Adherence to diabetes self-care behaviors in English- and Spanish-speaking Hispanic men.

Patient Preference and Adherence
Luis O RustveldRobert J Volk

Abstract

We conducted a qualitative study to elicit attitudes, attributions, and self-efficacy related to diabetes self-care in both English- and Spanish-speaking Hispanic men. Transcripts from six focus groups (three in English and three in Spanish) were reviewed by the authors to extract principal and secondary themes. Participants could describe their medication and lifestyle regimens and were aware of whether they were adherent or nonadherent to physician recommendations. Lack of skills on how to incorporate diet and regular physical activity into daily living, lack of will power, and reluctance to change culturally rooted behaviors emerged as significant barriers to diabetes self-management. Medication adherence is for some men the principal diabetes self-care behavior. Nonadherence appeared to fit two profiles: 1) intentional, and 2) nonintentional. In both instances low self-efficacy emerged as a significant influence on attainment and maintenance of diabetes self-care goals. Participants also expressed a strong sense of fatalism regarding the course of their disease, and seemed to have little motivation to attempt long-term dietary control. Educational and counseling messages should stress that a diagnosis of diabetes is not a d...Continue Reading

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Citations

Mar 10, 2011·Current Medical Research and Opinion·Amparo B GonzalezGuillermo E Umpierrez
Jun 12, 2014·The International Journal of Health Planning and Management·Eva Frigola-CapellMichel Wensing
Jun 15, 2015·Journal of Biomedical Informatics·Lena MamykinaSuzanne R Bakken
Mar 31, 2015·Patient Education and Counseling·Carol L MansyurMaria L Jibaja-Weiss
May 23, 2014·Diabetes Research and Clinical Practice·Maricruz Rivera-Hernandez
Nov 17, 2015·The Diabetes Educator·Jeannie Belinda ConchaDanielle Avula
Apr 2, 2016·The Diabetes Educator·Carol L MansyurMaria L Jibaja-Weiss
Feb 2, 2012·Journal of Transcultural Nursing : Official Journal of the Transcultural Nursing Society·Karen J AroianLynn Waser
Sep 7, 2017·Research in Nursing & Health·Cheryl A Smith-MillerCass T Miller
May 16, 2012·American Journal of Cardiovascular Drugs : Drugs, Devices, and Other Interventions·Nicolas J Guzman
Oct 19, 2016·Journal of Immigrant and Minority Health·Cheryl A Smith-MillerCass T Miller
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Jul 12, 2017·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Dana L AldenSupanida Limpongsanurak
Sep 29, 2018·Journal of Community Health·Ivan MarquezCasey Crump

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