title: Diabetes Is Devastating, and Insulin Is a Death Sentence: Provider Perspectives of Diabetes Self-Management in Arab-American Patients.
abstract: IN BRIEFThe purpose of this qualitative study was to examine providers' perspectives on cultural barriers and facilitators to diabetes self-management (DSM) in Arab Americans to identify factors to enhance DSM education in the Arab-American community. The main barriers to DSM from the providers' perspective were the disease itself and patients' denial or refusal to recognize it, reflecting the stigma of the disease. Cultural aspects also included overlapping themes that both facilitated and presented barriers to DSM. These results suggest that DSM education for Arab Americans will be most effective if developed and delivered in a manner consistent with the cultural facilitators and barriers noted by providers.
authors.affiliation: Wayne State University, Detroit, MI.
authors.forename: Roseanne
authors.initials: R
authors.lastname: DiZazzo-Miller
authors.affiliation: Wayne State University, Detroit, MI.
authors.forename: Fredrick D
authors.initials: FD
authors.lastname: Pociask
authors.affiliation: Wayne State University, Detroit, MI.
authors.forename: Elizabeth A
authors.initials: EA
authors.lastname: Bertran
authors.affiliation: Wayne State University, Detroit, MI.
authors.forename: Heather A
authors.initials: HA
authors.lastname: Fritz
authors.affiliation: Wayne State University, Detroit, MI.
authors.forename: Malak
authors.initials: M
authors.lastname: Abbas
authors.affiliation: Wayne State University, Detroit, MI.
authors.forename: Sandra
authors.initials: S
authors.lastname: Tarakji
authors.affiliation: Wayne State University, Detroit, MI.
authors.forename: Catherine L
authors.initials: CL
authors.lastname: Lysack
authors.affiliation: Wayne State University, Detroit, MI.
authors.forename: Linda A
authors.initials: LA
authors.lastname: Jaber
authors.affiliation: Michigan State University, East Lansing, MI.
authors.forename: Judith
authors.initials: J
authors.lastname: Arnetz