Exploring structural barriers to diabetes self-management in Alberta First Nations communities ...

Abstract Background Type 2 diabetes is highly prevalent in Canadian First Nations (FN) communities. FN individuals with diabetes are less likely to receive guideline recommended care and access specialist care. They are also less likely to be able to engage in optimal self-management behaviours. Whi...

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Bibliographic Details
Main Authors: Kulhawy-Wibe, Stephanie, King-Shier, Kathryn M, Barnabe, Cheryl, Manns, Braden J, Hemmelgarn, Brenda R, Campbell, David J T
Format: Article in Journal/Newspaper
Language:English
Published: University of Calgary 2018
Subjects:
Online Access:https://dx.doi.org/10.11575/prism/44416
https://prism.ucalgary.ca/handle/1880/109293
Description
Summary:Abstract Background Type 2 diabetes is highly prevalent in Canadian First Nations (FN) communities. FN individuals with diabetes are less likely to receive guideline recommended care and access specialist care. They are also less likely to be able to engage in optimal self-management behaviours. While the systemic and racial contributors to this problem have been well described, individuals’ experiences with structural barriers to care and self-management remain under-characterized. Methods We utilized qualitative methods to gain insight into the structural barriers to self-management experienced by FN individuals with diabetes. We conducted a qualitative descriptive analysis of a subcohort of patients with diabetes from FN communities (n = 5) from a larger qualitative study. Using detailed semi-structured telephone interviews, we inquired about participants’ diabetes and barriers to diabetes self-management. Inductive thematic analysis was performed in duplicate using NVivo 10. Results The structural ...