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. 2021 Jul 3;13(7):2301.
doi: 10.3390/nu13072301.

Contextually Appropriate Tools and Solutions to Facilitate Healthy Eating Identified by People with Type 2 Diabetes

M Carolina Archundia Herrera  1 , Denise L Campbell-Scherer  2 , Rhonda C Bell  1 , Catherine B Chan  1   3
Affiliations

Contextually Appropriate Tools and Solutions to Facilitate Healthy Eating Identified by People with Type 2 Diabetes

M Carolina Archundia Herrera et al. Nutrients. .

Abstract

Type 2 diabetes (T2D) is a complex, multifaceted disease and its treatment involves lifestyle intervention (LI) programs that participants may find difficult to adopt and maintain. The objective of this study is to understand the lived experiences of participants with T2D regarding healthy eating behavior change, in order to identify and incorporate relevant information, skills, and educational approaches into LI programs. An explorative qualitative study was undertaken. Purposeful sampling was used to recruit 15 participants. One-on-one, semi-structured, open-ended, and in-depth interviews were conducted. An essentialist paradigm was adopted to accurately report the experiences, meaning, and reality of participants. An inductive approach was used to analyze the data. Participants reported that being diagnosed and living with T2D could be overwhelming, and their ability to manage was influenced by health care providers (HCP), family, and individual context. Many experienced a loop of "good-bad" eating behaviors. Participants expressed desires for future diabetes management that would include program content (nutrition, physical activity, mental health, foot care, and consequences of T2D), program features (understand context, explicit information, individualized, hands-on learning, applicable, realistic, incremental, and practical), program components (access to multidisciplinary team, set goals, track progress and be held accountable, one-on-one sessions, group support, maintenance/follow-up), and policy change. In conclusion, the results of this study indicate that T2D management requires more extensive, comprehensive, and ongoing support, guided by the individual participant.

Keywords: healthy eating; lifestyle intervention program; qualitative; type 2 diabetes.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Program content and delivery specifications. Participants reported the information content as well as the program components and delivery mode.
See this image and copyright information in PMC

References

    1. Pearson E.R. Type 2 diabetes: A multifaceted disease. Diabetologia. 2019;62:1107–1112. doi: 10.1007/s00125-019-4909-y. - DOI - PMC - PubMed
    1. Diabetes Canada Clinical Practice Guidelines Expert Committee Diabetes Canada 2018 Clinical Practice Guidelines for the Prevention and Management of Diabetes in Canada. Can. J. Diabetes. 2018;42(Suppl. S1):S1–S325.
    1. Chen L., Pei J.-H., Kuang J., Chen H.-M., Chen Z., Li Z.-W., Yang H.-Z. Effect of lifestyle intervention in patients with type 2 diabetes: A meta-analysis. Metabolism. 2015;64:338–347. doi: 10.1016/j.metabol.2014.10.018. - DOI - PubMed
    1. Lim L.L., Lau E.S., Kong A.P., Davies M.J., Levitt N.S., Eliasson B., Aguilar-Salinas C.A., Ning G., Seino Y., So W.Y. Aspects of multicomponent integrated care promote sustained improvement in surrogate clinical outcomes: A systematic review and meta-analysis. Diabetes Care. 2018;41:1312–1320. doi: 10.2337/dc17-2010. - DOI - PMC - PubMed
    1. Brown S.A. Studies of educational interventions and outcomes in diabetic adults: A meta-analysis revisited. Patient Educ. Couns. 1990;16:189–215. doi: 10.1016/0738-3991(90)90070-2. - DOI - PubMed