PMID- 29968494 OWN - NLM STAT- MEDLINE DCOM- 20211018 LR - 20221207 IS - 1465-3419 (Electronic) IS - 1355-7858 (Print) IS - 1355-7858 (Linking) VI - 25 IP - 8 DP - 2020 Nov TI - Type 2 diabetes management among older American Indians: beliefs, attitudes, and practices. PG - 1055-1071 LID - 10.1080/13557858.2018.1493092 [doi] AB - Objective: The purpose of this study was to examine beliefs, attitudes, and practices of older American Indians regarding their type 2 diabetes mellitus (T2DM) management. T2DM is one of the leading causes of morbidity and mortality among American Indians. American Indians are more than twice as likely to have T2DM and have over three times a T2DM mortality rate as Whites. Design: Study participants were older members of a federally recognized tribe who had T2DM. A low-inference qualitative descriptive design was used. Data were collected through semi-structured in-depth qualitative interviews with a mixed inductive, deductive, and reflexive analytic team process. Results: Our study sample included 28 participants with a mean age of 73.0 +/- 6.4 years of whom 16 (57%) were women. Participants' mean self-confidence score of successful T2DM management was 8.0 +/- 1.7 on a scale from 1 to 10 with 10 representing the greatest amount of confidence. Participants' mean HbA1c was 7.3% +/- 1.5%. Overall, participants discussed T2DM management within five themes: 1) sociocultural factors, 2) causes and consequences, 3) cognitive and affective assessment, 4) diet and exercise, and 5) medical management. Conclusions: It is important to be aware of the beliefs and attitudes of patients. Lay understandings can help identify factors underlying health and illness behaviors including motivations to maintain healthy behaviors or to change unhealthy behaviors. Such information can be helpful for health educators and health promotion program staff to ensure their efforts are effective and in alignment with patients' realities. FAU - Goins, R Turner AU - Goins RT AD - College of Health and Human Sciences, Western Carolina University, Cullowhee, NC, USA. FAU - Jones, Jacqueline AU - Jones J AD - College of Nursing, University of Colorado Denver, Aurora, CO, USA. FAU - Schure, Mark AU - Schure M AD - Community Health, Montana State University, Bozeman, MT, USA. FAU - Winchester, Blythe AU - Winchester B AD - Cherokee Indian Hospital Authority, Cherokee, NC, USA. FAU - Bradley, Vickie AU - Bradley V AD - Public Health and Human Services, Eastern Band of Cherokee Indians, Cherokee, NC, USA. LA - eng GR - P20 GM103474/GM/NIGMS NIH HHS/United States GR - T32 HS000078/HS/AHRQ HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20180703 PL - England TA - Ethn Health JT - Ethnicity & health JID - 9608374 SB - IM MH - Aged MH - Aged, 80 and over MH - Diabetes Mellitus, Type 2/*ethnology/*psychology/therapy MH - Diet MH - Exercise MH - Female MH - Health Knowledge, Attitudes, Practice/*ethnology MH - Humans MH - Interviews as Topic MH - Male MH - Middle Aged MH - United States/epidemiology MH - American Indian or Alaska Native/*psychology PMC - PMC6408982 MID - NIHMS1010512 OTO - NOTNLM OT - American Indians OT - Type 2 diabetes OT - lay understandings OT - older adults OT - self-management COIS- Disclosure statement No potential conflict of interest was reported by the authors. EDAT- 2018/07/04 06:00 MHDA- 2021/10/21 06:00 PMCR- 2020/01/03 CRDT- 2018/07/04 06:00 PHST- 2018/07/04 06:00 [pubmed] PHST- 2021/10/21 06:00 [medline] PHST- 2018/07/04 06:00 [entrez] PHST- 2020/01/03 00:00 [pmc-release] AID - 10.1080/13557858.2018.1493092 [doi] PST - ppublish SO - Ethn Health. 2020 Nov;25(8):1055-1071. doi: 10.1080/13557858.2018.1493092. Epub 2018 Jul 3.