Abstract:
:Family engagement may improve disease management, yet little is known about this topic as it relates to underrepresented minorities who receive care in low-resource primary care settings. This study aimed to explore family engagement in diabetes and hypertension management at an Urban Indian Health Organization to identify opportunities and challenges, and inform care strategies. We employed semi-structured interviews, genograms, eco-maps, and timelines, among 23 English- and Spanish-speaking American Indian and Latino adults with a dual diagnosis of type 2 diabetes and hypertension and 13 family members. Using thematic analysis, we found that family support is not always available, patients have difficulty sharing medical information, and family often live far away. Conversely, opportunities to leverage included a desire for increased engagement, motivation from the younger generation, prevention within the family, outreach to family members with the same conditions, and learning from elders and ancestors. Implications for programs, clinical care, and research are discussed.
journal_name
J Health Care Poor Underservedjournal_title
Journal of health care for the poor and underservedauthors
Fort MP,Steiner JF,Santos C,Moore KR,Villaverde M,Nease DE,Ortega D,Manson SMdoi
10.1353/hpu.2020.0063subject
Has Abstractpub_date
2020-01-01 00:00:00pages
827-844issue
2eissn
1049-2089issn
1548-6869pii
S1548686920200277journal_volume
31pub_type
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journal_title:Journal of health care for the poor and underserved
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journal_title:Journal of health care for the poor and underserved
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journal_title:Journal of health care for the poor and underserved
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journal_title:Journal of health care for the poor and underserved
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journal_title:Journal of health care for the poor and underserved
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journal_title:Journal of health care for the poor and underserved
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更新日期:2013-05-01 00:00:00
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journal_title:Journal of health care for the poor and underserved
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更新日期:2009-11-01 00:00:00
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更新日期:2001-02-01 00:00:00
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journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2006.0104
更新日期:2006-08-01 00:00:00
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更新日期:2014-02-01 00:00:00
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