Psychosocial resources and barriers to self-management in African American adolescents with type 2 diabetes: a qualitative analysis.

Publisher: Sage Publications, Country of Publication: United States NLM ID: 7701401 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1554-6063 (Electronic) Linking ISSN: 01457217 NLM ISO Abbreviation: Diabetes Educ

Publication: Thousand Oaks, Calif. : Sage Publications, : American Assn. of Diabetes Educators
Original Publication: Chicago, American Assn. of Diabetes Educators.

Psychology, Adolescent*; Diabetes Mellitus, Type 2/*psychology ; Diabetes Mellitus, Type 2/*rehabilitation ; Self Care/*psychology; Adaptation, Psychological ; Adolescent ; Asthma/complications ; Asthma/psychology ; Asthma/rehabilitation ; Attitude to Health ; Black People ; Diabetes Mellitus, Type 2/complications ; Diabetes Mellitus, Type 2/epidemiology ; Female ; Humans ; Learning Disabilities/complications ; Learning Disabilities/psychology ; Male ; Obesity/complications ; Obesity/psychology ; Obesity/rehabilitation ; Self Concept ; Social Support ; United States/epidemiology ; Young Adult ; Black or African American

Purpose: The purpose of this qualitative study was to identify psychosocial resources and barriers to self-management among African American adolescents with type 2 diabetes and their mothers.
Methods: African American adolescents (n = 10) aged 14 to 19 years old with type 2 diabetes for >1 year and their mothers (n = 10) were recruited from the pediatric diabetes clinic of a large medical center practice. Participants were independently interviewed and responded to a series of open-ended questions concerning illness experiences and resources and barriers to diabetes self-management. This study used a modified grounded theory approach to data coding and analysis.
Results: Adolescents and mothers shared similar perceptions of resources and barriers to self-management. Resources included mother's role as the primary support person, emergence of greater self-efficacy and coping over time, family recognition of the seriousness of diabetes, and the presence of supportive peers. Barriers included comorbidity, dietary and other regimen challenges, negative peer influences, and financial problems.
Conclusions: Resources and barriers identified in this study represent the multiple contexts that influence type 2 diabetes (eg, individual, family, peer, economic, and cultural).

P30 MH068579 United States MH NIMH NIH HHS

Date Created: 20100519 Date Completed: 20110202 Latest Revision: 20240712

20240712

10.1177/0145721710369706

20479133