USING CBPR TO BUILD MEXICAN AMERICAN FAMILY SOCIAL CAPITAL FOR MANAGING DIABETES

2.50
Hdl Handle:
http://hdl.handle.net/10755/211479
Type:
Research Study
Title:
USING CBPR TO BUILD MEXICAN AMERICAN FAMILY SOCIAL CAPITAL FOR MANAGING DIABETES
Abstract:
Purpose: Refine and tailor a family-based type 2 diabetes (T2DM) self-management support intervention to build family social capital applying community based participatory research (CBPR) principles to engage community members with T2DM and their family member in a Family Action Board (FAB). The FAB partners community members with researchers in both the refinement and later implementation of the intervention. Background/Rationale: Although strong family and social support have been shown to have a positive impact on glycemic control and diabetes self-management behaviors, the family is the least studied of the major factors of the social environment known to influence T2DM management. Traditional, individual-focused diabetes self-management education (DSME) programs have not capitalized on the role of the family in diabetes management. A unique approach for reducing T2DM health disparities is to apply a collaborative partnership approach – CBPR principles – that equitably involves community members in all aspects of the research process. In our research we are extending the primarily community context of CBPR principles to the family context to promote diabetes management. Methods: A total of 12 Mexican American adults with T2DM and their 12 designated family members (N=24) and the research team engaged in a 3-month reciprocal learning process in a series of 6 (2-hour) audio-taped focus groups. The groups were conducted by bilingual (English & Spanish) and bicultural facilitators to draw on the FAB’s knowledge, expertise, supports, and perceived barriers for T2DM management in the context of family. Transcripts were analyzed using qualitative content analysis. Results: Three major themes, What I Didn’t Know, Family Challenges, and How My Family Can Help Me Be Successful were dominant. The unique perspectives and expertise of the FAB have contributed to an authentic understanding of T2DM management embedded in the social and cultural dynamics of the Mexican American family. Implications: Using CBPR principles have enabled us to: 1) emphasize the family as the unit of identity, 2) build a shared commitment to decrease T2DM health disparities among Mexican American adults, 3) engage Family Action Board (FAB) members to contribute their expertise to refine the DSME intervention, 4) integrate a balance between research and action by building on local management of T2DM, 5)build on the assets and relationships within the family and 6) begin to develop strategies to disseminate findings and knowledge gained to build sustainability. Establishing an empowering process that builds equitable partnership and trust among the participants is critical for enhancing the capacity of all partners involved.
Keywords:
Type 2 diabetes; Family based self-management; Intervention
Repository Posting Date:
20-Feb-2012
Date of Publication:
20-Feb-2012
Other Identifiers:
5254
Sponsors:
Western Institute of Nursing

Full metadata record

DC FieldValue Language
dc.typeResearch Studyen_GB
dc.titleUSING CBPR TO BUILD MEXICAN AMERICAN FAMILY SOCIAL CAPITAL FOR MANAGING DIABETESen_GB
dc.identifier.urihttp://hdl.handle.net/10755/211479-
dc.description.abstractPurpose: Refine and tailor a family-based type 2 diabetes (T2DM) self-management support intervention to build family social capital applying community based participatory research (CBPR) principles to engage community members with T2DM and their family member in a Family Action Board (FAB). The FAB partners community members with researchers in both the refinement and later implementation of the intervention. Background/Rationale: Although strong family and social support have been shown to have a positive impact on glycemic control and diabetes self-management behaviors, the family is the least studied of the major factors of the social environment known to influence T2DM management. Traditional, individual-focused diabetes self-management education (DSME) programs have not capitalized on the role of the family in diabetes management. A unique approach for reducing T2DM health disparities is to apply a collaborative partnership approach – CBPR principles – that equitably involves community members in all aspects of the research process. In our research we are extending the primarily community context of CBPR principles to the family context to promote diabetes management. Methods: A total of 12 Mexican American adults with T2DM and their 12 designated family members (N=24) and the research team engaged in a 3-month reciprocal learning process in a series of 6 (2-hour) audio-taped focus groups. The groups were conducted by bilingual (English & Spanish) and bicultural facilitators to draw on the FAB’s knowledge, expertise, supports, and perceived barriers for T2DM management in the context of family. Transcripts were analyzed using qualitative content analysis. Results: Three major themes, What I Didn’t Know, Family Challenges, and How My Family Can Help Me Be Successful were dominant. The unique perspectives and expertise of the FAB have contributed to an authentic understanding of T2DM management embedded in the social and cultural dynamics of the Mexican American family. Implications: Using CBPR principles have enabled us to: 1) emphasize the family as the unit of identity, 2) build a shared commitment to decrease T2DM health disparities among Mexican American adults, 3) engage Family Action Board (FAB) members to contribute their expertise to refine the DSME intervention, 4) integrate a balance between research and action by building on local management of T2DM, 5)build on the assets and relationships within the family and 6) begin to develop strategies to disseminate findings and knowledge gained to build sustainability. Establishing an empowering process that builds equitable partnership and trust among the participants is critical for enhancing the capacity of all partners involved.en_GB
dc.subjectType 2 diabetesen_GB
dc.subjectFamily based self-managementen_GB
dc.subjectInterventionen_GB
dc.date.available2012-02-20T11:57:34Z-
dc.date.issued2012-02-20T11:57:34Z-
dc.date.accessioned2012-02-20T11:57:34Z-
dc.description.sponsorshipWestern Institute of Nursingen_GB
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