Diabetes self-management among Arab Americans: patient and provider perspectives

BMC International Health and Human Rights

Research Article

Sandra Tarakji¹  Judith Arnetz²  Rosanne DiZazzo-Miller³  Fredrick D. Pociask³  Linda A. Jaber⁴  Elizabeth A. Bertran⁴  Heather Fritz⁵  Catherine L. Lysack⁵ 

[1] Department of Family Medicine and Public Health Sciences, Wayne State University, MI, Detroit, 48202, USA;Department of Family Medicine, Michigan State University, 788 Service Rd., B103 Clinical Center, 48824, East Lansing, MI, USA;Department of Health Care Sciences, Wayne State University, 259 Mack Ave, 48201, Detroit, MI, USA;Department of Pharamacy Practice, Wayne State University, 259 Mack Ave, MI, Detroit, 48201, USA;Institute of Gerontology, Wayne State University, 87 East Ferry Street, 226 Knapp Building, 48202, Detroit, MI, USA;

关键词: Diabetes mellitus;    Vulnerable populations;    Focus groups;    Primary health care;    Minority groups;   

DOI  :  10.1186/s12914-016-0097-8

 received in 2016-06-01, accepted in 2016-08-20,  发布年份 2016

来源: Springer

【 摘 要 】

BackgroundArab Americans have a high burden of diabetes and poor outcomes compared to the general U.S. population. Diabetes self-management (DSM) requires a partnership between patients and providers that fosters mutual understanding and shared decision-making. Cultural factors influence this process; however, little is known regarding the cultural impact on DSM or if perceptions differ between patients and providers.MethodsQualitative content analysis was used to analyze five focus groups–two groups with Arab American providers (n = 8) and three groups with adult Arab Americans with diabetes (n = 23). Focus groups examined patient and provider perspectives on the meaning of DSM and cultural barriers and facilitators among Arab American patients.ResultsFour distinct themes included limited resources for DSM education and support, stigma as a barrier to ongoing support, family support as an opportunity and challenge, and Arab American patient-provider relationships.ConclusionsFindings indicate several domains should be considered for clinical practice including a need to develop linguistically and culturally reliant educational materials and relevant supports for use in the Arab American population. Findings highlight differing views among providers and patients on the familial role in supporting DSM efforts and why some patients feel dissatisfied with clinical encounters.

【 授权许可】

CC BY   
© The Author(s). 2016