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The Space Between: Transformative Learning and Type 2 Diabetes Self-Management.

Cheryl A Smith-Miller1, Diane C Berry1, Cass T Miller1

  • 1University of North Carolina Hospitals, Chapel Hill, NC, USA.

Hispanic Health Care International : the Official Journal of the National Association of Hispanic Nurses
|November 27, 2019
PubMed
Summary
This summary is machine-generated.

Latinx immigrants often view accepting type 2 diabetes mellitus (T2DM) as a crucial step before starting treatment. This acceptance process can vary in duration, influencing how individuals manage their health.

Keywords:
Latino populationsadherence to treatmentbehaviorshealth behaviorqualitative methods

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Area of Science:

  • Public Health
  • Sociology
  • Psychology

Background:

  • Immigrant populations exhibit higher type 2 diabetes mellitus (T2DM) prevalence and poorer outcomes compared to native-born individuals.
  • The experiences of Latinx immigrants, the largest immigrant group in the U.S., regarding T2DM diagnosis and self-management are understudied.
  • Limited English proficiency and cultural factors may influence T2DM care in this demographic.

Purpose of the Study:

  • To explore the experiences of T2DM diagnosis and self-management among Spanish-speaking, limited English-proficient Latinx immigrants.
  • To understand the transitional process of accepting a T2DM diagnosis within this population.
  • To identify factors influencing the initiation of T2DM treatment.

Main Methods:

  • Semistructured interviews were conducted with 30 recent Latinx immigrants in Spanish.
  • Both quantitative and qualitative data were collected.
  • Grounded theory approach was used for qualitative data analysis, complemented by descriptive statistics.

Main Results:

  • Accepting T2DM was identified as a significant transitional process, impacting self-perception and daily life.
  • This acceptance phase was a prerequisite for initiating T2DM treatment for most participants.
  • The duration of this transitional period varied, ranging from brief to months or years, with distinct stages identified.

Conclusions:

  • The process of accepting a T2DM diagnosis is a critical, variable transition for Latinx immigrants.
  • Recognizing and supporting individual differences in this acceptance phase can improve treatment initiation and patient outcomes.
  • Findings align with transformative learning theories, suggesting a need for culturally sensitive T2DM care strategies.