PMID- 37865167
OWN - NLM
STAT- MEDLINE
DCOM- 20240318
LR  - 20240318
IS  - 2352-3840 (Electronic)
IS  - 1499-2671 (Linking)
VI  - 48
IP  - 2
DP  - 2024 Mar
TI  - Health Resilience in Arabic-speaking Adult Refugees With Type 2 Diabetes: A 
      Grounded Theory Study During the COVID-19 Pandemic.
PG  - 82-88
LID - S1499-2671(23)00690-1 [pii]
LID - 10.1016/j.jcjd.2023.10.403 [doi]
AB  - OBJECTIVES: This qualitative study aimed to describe the lived experiences of 
      Arabic-speaking refugees in managing their type 2 diabetes mellitus (T2DM) while 
      resettling during the COVID-19 pandemic, and to generate a grounded theory of how 
      resilience is used to facilitate living well while facing multiple health 
      stressors. METHODS: A grounded theory approach was used to conceptualize the 
      dynamic process of resilience in living well with diabetes. Five recently 
      resettled adult refugees with T2DM (2 women and 3 men) participated in 
      unstructured individual interviews in Arabic in New Brunswick, Canada, during the 
      pandemic's second wave (October 2020 to March 2021). Interview data were 
      transcribed and analyzed thematically using open, axial, and core category coding 
      followed by member checking. RESULTS: Participants identified self-reliance as 
      the core driver for decision-making, actions, and interpretations in health 
      management while experiencing unplanned instability. The process was found to be 
      facilitated by 4 distinct constructs: knowledge seeking, positive outlook, 
      self-care, and creativity. CONCLUSIONS: The substantive model derived from this 
      study supports a strengths-based approach to clinical assessment and care of 
      refugees with T2DM, notably during disrupted access to primary and preventive 
      services due to forced resettlement and pandemic mitigation measures. More 
      research is needed to increase understanding of how self-reliance can be 
      optimized in resilience-promoting interventions to facilitate diabetes management 
      among populations in posttraumatic circumstances.
CI  - Copyright (c) 2023 The Author(s). Published by Elsevier Inc. All rights reserved.
FAU - Omar, Hanin
AU  - Omar H
AD  - Faculty of Nursing, University of New Brunswick, Fredericton, New Brunswick, 
      Canada. Electronic address: hanin.omar@unb.ca.
FAU - Busolo, David
AU  - Busolo D
AD  - Faculty of Nursing, University of New Brunswick, Fredericton, New Brunswick, 
      Canada.
FAU - Hickey, Jason
AU  - Hickey J
AD  - Faculty of Nursing, University of New Brunswick, Fredericton, New Brunswick, 
      Canada.
FAU - Gupta, Neeru
AU  - Gupta N
AD  - Department of Sociology, University of New Brunswick, Fredericton, New Brunswick, 
      Canada.
LA  - eng
PT  - Journal Article
DEP - 20231020
PL  - Canada
TA  - Can J Diabetes
JT  - Canadian journal of diabetes
JID - 101148810
SB  - IM
MH  - Adult
MH  - Male
MH  - Humans
MH  - Female
MH  - *Diabetes Mellitus, Type 2/epidemiology
MH  - Pandemics
MH  - *Resilience, Psychological
MH  - *Refugees
MH  - Grounded Theory
MH  - *COVID-19/epidemiology
OTO - NOTNLM
OT  - COVID-19
OT  - diabete de type 2
OT  - grounded theory
OT  - health resilience
OT  - refugee health
OT  - resilience face a la sante
OT  - sante des refugies
OT  - theorie ancree
OT  - type 2 diabetes
EDAT- 2023/10/22 00:41
MHDA- 2024/03/18 06:42
CRDT- 2023/10/21 19:27
PHST- 2023/02/19 00:00 [received]
PHST- 2023/09/15 00:00 [revised]
PHST- 2023/10/16 00:00 [accepted]
PHST- 2024/03/18 06:42 [medline]
PHST- 2023/10/22 00:41 [pubmed]
PHST- 2023/10/21 19:27 [entrez]
AID - S1499-2671(23)00690-1 [pii]
AID - 10.1016/j.jcjd.2023.10.403 [doi]
PST - ppublish
SO  - Can J Diabetes. 2024 Mar;48(2):82-88. doi: 10.1016/j.jcjd.2023.10.403. Epub 2023 
      Oct 20.