed to bring this program to their college community: Students, staff and faculty. This chapter describes HeartMath® and its implementation at the college. Exemplars are offered that explicate the value of the program and inspire the development of future initiatives within the University and broader community.
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