PMID- 30579895
OWN - NLM
STAT- MEDLINE
DCOM- 20200916
LR  - 20200916
IS  - 1878-2620 (Electronic)
IS  - 1499-4046 (Print)
IS  - 1499-4046 (Linking)
VI  - 51
IP  - 7
DP  - 2019 Jul-Aug
TI  - Dietary Beliefs and Management of Older American Indians With Type 2 Diabetes.
PG  - 826-833
LID - S1499-4046(18)30866-2 [pii]
LID - 10.1016/j.jneb.2018.11.007 [doi]
AB  - OBJECTIVES: This qualitative study examined dietary-related beliefs and 
      self-management among older American Indians with type 2 diabetes mellitus 
      (T2DM). DESIGN: Semistructured in-person interviews were conducted and digitally 
      recorded. SETTING: Southeastern American Indian tribal community. PARTICIPANTS: A 
      total of 28 noninstitutionalized older tribal members aged >60 years. PHENOMENON 
      OF INTEREST: Study participants' beliefs and experiences with dietary practices 
      and management related to T2DM. ANALYSIS: Transcribed qualitative interviews were 
      coded using an inductive content analysis approach. RESULTS: Four themes 
      regarding T2DM dietary beliefs and T2DM dietary management emerged from the 
      analyses: diet changes, portion control, health care professional and family 
      influence, and barriers to healthy eating. Study participants described how their 
      beliefs, practices, and experiences in these 4 areas related to T2DM. CONCLUSIONS 
      AND IMPLICATIONS: American Indian older adults face a variety of challenges to 
      dietary management of T2DM. Future research efforts can focus on assessing how 
      social support can be leveraged to facilitate healthy diets for American Indians 
      with T2DM. Clinicians and diabetes educators and Native communities have an 
      instrumental role in identifying culturally appropriate messages and programs to 
      help persons effectively manage T2DM.
CI  - Copyright (c) 2018 Society for Nutrition Education and Behavior. Published by 
      Elsevier Inc. All rights reserved.
FAU - Schure, Mark
AU  - Schure M
AD  - Health & Human Development, Montana State University, Bozeman, MT. Electronic 
      address: mark.schure@montana.edu.
FAU - Goins, Ruth Turner
AU  - Goins RT
AD  - Department of Social Work, College of Health and Human Sciences, Western Carolina 
      University, Cullowhee, NC.
FAU - Jones, Jacqueline
AU  - Jones J
AD  - College of Nursing, University of Colorado, Aurora, CO.
FAU - Winchester, Blythe
AU  - Winchester B
AD  - Cherokee Indian Hospital Authority, Cherokee, NC.
FAU - Bradley, Vickie
AU  - Bradley V
AD  - Public Health and Human Services, Eastern Band of Cherokee Indians, Cherokee, NC.
LA  - eng
GR  - P20 GM103474/GM/NIGMS NIH HHS/United States
GR  - T32 HS000078/HS/AHRQ HHS/United States
PT  - Evaluation Study
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
PT  - Research Support, Non-U.S. Gov't
DEP - 20181220
PL  - United States
TA  - J Nutr Educ Behav
JT  - Journal of nutrition education and behavior
JID - 101132622
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - Diabetes Mellitus, Type 2/*psychology/*therapy
MH  - Diet/*methods/psychology
MH  - Female
MH  - *Health Knowledge, Attitudes, Practice
MH  - Humans
MH  - Indians, North American/*psychology/statistics & numerical data
MH  - Interviews as Topic
MH  - Male
MH  - Middle Aged
MH  - Qualitative Research
MH  - Self Care/*methods/psychology
PMC - PMC6586536
MID - NIHMS1010253
OTO - NOTNLM
OT  - American Indians
OT  - dietary beliefs and management
OT  - type 2 diabetes mellitus
COIS- Author Disclosure None of the authors have a conflict of interest in regards to 
      the content displayed in this manuscript.
EDAT- 2018/12/24 06:00
MHDA- 2020/09/17 06:00
PMCR- 2019/07/12
CRDT- 2018/12/24 06:00
PHST- 2018/08/03 00:00 [received]
PHST- 2018/10/30 00:00 [revised]
PHST- 2018/11/06 00:00 [accepted]
PHST- 2018/12/24 06:00 [pubmed]
PHST- 2020/09/17 06:00 [medline]
PHST- 2018/12/24 06:00 [entrez]
PHST- 2019/07/12 00:00 [pmc-release]
AID - S1499-4046(18)30866-2 [pii]
AID - 10.1016/j.jneb.2018.11.007 [doi]
PST - ppublish
SO  - J Nutr Educ Behav. 2019 Jul-Aug;51(7):826-833. doi: 10.1016/j.jneb.2018.11.007. 
      Epub 2018 Dec 20.