Family and Community Influences on Diabetes-Related Dietary Change in a Low-Income Urban Neighborhood

Pollard, Suzanne L.; Zachary, Drew A.; Wingert, Katherine; Booker, Sara S.; Surkan, Pamela J.

doi:10.1177/0145721714527520

Cited by 18 publications

(24 citation statements)

References 32 publications

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“…Women commonly described feeling alone in their efforts to change their lifestyles. They felt that family expectations such as taking care of the children and managing the household had a negative influence on their ability to be physically active, which is consistent with what has been reported in other studies 6–8 25–27 29 31 32…”

Section: Discussionsupporting

confidence: 88%

“…Although the awareness of the impact of healthy lifestyles on health, participants experienced difficulties to modify their lifestyles. The participants perceived that over time it was difficult to establish new dietary habits and become more physically active, which is consistent with studies showing that individuals living in socioeconomically vulnerable areas, challenges in achieving modifications are often hindered by contextual and family influences in achieving LSM 26 27…”

Section: Discussionsupporting

confidence: 83%

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Perceptions, experiences and barriers to lifestyle modifications in first-generation Middle Eastern immigrants to Sweden: a qualitative study

et al. 2019

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ObjectiveThe prevalence of type 2 diabetes (T2D) among Iraqi immigrants to Sweden is high and partly related to sedentary physical activity and calorie dense food. The aim of the present study was to explore perceptions, experiences and barriers concerning lifestyle modifications (LSM) in Iraqi immigrants to Sweden at risk for T2D.DesignA qualitative thematic analysis was conducted on data collected from gender-specific focus group interviews which took place during a culturally adapted randomised controlled intervention study addressing motivation to lifestyle change, self-empowerment, behavioural modifications and sociocultural barriers to LSM. Seven focus groups were held, with an interval of 1–4 weeks between January and May of 2015; each session lasted approximately 1.5 hours.SettingThe city of Malmö, Sweden.ParticipantsOut of 27 women and 23 men assigned to the intervention group, 19 women and 14 men who attended at least one focus group session were included in the study.ResultsParticipants expressed awareness of the content of healthy lifestyle practices. They also expressed numerous social and cultural barriers to LSM connected to irregular meals, overeating, food and drinking preferences and family expectations. Overeating was described as a consequence of social and cultural norms and expectations and of poor mental well-being. Facilitators for reaching successful LSM were connected to family involvement and support.ConclusionOur study reports that facilitators for LSM are connected to presence of family support. Preventive actions addressing family involvement may benefit Middle Eastern immigrants at high risk for T2D to consider healthier lifestyles practices. Identification of sociocultural barriers and facilitators for LSM are crucial for successful health promotion in minority populations at risk for T2D.Trial registrationTrial registration number: NCT01420198 for the MEDIM-study; Pre-results.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionsupporting

confidence: 83%

Perceptions, experiences and barriers to lifestyle modifications in first-generation Middle Eastern immigrants to Sweden: a qualitative study

et al. 2019

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“…We found several studies conducted with diverse patient populations that were culturally tailored to the target audience. The inclusion of family in diabetes self-care interventions is important for many patients from racial/ethnic minority populations and is an important aspect of culturally tailoring educational programs [46][47][48]67,124,[127][128][129][130] . The literature notes many benefits of involving families of patients from racial/ethnic minority groups in diabetes interventions, including the chance to provide family members with knowledge about the disease, dispelling myths and misconceptions about the disease, and teaching them ways to support patients in self-care 8,33,37,[46][47][48]131 .…”

Section: Discussionmentioning

confidence: 99%

Family interventions to improve diabetes outcomes for adults

Baig

Benitez

Quinn

et al. 2015

Annals of the New York Academy of Sciences

245

257

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Diabetes self-care is a critical aspect of disease management for adults with diabetes. Since family members can play a vital role in a patient’s disease management, involving them in self-care interventions may positively influence patients’ diabetes outcomes. We systematically reviewed family-based interventions for adults with diabetes published from 1994 to 2014 and assessed their impact on patients’ diabetes outcomes and the extent of family involvement. We found 26 studies describing family-based diabetes interventions for adults. Interventions were conducted across a range of patient populations and settings. The degree of family involvement varied across studies. We found evidence for improvement in patients’ self-efficacy, perceived social support, diabetes knowledge, and diabetes self-care across the studies. Owing to the heterogeneity of the study designs, types of interventions, reporting of outcomes, and family involvement, it is difficult to determine how family participation in diabetes interventions may affect patients’ clinical outcomes. Future studies should clearly describe the role of family in the intervention, assess quality and extent of family participation, and compare patient outcomes with and without family involvement.

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“…Social support buffers psychological stress that contributes to depression and maintaining a healthy diet (Early et al, 2009; King et al, 2010; Pollard, Zachary, Wingert, Booker, & Surkan, 2014; Wen, Shepherd, & Parchman, 2004). A qualitative study involving interviews with Latino patients showed that quality of diet was largely affected by quality of relationships with their families and important friends, because what patients can eat is often affected by those with whom they eat (Pollard et al, 2014). In addition, patients with diabetes had to negotiate with family members to continue their healthy diet, because other family members don’t always cooperate with their food choices (Early et al, 2009).…”

Section: Discussionmentioning

confidence: 99%

Self-care behavior change and depression among low-income predominantly Hispanic patients in safety-net clinics

Ell

Palinkas

2017

Social Work in Health Care

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This study examined whether changes in self-care behaviors during a 12-month period predicted the likelihood of screening positive for depression concurrently and prospectively among low-income Hispanic patients with diabetes. Secondary analyses were conducted with longitudinal data collected from a randomized controlled trial that had tested effectiveness of collaborative depression care. We examined whether changes in self-care behaviors observed during the 12 months after baseline predicted the likelihood of screening positive for depression at 12-, 18-, and 24-month follow-up. Self-care behaviors included healthy diet, exercise, self-blood glucose monitoring, and foot care, which were measured by a validated self-reported instrument. Logistic regression analyses indicated that patients with more frequent healthy diet during the 12 months after baseline had significantly lower likelihood of depression. Patients with more frequent exercise had a lower likelihood of screening for depression at 18- and 24-month follow-up. No significant association was found with self-blood glucose monitoring, and foot care. These findings suggest the importance of integrated care that emphasizes healthy diet and exercise, together with traditional depression treatment, when helping low-income Hispanic patients with diabetes and comorbid depression.

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Family and Community Influences on Diabetes-Related Dietary Change in a Low-Income Urban Neighborhood

Abstract: This study demonstrates the ways in which family and community members can influence dietary change in people with diabetes. Interventions targeting diabetes management should incorporate families and communities as sources of information, learning, and support.

Cited by 18 publications

References 32 publications

Perceptions, experiences and barriers to lifestyle modifications in first-generation Middle Eastern immigrants to Sweden: a qualitative study

Perceptions, experiences and barriers to lifestyle modifications in first-generation Middle Eastern immigrants to Sweden: a qualitative study

Family interventions to improve diabetes outcomes for adults

Self-care behavior change and depression among low-income predominantly Hispanic patients in safety-net clinics

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