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Views and experiences of ethnic minority diabetes patients on dietetic care in the Netherlands - a qualitative study.

Identifieur interne : 000374 ( Main/Exploration ); précédent : 000373; suivant : 000375

Views and experiences of ethnic minority diabetes patients on dietetic care in the Netherlands - a qualitative study.

Auteurs : Mirjam J. Jager [Pays-Bas] ; Rob Van Der Sande [Pays-Bas] ; Marie-Louise Essink-Bot [Pays-Bas] ; Maria E T C. Van Den Muijsenbergh [Pays-Bas]

Source :

RBID : pubmed:30204883

Descripteurs français

English descriptors

Abstract

BACKGROUND

Diabetes type 2 is more prevalent in people from ethnic minorities in the Netherlands, and outcomes of care are worse compared with other Dutch people. Dieticians experience difficulties in managing these groups in self-management and adherence to dietary advice. The aim of this study was to explore the views regarding a healthy diet and dietetic care among ethnic minority type 2 diabetes patients.

METHODS

Semi-structured interviews were held with 12 migrants with diabetes from Turkey, Morocco, Iraq and Curacao, who visited a dietician. Inclusion went on until saturation was reached. The interview guide was based on the Attitudes, Social influence and self-Efficacy (ASE) model and Kleinman's explanatory model of illness. Interviews were held in the language preferred by the respondent. Transcripts were coded and thematically analyzed.

RESULTS

Several respondents expected a more rigorous, directive and technical approach of the dietician. All respondents acknowledged the importance of a healthy diet. What they considered healthy was determined by culturally influenced ideas about health benefits of specific foods. Important hindrances for dietary change were lack of self-efficacy and social support. Social influences were experienced both as supportive and a hindrance.

CONCLUSIONS

Migrant diabetic patients' opinions about healthy food are determined by culturally influenced ideas rather than by dietary guidelines. Dutch dietary care is not tailored to the needs of these patients and should take into account migrants' expectations, cultural differences in dietary habits and specifically address the role of family.


DOI: 10.1093/eurpub/cky186
PubMed: 30204883
PubMed Central: PMC6426026


Affiliations:


Links toward previous steps (curation, corpus...)


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<term>Diet (ethnology)</term>
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<term>Diabète de type 2</term>
<term>Observance par le patient</term>
<term>Relations familiales</term>
<term>Régime alimentaire</term>
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<term>Diet</term>
<term>Family Relations</term>
<term>Patient Compliance</term>
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<term>Ethnies</term>
<term>Minorités</term>
<term>Émigrants et immigrants</term>
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<term>Aged</term>
<term>Aged, 80 and over</term>
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<b>BACKGROUND</b>
</p>
<p>Diabetes type 2 is more prevalent in people from ethnic minorities in the Netherlands, and outcomes of care are worse compared with other Dutch people. Dieticians experience difficulties in managing these groups in self-management and adherence to dietary advice. The aim of this study was to explore the views regarding a healthy diet and dietetic care among ethnic minority type 2 diabetes patients.</p>
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<p>
<b>METHODS</b>
</p>
<p>Semi-structured interviews were held with 12 migrants with diabetes from Turkey, Morocco, Iraq and Curacao, who visited a dietician. Inclusion went on until saturation was reached. The interview guide was based on the Attitudes, Social influence and self-Efficacy (ASE) model and Kleinman's explanatory model of illness. Interviews were held in the language preferred by the respondent. Transcripts were coded and thematically analyzed.</p>
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<p>
<b>RESULTS</b>
</p>
<p>Several respondents expected a more rigorous, directive and technical approach of the dietician. All respondents acknowledged the importance of a healthy diet. What they considered healthy was determined by culturally influenced ideas about health benefits of specific foods. Important hindrances for dietary change were lack of self-efficacy and social support. Social influences were experienced both as supportive and a hindrance.</p>
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<p>
<b>CONCLUSIONS</b>
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<p>Migrant diabetic patients' opinions about healthy food are determined by culturally influenced ideas rather than by dietary guidelines. Dutch dietary care is not tailored to the needs of these patients and should take into account migrants' expectations, cultural differences in dietary habits and specifically address the role of family.</p>
</div>
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<AbstractText Label="METHODS">Semi-structured interviews were held with 12 migrants with diabetes from Turkey, Morocco, Iraq and Curacao, who visited a dietician. Inclusion went on until saturation was reached. The interview guide was based on the Attitudes, Social influence and self-Efficacy (ASE) model and Kleinman's explanatory model of illness. Interviews were held in the language preferred by the respondent. Transcripts were coded and thematically analyzed.</AbstractText>
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