Barriers to and facilitators of diabetes self-management with elderly Korean-American immigrants.

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    • Abstract:
      Aim: The aim of this study was to explore barriers to and facilitators of diabetes self ‐ management among first ‐ generation Korean ‐ American elderly immigrants with type 2 diabetes in the United States Midwest. Background: The number of Korean ‐ American elderly immigrants with type 2 diabetes in the United States is expected to increase because they are at risk of adopting a Western lifestyle. Methods: Three focus groups (N = 18) and five individual interviews were conducted with Korean ‐ American elderly immigrants with type 2 diabetes. Demographic characteristics and diabetes ‐ related medical history information were obtained with a questionnaire. All data were digitally recorded, transcribed verbatim and translated from Korean into English. Transcripts were analysed using standard content ‐ based analysis. Results: Five perceived barriers were identified: the high cost of type 2 diabetes care, language issues, loss of self ‐ control, memory loss and limited access to healthcare resources. Three perceived facilitators were time, seeking information, and family and peer supports. Limitations: The convenience samples and small sample size may limit the study. Conclusions: The barriers to and facilitators of diabetes self ‐ management identified in this study can be used in the development of more age ‐ and culturally sensitive diabetes interventions and resources. Implication for nursing and health policy: Nurses and healthcare providers can use this study's findings to develop patient ‐ centred, age ‐ appropriate and culturally appropriate diabetes interventions. There are urgent needs to train bilingual healthcare providers and staff and to provide translation services for Korean ‐ American elderly immigrants. Finally, communities and social supports within public health policy are urgently needed for this ethnic minority group. [ABSTRACT FROM AUTHOR]
    • Abstract:
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