The Development of a Conceptual Framework for Providing Tailored Diabetes Care for Individuals Experiencing Homelessness: A Qualitative Study

Homelessness results in barriers to effective diabetes self-management. Programs targeting individuals facing homelessness have refined strategies to address these barriers. We sought to develop a framework to characterize these strategies that could help multidisciplinary providers to better suppor...

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Bibliographic Details
Published in:	Journal of health care for the poor and underserved Vol. 34; no. 1; p. 309
Main Authors:	Yaphe, Hannah M, Campbell, Rachel B, Mancini, Nicole L, Grewal, Eshleen K, Tibebu, Tadios, Saunders-Smith, Terry, Hwang, Stephen W, Campbell, David J T
Format:	Journal Article
Language:	English
Published:	United States 01-02-2023
Subjects:	Canada Diabetes Mellitus - therapy Humans Ill-Housed Persons Qualitative Research Social Problems Canada
Online Access:	Get more information
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Summary:	Homelessness results in barriers to effective diabetes self-management. Programs targeting individuals facing homelessness have refined strategies to address these barriers. We sought to develop a framework to characterize these strategies that could help multidisciplinary providers to better support these individuals. Semi-structured interviews were conducted with a purposive sample of health and social care providers working in diabetes or homelessness in five Canadian cities (n=96). Interview transcripts were analyzed through qualitative thematic analysis. Providers described three groups of approaches that enabled care for this population. Person-centered provider behaviours: This included tailoring care plans to accommodate individuals' situational constraints. Lower-barrier organizational structure: Providers developed specialized organizational processes to increase accessibility. Bridging to larger care systems: Strategies included providing access to support workers. Across diverse program structures, similar approaches are used to enhance diabetes care for individuals who are experiencing homelessness, highlighting tangible opportunities for mainstream services to better engage with this population.
ISSN:	1548-6869
DOI:	10.1353/hpu.2023.0020