Abstract：
OBJECTIVE:To explore how couples adjust to dietary management of type 2 diabetes. DESIGN:Couples were interviewed, first together and then separately, during the first year after diagnosis and 1 year later. SETTING:Qualitative interviews conducted in hospital classrooms using a semistructured interview guide. PARTICIPANTS:Couples (N = 20) with a recently diagnosed spouse who met the study criteria were purposefully selected from volunteers solicited from hospital-based diabetes classes. PHENOMENON OF INTEREST:Processes used by the couple to address the prescribed diet. ANALYSIS:Thematic analysis of interview transcripts using grounded theory to identify patterns of adaptation processes used over time. RESULTS:Three couple categories emerged (cohesive, enmeshed, and disengaged), representing adaptation to the diabetic diet. Initially, 5 couples were cohesive (teamwork approach), 7 were enmeshed (nondiabetic spouse responsible for the diet; spouse was dependent), and 8 were disengaged (spouses functionally separate; spouse was solely responsible for the diet management). A year later, the majority of couples were disengaged (n = 14), 1 couple remained cohesive, and 4 couples remained enmeshed. Themes of flexibility, roles, rules, and communication varied across categories. CONCLUSIONS AND IMPLICATIONS:Understanding categories of marital adjustment to the diabetic diet may improve nutrition-based diabetes interventions. Further study is needed to verify these findings in larger and more diverse populations.
journal_name
J Nutr Educ Behavjournal_title
Journal of nutrition education and behaviorauthors
Miller D,Brown JLdoi
10.1016/s1499-4046(06)60276-5keywords:
subject
Has Abstractpub_date
2005-09-01 00:00:00pages
226-34issue
5eissn
1499-4046issn
1878-2620pii
S1499-4046(06)60276-5journal_volume
37pub_type
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journal_title：Journal of nutrition education and behavior
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更新日期：2018-02-01 00:00:00
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doi：10.1016/j.jneb.2019.04.016
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journal_title：Journal of nutrition education and behavior
pub_type： 杂志文章,评审
doi：10.1016/j.jneb.2007.07.013
更新日期：2007-11-01 00:00:00
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journal_title：Journal of nutrition education and behavior
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更新日期：2009-05-01 00:00:00
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journal_title：Journal of nutrition education and behavior
pub_type： 杂志文章
doi：10.1016/j.jneb.2012.04.015
更新日期：2013-03-01 00:00:00
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更新日期：2016-03-01 00:00:00
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pub_type： 杂志文章,随机对照试验
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更新日期：2015-05-01 00:00:00
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journal_title：Journal of nutrition education and behavior
pub_type： 杂志文章
doi：10.1016/j.jneb.2005.12.003
更新日期：2006-05-01 00:00:00
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journal_title：Journal of nutrition education and behavior
pub_type： 杂志文章,多中心研究,随机对照试验
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更新日期：2010-05-01 00:00:00
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journal_title：Journal of nutrition education and behavior
pub_type： 杂志文章
doi：10.1016/j.jneb.2016.08.012
更新日期：2017-01-01 00:00:00
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journal_title：Journal of nutrition education and behavior
pub_type： 杂志文章
doi：10.1016/j.jneb.2014.01.009
更新日期：2014-05-01 00:00:00
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journal_title：Journal of nutrition education and behavior
pub_type： 杂志文章,评审
doi：10.1016/j.jneb.2016.05.016
更新日期：2016-09-01 00:00:00
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journal_title：Journal of nutrition education and behavior
pub_type： 杂志文章,评审
doi：10.1016/j.jneb.2006.09.001
更新日期：2007-03-01 00:00:00
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journal_title：Journal of nutrition education and behavior
pub_type： 杂志文章
doi：10.1016/j.jneb.2017.02.004
更新日期：2017-09-01 00:00:00
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journal_title：Journal of nutrition education and behavior
pub_type： 杂志文章
doi：10.1016/j.jneb.2019.10.007
更新日期：2020-01-01 00:00:00
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journal_title：Journal of nutrition education and behavior
pub_type： 杂志文章
doi：10.1016/j.jneb.2015.12.006
更新日期：2016-03-01 00:00:00
