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“I had no other choice but to catch it too”: the roles of family history and experiences with diabetes in illness representations
BACKGROUND: A family history of diabetes and family members’ experiences with diabetes may influence individuals’ beliefs and expectations about their own diabetes. No qualitative studies have explored the relationship between family history and experiences and individuals’ diabetes illness represen...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7318544/ https://www.ncbi.nlm.nih.gov/pubmed/32590965 http://dx.doi.org/10.1186/s12902-020-00580-x |
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author | Cunningham, Amy T. Gentsch, Alexzandra T. Doty, Amanda M. B. Mills, Geoffrey LaNoue, Marianna Carr, Brendan G. Hollander, Judd E. Rising, Kristin L. |
author_facet | Cunningham, Amy T. Gentsch, Alexzandra T. Doty, Amanda M. B. Mills, Geoffrey LaNoue, Marianna Carr, Brendan G. Hollander, Judd E. Rising, Kristin L. |
author_sort | Cunningham, Amy T. |
collection | PubMed |
description | BACKGROUND: A family history of diabetes and family members’ experiences with diabetes may influence individuals’ beliefs and expectations about their own diabetes. No qualitative studies have explored the relationship between family history and experiences and individuals’ diabetes illness representations. METHODS: Secondary data analysis of 89 exploratory, semi-structured interviews with adults with type 1 or type 2 diabetes seeking care in an urban health system. Participants had a recent diabetes-related ED visit/hospitalization or hemoglobin A1c > 7.5%. Interviews were conducted until thematic saturation was achieved. Demographic data were collected via self-report and electronic medical record review. Interviews were audio-recorded, transcribed, and coded using a conventional content analysis approach. References to family history and family members’ experiences with diabetes were analyzed using selected domains of Leventhal’s Common Sense Model of Self-Regulation. RESULTS: Participants cited both genetic and behavioral family history as a major cause of their diabetes. Stories of relatives’ diabetes complications and death figured prominently in their discussion of consequences; however, participants felt controllability over diabetes through diet, physical activity, and other self-care behaviors. CONCLUSIONS: Findings supported an important role of family diabetes history and experience in development of diabetes illness representations. Further research is needed to expand our understanding of the relationships between these perceptions, self-management behaviors, and outcomes. Family practice providers, diabetes educators and other team members should consider expanding assessment of current family structure and support to also include an exploration of family history with diabetes, including which family members had diabetes, their self-care behaviors, and their outcomes, and how this history fits into the patient’s illness representations. |
format | Online Article Text |
id | pubmed-7318544 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-73185442020-06-29 “I had no other choice but to catch it too”: the roles of family history and experiences with diabetes in illness representations Cunningham, Amy T. Gentsch, Alexzandra T. Doty, Amanda M. B. Mills, Geoffrey LaNoue, Marianna Carr, Brendan G. Hollander, Judd E. Rising, Kristin L. BMC Endocr Disord Research Article BACKGROUND: A family history of diabetes and family members’ experiences with diabetes may influence individuals’ beliefs and expectations about their own diabetes. No qualitative studies have explored the relationship between family history and experiences and individuals’ diabetes illness representations. METHODS: Secondary data analysis of 89 exploratory, semi-structured interviews with adults with type 1 or type 2 diabetes seeking care in an urban health system. Participants had a recent diabetes-related ED visit/hospitalization or hemoglobin A1c > 7.5%. Interviews were conducted until thematic saturation was achieved. Demographic data were collected via self-report and electronic medical record review. Interviews were audio-recorded, transcribed, and coded using a conventional content analysis approach. References to family history and family members’ experiences with diabetes were analyzed using selected domains of Leventhal’s Common Sense Model of Self-Regulation. RESULTS: Participants cited both genetic and behavioral family history as a major cause of their diabetes. Stories of relatives’ diabetes complications and death figured prominently in their discussion of consequences; however, participants felt controllability over diabetes through diet, physical activity, and other self-care behaviors. CONCLUSIONS: Findings supported an important role of family diabetes history and experience in development of diabetes illness representations. Further research is needed to expand our understanding of the relationships between these perceptions, self-management behaviors, and outcomes. Family practice providers, diabetes educators and other team members should consider expanding assessment of current family structure and support to also include an exploration of family history with diabetes, including which family members had diabetes, their self-care behaviors, and their outcomes, and how this history fits into the patient’s illness representations. BioMed Central 2020-06-26 /pmc/articles/PMC7318544/ /pubmed/32590965 http://dx.doi.org/10.1186/s12902-020-00580-x Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article Cunningham, Amy T. Gentsch, Alexzandra T. Doty, Amanda M. B. Mills, Geoffrey LaNoue, Marianna Carr, Brendan G. Hollander, Judd E. Rising, Kristin L. “I had no other choice but to catch it too”: the roles of family history and experiences with diabetes in illness representations |
title | “I had no other choice but to catch it too”: the roles of family history and experiences with diabetes in illness representations |
title_full | “I had no other choice but to catch it too”: the roles of family history and experiences with diabetes in illness representations |
title_fullStr | “I had no other choice but to catch it too”: the roles of family history and experiences with diabetes in illness representations |
title_full_unstemmed | “I had no other choice but to catch it too”: the roles of family history and experiences with diabetes in illness representations |
title_short | “I had no other choice but to catch it too”: the roles of family history and experiences with diabetes in illness representations |
title_sort | “i had no other choice but to catch it too”: the roles of family history and experiences with diabetes in illness representations |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7318544/ https://www.ncbi.nlm.nih.gov/pubmed/32590965 http://dx.doi.org/10.1186/s12902-020-00580-x |
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