Barriers and Facilitators to Involvement in Children's Diabetes Management Among Minority Parents
| Autor: | Iman Al-Gadi, Ashley M. Butler, Marisa E. Hilliard, Yasmin Cole-Lewis, Courtney Titus, Evadne Rodriguez, Deborah Thompson |
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| Rok vydání: | 2019 |
| Předmět: |
Parents
Coping (psychology) Stress management Psychological intervention 030209 endocrinology & metabolism Interpersonal communication Hispanic or Latino Developmental psychology 03 medical and health sciences Interpersonal relationship 0302 clinical medicine Diabetes Mellitus Type 1 Diabetes management 030225 pediatrics Facilitator Child Preschool Original Research Articles Pediatrics Perinatology and Child Health Developmental and Educational Psychology Humans Family Thematic analysis Psychology Child Minority Groups |
| Zdroj: | J Pediatr Psychol |
| ISSN: | 1465-735X |
| Popis: | Objective This study aimed to describe parents’ perceptions of the factors that facilitate or are barriers to their involvement in children’s type 1 diabetes (T1D) management among African American and Latino parents. Methods African American and Latino parents (N = 28) of 5- to 9-year-old children with T1D completed audio-recorded, semi-structured interviews that were transcribed and analyzed using thematic analysis. Themes were identified that aligned with the theoretically-derived Capability–Opportunity–Motivation–Behavior (COM-B) framework. Results Parents described Capability-based facilitators of parent involvement, including positive stress management, religious/spiritual coping, organizational/planning skills, and diabetes knowledge. Capability-based barriers included child and parent distress. Interpersonal relationships, degree of flexibility in work environments, and access to diabetes technologies were both Opportunity-based facilitators and barriers; and Opportunity-based barriers consisted of food insecurity/low financial resources. Parents’ desire for their child to have a “normal” life was described as both a Motivation-based facilitator and barrier. Conclusions African American and Latino families described helpful and unhelpful factors that spanned all aspects of the COM-B model. Reinforcing or targeting families’ unique psychological, interpersonal, and environmental strengths and challenges in multilevel interventions has potential to maximize parental involvement in children’s diabetes management. |
| Databáze: | OpenAIRE |
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