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A Qualitative Study Exploring Food Pantry User’s Self-Management of Type 2 Diabetes

McNeill, Meghan

Abstract Details

2015, MS, University of Cincinnati, Allied Health Sciences: Nutrition.
Significance: Previous research has indicated that low-income, food- insecure adults with type 2 diabetes have suboptimal self-management and consequently increased risks for complications associated with type 2 diabetes. Objective: The purpose of this study was to explore current type 2 diabetes self-management, facilitators and barriers of self-management, and perceived needs to improve disease self-management. Methods: A qualitative study (seven focus groups) was conducted with 49 food pantry users with type 2 diabetes at a food pantry located in inner city. The audio-recorded focus groups were transcribed verbatim and analyzed following content analysis. Results: Most participants (aged 54.9±16.2 years old) were African-American (87%) with a high school education or less (66%). Key facilitators to these behaviors included support from family and health care providers and reliable transportation for grocery shopping and clinic visits. However, having other multiple chronic diseases/conditions and lack of social support and transportation were identified as barriers. Challenges to consuming a healthy diet were discussed more often than other self-management behaviors. Diabetes self-management support group sessions led by experts from various health fields in a community setting rather than a clinical setting with open discussion were most frequently suggested as an idea for self-management program. Conclusions and Implications: Major barriers included managing other chronic medical conditions, and not having enough money or access to healthy foods. The main facilitators included social support, having a good relationship with health-care providers, and community resources that provide free foods and clinical services. These findings can be used to develop an intervention program to improve self-management of type 2 diabetes in populations with food insecurity.
Seung-Yeon Lee, Ph.D. (Committee Chair)
Debra Ann Krummel, Ph.D. (Committee Member)
72 p.

Recommended Citations

Citations

  • McNeill, M. (2015). A Qualitative Study Exploring Food Pantry User’s Self-Management of Type 2 Diabetes [Master's thesis, University of Cincinnati]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1430749639

    APA Style (7th edition)

  • McNeill, Meghan. A Qualitative Study Exploring Food Pantry User’s Self-Management of Type 2 Diabetes. 2015. University of Cincinnati, Master's thesis. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=ucin1430749639.

    MLA Style (8th edition)

  • McNeill, Meghan. "A Qualitative Study Exploring Food Pantry User’s Self-Management of Type 2 Diabetes." Master's thesis, University of Cincinnati, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1430749639

    Chicago Manual of Style (17th edition)