Qualitative Trends in Biopsychosocial-Spiritual Treatment for Underserved Patients with Type 2 Diabetes

Aamar, Rola; Lamson, Angela L.; Smith, Doug

doi:10.1007/s10591-015-9326-x

Cited by 12 publications

(8 citation statements)

References 40 publications

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“…; Mayo Clinic Staff, 2019). Whereas some research explores comorbid mental health symptoms and/or diagnoses, the literature is still largely lacking (Aamar et al, 2015; Blocker, 2017). As T2DM (CDC, 2017) and mental health issues rates rise (American Psychological Association, 2013; National Institute of Mental Health, 2017), it is important to understand the relationship between mental health and T2DM.…”

Section: Discussionmentioning

confidence: 99%

“…Each dimention is essential when considering the health of both patients and caregivers. As mentioned above, T2DM—a biomedical health diagnosis—can co-occur with mental health diagnosis (i.e., anxiety, depression; Fisher et al, 2008) and may have social or relational components (Aamar, Lamson, & Smith, 2015; Bhattacharya, 2012). In combining family systems theory with the biopsychosocial model, professionals can conceptualize family members’ health experiences in multidimensional ways.…”

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confidence: 99%

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Type 2 diabetes as a familial illness: Findings from a focus group study.

Didericksen

Das

2019

Families, Systems, & Health

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Introduction: Type 2 diabetes mellitus (T2DM) is a prevalent illness with high societal and personal costs. Whereas there is some systemic research, there are still many pieces yet unknown about T2DM and families. The purpose of the current study is to understand the transgenerational health experiences related to T2DM for both patients and caregivers. Method: Focus groups were the primary methodology. Interviews were recorded, transcribed, and coded for themes. Participants were recruited via community fliers and e-mail listservs. The primary inclusion criterion was having a (a) family history of T2DM or (b) personal history of T2DM. Participants also needed to be at least 18 years old and be able to read and speak English. Results: In 4 focus groups, 32 people were interviewed. The sample was entirely rural yet reasonably diverse. Five dominant themes emerged from the data: physical health comorbidities, T2DM is a lifestyle illness affecting the whole family, mental health stresses and comorbidities, personal and family relationship with T2DM, and sharing knowledge. Discussion: Participants indicated that their families had been influenced by T2DM and that the illness had both physical and mental health comorbidities-both of which caused considerable stressors. Participants also reported that they valued the sharing of knowledge related to T2DM with each other and people in their lives. Limitations to the study include lack of generalizability because of small sample size and the majority of recruitment being done via technology. Future research should include larger, more diverse samples and quantitative data collection. Implications are also discussed.

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

Type 2 diabetes as a familial illness: Findings from a focus group study.

Didericksen

Das

2019

Families, Systems, & Health

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“…(Namageyo-Funa et al2015;Newlin Lew et al 2016;Polzer and Miles 2005). In the US, the spirituality and cultural identity of African Americans (Aamar et al 2015;Belgrave and Allison, 2006), their sense of community within church (Lew et al 2015) and the distrust of the medical system (Bhattacharya 2012;Lew et al 2015;Newlin et al 2012) are likely all contributors to the significance of the American church supporting African Americans with diabetic self-management. In addition, in the US, African Americans with no medical insurance may not have access to diabetes education, which contrasts with free healthcare and diabetes education that British people with T2D enjoy.…”

Section: Spirituality and T2dmentioning

confidence: 99%

Type 2 diabetes self-management: spirituality, coping and responsibility

Duke

2021

Journal of Research in Nursing

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Background In England, although The National Institute of Health and Care Excellence recommends that patients’ religious beliefs should be incorporated into individual healthcare plans, these components are often neglected in diabetes management care plans. A literature review identified a paucity of research regarding how the spirituality of British people may influence their approach to their self-management of type 2 diabetes (T2D). Aims To explore how the spirituality of a small group of adults with T2D, living in England, influenced their coping strategies and self-management of diet and exercise. Methods Biographic Narrative Interpretive Method of two interviews per participant and thematic analysis for data interrogation ( n = 8). Data as glycated haemoglobin, living situation, age, length of time since T2D diagnosis, body mass index and diabetic medicines contextualised the interview data. Results Participants’ spirituality, health beliefs, coping and sense of responsibility for T2D self-management overlapped in complex layers. Three themes were generated: (a) spirituality influences expectations in life; (b) beliefs influence coping styles of diabetes self-management; and (c) responsibility influences diabetes self-management. A model was created to assist nurses in addressing these components. Conclusion Nurses should consider how patients’ self-management of T2D may be influenced by their spirituality, health beliefs, coping and sense of responsibility.

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“…If a patient only had limited psychosocial goals, they might spend most of the IBHC visit on issues primarily addressed by the dietician and diabetes educator with fewer issues addressed with the MedFT. However, treatment still focused on the comprehensive well-being of the patient, given the IBHC philosophy whereby improvements in any domain of health—physical, emotional, social, or spiritual—will promote well-being in all other domains (Aamar et al, 2015 ). The healthcare environment was kept flexible, so each patient and their family could receive treatment that was tailored to their unique needs.…”

Section: Medical Family Therapy and Integrated Behavioral Health Carementioning

confidence: 99%

Medical Family Therapy in Rural Community Health: A Longitudinal “Peek” into Integrated Care Successes

et al. 2022

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Integrated behavioral health care (IBHC) continues to grow as an evidence-based service delivery model adopted by healthcare systems all over the world to better care for the holistic needs of patients and their families. Medical family therapy (MedFT), as a field, has offered innovation to IBHC models by delivering biopsychosocial-spiritual (BPS-S), relational, and family-oriented care across a variety of healthcare contexts. This article details a longitudinal review of a program, spanning 16 years, that grew from no behavioral health services to one that is highly integrated, and embeds MedFTs in a number of rural community health centers. This model highlights the importance of interdisciplinary teams, including Peek’s clinical, operational, financial, and training worlds, as well as decision-making metrics for systems that predominately care for underserved and minoritized populations. The authors illustrate a framework for how the levels of primary care/behavioral healthcare collaboration relate to the work and practice of MedFTs as conceptualized through the MedFT Health Care Continuum and meet the BPS-S needs of diverse populations seeking pediatric, adult, and dental healthcare services. Also described are shifts made in the model over time based on (a) growth in cultural humility, (b) relationally-oriented practice, operations, finance, and training data, and (c) research informed decisions. Recommendations include ways MedFTs can facilitate provider and administrative buy-in, assess model fidelity, and strive for quality outcomes for patients.

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Qualitative Trends in Biopsychosocial-Spiritual Treatment for Underserved Patients with Type 2 Diabetes

Cited by 12 publications

References 40 publications

Type 2 diabetes as a familial illness: Findings from a focus group study.

Type 2 diabetes as a familial illness: Findings from a focus group study.

Type 2 diabetes self-management: spirituality, coping and responsibility

Medical Family Therapy in Rural Community Health: A Longitudinal “Peek” into Integrated Care Successes

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