Barriers and Facilitators to Involvement in Children's Diabetes Management Among Minority Parents.
J Pediatr Psychol
; 45(8): 946-956, 2020 09 01.
Article
em En
| MEDLINE
| ID: mdl-31995219
ABSTRACT
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.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Pais
/
Diabetes Mellitus Tipo 1
Tipo de estudo:
Prognostic_studies
/
Qualitative_research
Limite:
Child
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Child, preschool
/
Humans
Idioma:
En
Revista:
J Pediatr Psychol
Ano de publicação:
2020
Tipo de documento:
Article