Facilitating Self-Care in Older Diabetic Chinese-Americans: A Need for Interventions

2.50
Hdl Handle:
http://hdl.handle.net/10755/153057
Type:
Presentation
Title:
Facilitating Self-Care in Older Diabetic Chinese-Americans: A Need for Interventions
Abstract:
Facilitating Self-Care in Older Diabetic Chinese-Americans: A Need for Interventions
Conference Sponsor:Sigma Theta Tau International
Conference Year:2008
Author:Wang-Letzkus, Ming Fang, EdD
P.I. Institution Name:California State University, Los Angeles
Co-Authors:Gail Terry Washington, DNS, RN
[Research Paper or Poster Presentation] Type II diabetes is becoming more prevalent in Chinese Americans despite the absence of obesity. Strategies are needed to address this problem. The purpose of this study is twofold: first, to describe self-care practices of Chinese Americans with type II diabetes and secondly, to explore the need for appropriate interventions to facilitate appropriate self-care practices. Methods: Qualitative and community based participatory research methods were used to describe self-care practices and to explore the need for effective interventions to facilitate appropriate self-care practices in this community. Two adult day care centers in Southern California participated in this study. Thirteen in-depth individual and two focus group recorded interviews were used to gain participant's' beliefs, attitudes and knowledge regarding their self-care practices. Data was transcribed, translated, and systemically coded to assess for themes and inter-rater reliability. Results: Western medicines and glucose monitoring were used intermittently, and Chinese Americans continued to use traditional diet, exercises and herbs to self-manage diabetes. Many did not perceive diabetes as a serious disease since there was no pain. Consequently, they were unaware of insidious complications. Lack of knowledge, non-adherence and co-morbidities impeded self-care. Self-reliance was identified as the most important attribute for self-care while media, friends, and relatives significantly influenced self-care practices. An expressed need for better interpersonal communication and accurate information regarding self-care management from professional care providers was requested. Conclusion: While this study provides insight into the health beliefs, attitudes, and self-care practices of older diabetic Chinese Americans, the results are based upon a limited sample size and geographical location. Findings could be generalized to a global population. Future studies to develop and implement evidence-based, culturally significant, community based educational interventions with innovative strategies are urgently needed.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleFacilitating Self-Care in Older Diabetic Chinese-Americans: A Need for Interventionsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/153057-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Facilitating Self-Care in Older Diabetic Chinese-Americans: A Need for Interventions</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2008</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Wang-Letzkus, Ming Fang, EdD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">California State University, Los Angeles</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">mwang6@calstatela.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Gail Terry Washington, DNS, RN</td></tr><tr><td colspan="2" class="item-abstract">[Research Paper or Poster Presentation] Type II diabetes is becoming more prevalent in Chinese Americans despite the absence of obesity. Strategies are needed to address this problem. The purpose of this study is twofold: first, to describe self-care practices of Chinese Americans with type II diabetes and secondly, to explore the need for appropriate interventions to facilitate appropriate self-care practices. Methods: Qualitative and community based participatory research methods were used to describe self-care practices and to explore the need for effective interventions to facilitate appropriate self-care practices in this community. Two adult day care centers in Southern California participated in this study. Thirteen in-depth individual and two focus group recorded interviews were used to gain participant's' beliefs, attitudes and knowledge regarding their self-care practices. Data was transcribed, translated, and systemically coded to assess for themes and inter-rater reliability. Results: Western medicines and glucose monitoring were used intermittently, and Chinese Americans continued to use traditional diet, exercises and herbs to self-manage diabetes. Many did not perceive diabetes as a serious disease since there was no pain. Consequently, they were unaware of insidious complications. Lack of knowledge, non-adherence and co-morbidities impeded self-care. Self-reliance was identified as the most important attribute for self-care while media, friends, and relatives significantly influenced self-care practices. An expressed need for better interpersonal communication and accurate information regarding self-care management from professional care providers was requested. Conclusion: While this study provides insight into the health beliefs, attitudes, and self-care practices of older diabetic Chinese Americans, the results are based upon a limited sample size and geographical location. Findings could be generalized to a global population. Future studies to develop and implement evidence-based, culturally significant, community based educational interventions with innovative strategies are urgently needed.</td></tr></table>en_GB
dc.date.available2011-10-26T12:00:44Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T12:00:44Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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