| Learning Objective #1: The learner will be able to describe three self-care practices used by elder diabetic Chinese Americans. | |||
| Learning Objective #2: The learner will be able to state three barriers that limit self-care practice among elder diabetic Chinese Americans. |
Methods: Qualitative and community based participatory research methods were used to describe self-care practices and to explore the need for effective interventions to facilitate appropriate self-care practices in this community. Two adult day care centers in Southern California participated in this study. Thirteen in-depth individual and two focus group recorded interviews were used to gain participant's' beliefs, attitudes and knowledge regarding their self-care practices. Data was transcribed, translated, and systemically coded to assess for themes and inter-rater reliability.
Results: Western medicines and glucose monitoring were used intermittently, and Chinese Americans continued to use traditional diet, exercises and herbs to self-manage diabetes. Many did not perceive diabetes as a serious disease since there was no pain. Consequently, they were unaware of insidious complications. Lack of knowledge, non-adherence and co-morbidities impeded self-care. Self-reliance was identified as the most important attribute for self-care while media, friends, and relatives significantly influenced self-care practices. An expressed need for better interpersonal communication and accurate information regarding self-care management from professional care providers was requested.
Conclusion: While this study provides insight into the health beliefs, attitudes, and self-care practices of older diabetic Chinese Americans, the results are based upon a limited sample size and geographical location. Findings could be generalized to a global population. Future studies to develop and implement evidence-based, culturally significant, community based educational interventions with innovative strategies are urgently needed.