Dietary Beliefs and Management of Older American Indians With Type 2 Diabetes |
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| Affiliation: | 1. Health & Human Development, Montana State University, Bozeman, MT;2. Department of Social Work, College of Health and Human Sciences, Western Carolina University, Cullowhee, NC;3. College of Nursing, University of Colorado, Aurora, CO;4. Cherokee Indian Hospital Authority, Cherokee, NC;5. Public Health and Human Services, Eastern Band of Cherokee Indians, Cherokee, NC;1. Department of Health Management and Policy, University of Michigan School of Public Health, Ann Arbor, MI;2. Department of Sociology, University of Michigan, Ann Arbor, MI;3. Department of Nutritional Sciences, University of Michigan School of Public Health, Ann Arbor, MI;1. Cizik School of Nursing, University of Texas Health Science Center, Houston, TX;2. US Department of Agriculture/Agricultural Research Service Children''s Nutrition Research Center, Baylor College of Medicine, Houston, TX;3. Department of Human Development, Washington State University, Pullman, WA;4. School of Public Health, University of Texas Health Science Center, Houston, TX;1. Connecticut Food Bank, Wallingford, CT;2. Neag School of Education, University of Connecticut, Storrs, CT;3. Cambridge Health Alliance, Cambridge, MA;4. Department of Health Education and Behavior, University of Florida, Gaineseville, FL;1. Department of Nutrition and Health Care Management, Appalachian State University, Boone, NC;2. Department of Human Nutrition, Foods, and Exercise, Virginia Tech, Blacksburg, VA;1. Centro de Investigación Básica en Psicología, Facultad de Psicología, Universidad de la República, Montevideo, Uruguay;2. Sensometrics and Consumer Science, Instituto Polo Tecnológico de Pando, Facultad de Química, Universidad de la República, Pando, Canelones, Uruguay;1. Department of Food Science, Pennsylvania State University, University Park, PA;2. Department of Nutritional Sciences, Pennsylvania State University, University Park, PA;3. Department of Family and Community Medicine, Department of Epidemiology and Public Health, Center for Integrative Medicine, University of Maryland, Baltimore, MD |
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| Abstract: | ObjectivesThis qualitative study examined dietary-related beliefs and self-management among older American Indians with type 2 diabetes mellitus (T2DM).DesignSemistructured in-person interviews were conducted and digitally recorded.SettingSoutheastern American Indian tribal community.ParticipantsA total of 28 noninstitutionalized older tribal members aged >60 years.Phenomenon of InterestStudy participants’ beliefs and experiences with dietary practices and management related to T2DM.AnalysisTranscribed qualitative interviews were coded using an inductive content analysis approach.ResultsFour themes regarding T2DM dietary beliefs and T2DM dietary management emerged from the analyses: diet changes, portion control, health care professional and family influence, and barriers to healthy eating. Study participants described how their beliefs, practices, and experiences in these 4 areas related to T2DM.Conclusions and ImplicationsAmerican Indian older adults face a variety of challenges to dietary management of T2DM. Future research efforts can focus on assessing how social support can be leveraged to facilitate healthy diets for American Indians with T2DM. Clinicians and diabetes educators and Native communities have an instrumental role in identifying culturally appropriate messages and programs to help persons effectively manage T2DM. |
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