Fatalism, faith and fear: A case study of self‐care practice among adults with Type 2 diabetes in urban Malaysia

Saidi, Sanisah; Milnes, Linda; Griffiths, Jane

doi:10.1111/jocn.14559

Cited by 14 publications

(27 citation statements)

References 28 publications

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“…In the current study however, most participants who had T2DM felt developing diabetes was inevitable due to family history, positioning fatalism as preceding the disease. These findings mirror results from Saidi et al.’s (2018) Malaysian study. To our knowledge, there has been no research investigating fatalism in people not yet diagnosed with diabetes who have significant risk factors.…”

Section: Discussion Of Findingssupporting

confidence: 89%

“…Diabetes fatalism has been documented internationally, and mirroring “inertia” findings and participant demographics in the current study is associated with poor self‐management, lower educational attainment, lower income and increased comorbidities (Walker et al., 2012). Like the postcode area this research took place in, diabetes fatalism is common in populations where diabetes is endemic (Saidi, Milnes, & Griffiths, 2018).…”

Section: Discussion Of Findingsmentioning

confidence: 99%

“…Diabetes fatalism is defined as “a complex psychological cycle characterised by perceptions of despair, hopelessness, and powerlessness” (Walker et al., 2012, p. 598). Researchers have examined diabetes fatalism in terms of medication adherence (Walker et al., 2012), self‐care practices (Saidi et al., 2018), associations with diabetes distress and depression (Asuzu, Walker, Williams, & Egede, 2017) and the relationship to religiosity (Berardi et al., 2016). In these previous studies, fatalism was in reference to diabetes self‐management and outcomes.…”

Section: Discussion Of Findingsmentioning

confidence: 99%

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Living with diabetes and disadvantage: A qualitative, geographical case study

Power

Kelly

Usher

et al. 2020

Journal of Clinical Nursing

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Aims and objectives To elucidate the experiences of people living with diabetes, residing in an urban diabetogenic area. Background Community‐level social and environmental factors have a role to play in the development of type 2 diabetes mellitus. Socio‐economic deprivation; high obesity rates; high access to fast foods; and multiculturalism contribute to higher rates of diabetes in some geographical areas. However, there is a lack of research examining people's experiences of living with diabetes in diabetogenic areas. The word diabetogenic implies that the phenomenon of interest contributes to the development of diabetes. Design Qualitative, geographical case study approach. Methods A convenience sample of 17 people living with diabetes in a diabetogenic, low‐socio‐economic urban area participated in face‐to‐face, semi‐structured interviews. Interviews were audio‐recorded, transcribed and analysed thematically. This paper adheres to the COREQ guidelines. Findings Four main themes were identified: 1. Diabetes fatalism: Inevitability and inertia; 2. Living with Inequity: Literacy and intersectionality; 3. Impersonal services: Intimidating and overwhelming; and, 4. Education in the community: Access and anecdotes. Conclusions This study has highlighted the need to develop local solutions for local problems. In this geographical area, solutions need to address generally lower health literacy, how the community would prefer to receive diabetes education and the issue of diabetes fatalism. Relevance to clinical practice Findings from this study have highlighted a need to re‐examine how diabetes education is delivered in communities that are already experiencing multiple disadvantages. There are research and practice connotations for how fatalism is positioned for people at high risk of developing diabetes.

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Section: Discussion Of Findingssupporting

confidence: 89%

Section: Discussion Of Findingsmentioning

confidence: 99%

Section: Discussion Of Findingsmentioning

confidence: 99%

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Living with diabetes and disadvantage: A qualitative, geographical case study

Power

Kelly

Usher

et al. 2020

Journal of Clinical Nursing

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“…Even though religiosity has been recognized as a positive coping mechanism in patients with diabetes, 24) it remains a challenge for us as some patients considered this as an excuse not to engage in healthcare. 12,25) They were adamant that the outcome of diabetes is already fated and human beings have no power to change it. 12,25) Another crucial factor in determining patients' readiness for engagement is by having a deep understanding of the disease.…”

Section: Discussionmentioning

confidence: 99%

Understanding the Turning Point of Patients with Diabetes

et al. 2021

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Background: The patient's intention to engage in diabetes care is the hallmark of role acceptance as a health manager and implies one's readiness to change. The study aimed to understand the process of having the intention to engage in diabetes care. Methods: A qualitative study using narrative inquiry was conducted at a public primary care clinic. Ten participants with type 2 diabetes of more than a 1-year duration were selected through purposive sampling. In-depth interviews were conducted using a semi-structured protocol guide and were audio-taped. The interviews were transcribed and the texts were analyzed using a thematic approach with the Atlas.ti ver. 8.0 software (Scientific Software Development GmbH, Berlin, Germany). Results: Three themes emerged from the analysis. The first theme, "Initial reactions toward diabetes, " described the early impression of diabetes encompassing negative emotions, feeling of acceptance, a lack of concern, and low level of perceived efficacy. "Process of discovery" was the second overarching theme marking the journey of participants in finding the exact truth about diabetes and learning the consequences of ignoring their responsibility in diabetes care. The third theme, "Making the right decision, " highlighted that fear initiated a decision-making process and together with goal-setting paved the way for participants to reach a turning point, moving toward engagement in their care. Conclusion: Our findings indicated that fear could be a motivator for change, but a correct cognitive appraisal of diabetes and perceived efficacy of the treatment as well as one's ability are essentially the prerequisites for patients to reach the stage of having the intention to engage.

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“…Health service provision is largely hospital-centric, with the accident and emergency department being the first port of call for many frail older persons. Government health clinics in urban areas are grossly oversubscribed due the increasing burden of noncommunicable diseases [13]. The sick older person is unlikely to be able to sit in the consultation room for long hours while waiting to see a doctor.…”

Section: Introductionmentioning

confidence: 99%

Geriatric Medicine in Malaysia- Riding the Wave of Political Change

Tan¹,

Sb²,

Pjh³

2018

Preprint

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Malaysia became the centre of international attention when it democratically removed a semi-authoritarian government of 62 years during its 14th general election this year. This electoral success has provided geriatric medicine in Malaysia with the unexpected ageing icon in the oldest prime minister in the world. Political change has led to a wave of optimism for the expansion of geriatric services in Malaysia, which has met with numerous challenges in the last two decades. The number of geriatrics specialists and services had already begun expanding under the previous government. However, existing geriatricians will need to reassess the landscape of delivery and access of care in our rapidly growing ageing population and develop new strategies to truly expand their services. In addition to unrelenting efforts in the recruitment and training of future geriatricians, the steady expansion of the geriatric workforce should take into account the inclusion of geriatric medicine in the undergraduate training curricula of all healthcare professionals. Expansion of geriatric services will also be a cost-effective strategy to reduce the growing national healthcare budget incurred by the growing needs of an ageing population.

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Fatalism, faith and fear: A case study of self‐care practice among adults with Type 2 diabetes in urban Malaysia

Abstract: Any future development of self-care programmes in Malaysia needs to recognise the factors that motivate patients to self-care and include components that build self-efficacy.

Cited by 14 publications

References 28 publications

Living with diabetes and disadvantage: A qualitative, geographical case study

Living with diabetes and disadvantage: A qualitative, geographical case study

Understanding the Turning Point of Patients with Diabetes

Geriatric Medicine in Malaysia- Riding the Wave of Political Change

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