"I Try to Keep That Sugar Down." Experiences of Homebound Older Adults With Type 2 Diabetes: Barriers to Self-Management.

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  • Author(s): Bustillos BD;Bustillos BD;Bustillos BD; Sharkey JR; Sharkey JR
  • Source:
    Journal of nutrition in gerontology and geriatrics [J Nutr Gerontol Geriatr] 2020 Jan-Mar; Vol. 39 (1), pp. 69-87. Date of Electronic Publication: 2019 Nov 23.
  • Publication Type:
    Journal Article
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: Routledge Country of Publication: United States NLM ID: 101558292 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2155-1200 (Electronic) Linking ISSN: 21551200 NLM ISO Abbreviation: J Nutr Gerontol Geriatr Subsets: MEDLINE
    • Publication Information:
      Original Publication: Philadelphia, PA : Routledge
    • Subject Terms:
      Diabetes Mellitus, Type 2/*psychology ; Homebound Persons/*psychology ; Self-Management/*psychology; Aged ; Female ; Food Services ; Health Status ; Humans ; Male ; Qualitative Research ; Texas
    • Abstract:
      Objectives: To study the experiences and challenges of type 2 diabetes (T2D) self-management among homebound older adults who regularly receive home-delivered meals and services. Methods: Participants ( n  = 31) were recruited by telephone screening and were selected by purposive sampling. Semi-structured interviews were subsequently conducted within participants' homes. The interpretive methodology utilized in this study was developed to systematically assess T2D self-management. Results: Thematic analysis shows that participants felt mostly responsible for their health status, but attributed any noncompliance to lack of social and economic assistance. Most of the seniors in this study felt competent, but often did not have the opportunity to engage in protective measures due to a number of economic, physical, and social barriers. Conclusions: These results contribute to a better understanding of how to approach, support, and motivate homebound older adults with T2D while addressing challenges. Findings offer insight into the development of diabetes self-management education (DSME) and interventions for this population.
    • Contributed Indexing:
      Keywords: Homebound; home-delivered meals; older adults; self-management; type 2 diabetes
    • Publication Date:
      Date Created: 20191126 Date Completed: 20200915 Latest Revision: 20200915
    • Publication Date:
      20231215
    • Accession Number:
      10.1080/21551197.2019.1695037
    • Accession Number:
      31760876