Diabetes: Christian worldview, medical distrust and self-management.
To inform the development of a combined diabetes prevention and self-management intervention in partnership with church communities, this study sampled African American church leaders and members (N = 44) to qualitatively study religious beliefs and practices, diabetes prevention and self-management behaviors, and related community actions. Prior to commencing the study, internal review board approval was obtained. Although not required, community consent was officially provided by the church pastors. Individual consent was subsequently obtained from eligible community members who expressed an interest in participating in the study. Following a participatory action research approach, the inquiry group method was used. Qualitative data were analyzed with content analysis. Findings revealed Christian worldview, medical distrust and self-management as prominent themes. Findings suggest that diabetes providers address religious orientation in the provision of care with attention to rebuilding trust with the African-American community to improve health outcomes.
School of Nursing, University of Connecticut, Storrs, CT, USA, kelley.newlin_lew@uconn.edu.
Kelley
K
Newlin Lew
Nancy
N
Arbauh
Paul
P
Banach
Gail
G
Melkus
D001741:Black or African American / Q000523:psychology / Q000706:statistics & numerical data; D002835:Christianity / Q000523:psychology*; D002977:Clergy / Q000523:psychology; D055812:Community-Based Participatory Research; D003924:Diabetes Mellitus, Type 2 / Q000517:prevention & control / Q000523:psychology* / Q000628:therapy; D005260:Female; D006266:Health Education / Q000379:methods; D006801:Humans; D008297:Male; D008875:Middle Aged; D011369:Professional-Patient Relations; D012068:Religion and Medicine; D012648:Self Care / Q000523:psychology*; D035502:Trust / Q000523:psychology*