Factors promoting diabetes self-care among low-income, minority pregnant women

Objective: To prospectively identify factors promoting healthy self-management of gestational and type 2 diabetes mellitus among underserved pregnant women. Study design: Twenty-nine in-depth, semi-structured interviews were performed over the course of pregnancy for 10 women with diabetes. Intervie...

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Bibliographic Details
Published in:	Journal of perinatology Vol. 36; no. 1; pp. 13 - 18
Main Authors:	Yee, L M, McGuire, J M, Taylor, S M, Niznik, C M, Simon, M A
Format:	Journal Article
Language:	English
Published:	New York Nature Publishing Group US 01-01-2016 Nature Publishing Group
Subjects:	692/699/2743/137/1926 692/700/478 Adult Care and treatment Diabetes Mellitus, Type 2 - ethnology Diabetes, Gestational - ethnology Female Health Knowledge, Attitudes, Practice - ethnology Humans Interviews as Topic Medicine Medicine & Public Health Minority Groups Motivation original-article Pediatric Surgery Pediatrics Poverty Pregnancy Pregnancy Complications - ethnology Pregnant women Prospective Studies Qualitative Research Self care (Health) Self Care - standards Social Support Type 2 diabetes United States
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Summary:	Objective: To prospectively identify factors promoting healthy self-management of gestational and type 2 diabetes mellitus among underserved pregnant women. Study design: Twenty-nine in-depth, semi-structured interviews were performed over the course of pregnancy for 10 women with diabetes. Interviews on factors promoting diabetes self-management used cognitive load theory to frame questions. Qualitative analysis of longitudinal interview data applied grounded theory techniques to generate themes. Result: Half this cohort of minority, low-income, public aid-supported women had type 2 diabetes. Four themes, comprised of both internal self-driven motivators and external sources of support, were identified. These themes were: (1) disease familiarity and diabetes self-efficacy; (2) external motivation (for health of fetus and responsibilities to older children); (3) supportive social and physical environment; and (4) self-regulatory behavior, including goal responsiveness and long-term goal-setting. Conclusion: Low-income women used multiple internal and external resources to promote health during a pregnancy complicated by diabetes. Successful behavior modification and achievement of diabetes care goals require leveraging these resources.
Bibliography:	ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Undefined-1 ObjectType-Feature-3 content type line 23
ISSN:	0743-8346 1476-5543
DOI:	10.1038/jp.2015.134