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Self-management of type 2 diabetes: Perspectives of Vietnamese Americans

TitleSelf-management of type 2 diabetes: Perspectives of Vietnamese Americans
Publication TypeThesis
Year of Publication2011
AuthorsNguyen, AThao
DegreePh.D.
Number of Pages190 p
UniversityUniversity of Oklahoma Health Sciences Center
ISBN Number978-1-267-21534-5
KeywordsAdult, Aged, Aged, 80 and Over, Attitude to Illness, Audiorecording, Blood Glucose, Convenience Sample, Data Analysis Software, Diabetes Mellitus, Type 2, Human, Middle Age, Self Care, Semi-Structured Interview, United States, Vietnamese -- Psychosocial Factors -- United States
AbstractVietnamese are at high risk for developing diabetes related complications which are associated with increased rates of morbidity and mortality. There is a paucity of studies on diabetes self-management behaviors of Vietnamese using a theoretical framework. The purpose of this qualitative ethnographic study was to explore diabetes self-management strategies among Vietnamese and to explore the underpinnings of their behaviors on diabetes self-management. This study was guided by Leventhal's illness representation model. Semi-structured interviews were conducted with a convenience sample of 23 Vietnamese with type 2 diabetes mellitus ages 43 to 83. The interviews were audio-recorded and transcribed verbatim. Using NVivo 8 software, content analysis was conducted to identify themes and categories. Data revealed that participants constructed implicit theories of the identity, causes, consequences, timeline, and controllability of their diabetes. Some of the constructed theories were inconsistent with the biomedical literature. A majority of participants labeled diabetes by the symptoms they attributed to hypoglycemia and hyperglycemia, and they focused on the relief of these symptoms. However, the participants' focus on symptomology undermined their use of blood glucose monitoring to manage diabetes as a majority of the participants had diabetes related complications. In addition, the participants managed their diabetes using an integrated continuum of Eastern and Western treatment belief systems in which the goal was to achieve a balance to create harmony between the two systems.