These barriers are inter-linked and overlapping. Qualitative meta-synthesis was used to provide an integrative analysis of this knowledge.ĭue to the central role of food in social life, dietary change affects all aspects of a person's life, and barriers related to self-discipline, emotions, family and social support, social significance of food, and knowledge were identified. This paper describes and interprets the barriers to diet modification from the perspective of people with type 2 diabetes, paying particular attention to the experiences of people who experience social marginalization.Ī systematic review of primary, empirical qualitative research was performed, capturing 120 relevant studies published between 20. In the interim, CLSB can provide women with skills and strategies that can help improve their health and the health of their families.ĭiet modification is an important part of the prevention and treatment of type 2 diabetes, but sustained dietary change remains elusive for many individuals. These findings suggest guidelines for implementing this lifestyle intervention in a variety of community settings.Ĭommunity-level changes such as safer streets and better access to quality grocery stores or markets, with affordable, healthy, fresh food can take years to accomplish. Some patterns were identified that varied by age and race/ethnicity. Women frequently expressed feelings of guilt and self-blame in their attempts and failures to make healthy changes in their daily routine. However, barriers such as competing demands on these women prevented long-term practice of healthy behaviors. We also conducted informal key informant interviews with community service providers and leaders.ĭiscussions revealed high knowledge of healthy behavior and strong interest in making lifestyle changes. We conducted 11 focus-group discussions with 87 African-American and Latina women in disadvantaged communities, including schools, senior centers, subsidized housing communities, and churches. The purpose of this focus-group study was to guide our adaptation of an evidence-based lifestyle intervention and implementation of the Community-Based Lifestyle Balance program (CLSB). Latina and African-American women in disadvantaged communities are at higher risk for becoming overweight and subsequently developing diabetes. Obesity increases a person's risk for diabetes, which is becoming the most common chronic disease in the United States.
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December 2022
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