Understanding Experiences of Diabetes Medications Among African Americans Living With Type 2 Diabetes

被引:15
作者
Bockwoldt, Denise [1 ]
Staffileno, Beth A. [2 ]
Coke, Lola [2 ]
Hamilton, Rebekah [2 ]
Fogg, Lou [2 ]
Calvin, Donna [3 ]
Quinn, Lauretta [1 ]
机构
[1] Univ Illinois, Chicago, IL USA
[2] Rush Univ, Chicago, IL 60612 USA
[3] Governors State Univ, University Pk, PA USA
关键词
diabetes; interviews; Roy adaptation model; medication adherence; self-concept; African Americans; insulin; turning points; PSYCHOLOGICAL INSULIN-RESISTANCE; ADHERENCE; ADULTS; THERAPY;
D O I
10.1177/1043659616651674
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
African American (AA) adults are disproportionally affected by type 2 diabetes and are diagnosed at an earlier age, but are less adherent to diabetes medications compared with the general population. This qualitative study sought to describe the experiences of taking diabetes medications among midlife AA men and women with type 2 diabetes and to identify factors that influence these experiences. Fifteen AAs completed semistructured interviews. Using the Roy adaptation model, thematic analysis coded for both adaptive and ineffective experiences. Adaptive experiences included self-confidence in one's ability to control diabetes, a belief in the value of diabetes medication, assuming responsibility for one's health, developing a routine for taking medication, and positive relationships with the care team. Ineffective experiences for medication taking included: feeling powerless over diabetes, self-blame, and fear. One's self-concept as a person with diabetes, as well as assuming the role of medication taker, were prominent themes.
引用
收藏
页码:363 / 371
页数:9
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