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Development of a community-based diabetes management program for Pacific Islanders
C Y Wang1, L Abbott2, A K Goodbody3
1The School of Nursing, University of Hawaii at Manoa, Honolulu, Hawaii (Dr Wang and Mss Hui and Rausch)
The Diabetes Educator
|January 26, 2000
Summary
Pacific Islanders with type 2 diabetes perceive the condition as complex, with fear and uncertainty surrounding hyperglycemia. They suggested community programs like walking groups and cooking classes to improve management.
Area of Science:
- Public Health
- Medical Anthropology
- Diabetes Research
Background:
- Type 2 diabetes prevalence is a significant concern in Pacific Islander populations.
- Understanding cultural perceptions is crucial for effective diabetes management strategies.
Purpose of the Study:
- To explore the perceptions and lived experiences of type 2 diabetes among Pacific Islanders in Honolulu.
- To identify barriers and facilitators to diabetes self-management within this community.
Main Methods:
- Qualitative study utilizing four focus groups with 23 Pacific Islander adults diagnosed with type 2 diabetes.
- Focus group transcripts were analyzed using Ethnograph software.
- Outreach workers facilitated discussions and confirmed priority issues with participants.
Main Results:
- Participants viewed diabetes as encompassing complications, emotional distress, symptoms, and behavioral changes.
- Hyperglycemia responses included fear, frustration, and uncertainty.
- Dietary adherence barriers involved habit, cultural practices, body image ideals, and financial constraints.
Conclusions:
- Community-based interventions such as walking/support groups, cooking classes, and accessible healthy food options are desired.
- Involving families and providing translated educational materials were identified as beneficial.
- Findings are informing the development of a community-based diabetes program.