Purpose. To systematically review the Theory of Planned Behaviour studies predicting self-care in... more Purpose. To systematically review the Theory of Planned Behaviour studies predicting self-care intentions and behaviours in populations with and at-risk of diabetes. Methods. A systematic review using six electronic databases was conducted in 2013. A standardised protocol was used for appraisal. Studies eligibility included a measure of behaviour for healthy eating, physical activity, glucose monitoring, medication use (ii) the TPB variables (iii) the TPB tested in populations with diabetes or at-risk. Results. Sixteen studies were appraised for testing the utility of the TPB. Studies included cross-sectional (n = 7); prospective (n = 5) and randomised control trials (n = 4). Intention (18%–76%) was the most predic-tive construct for all behaviours. Explained variance for intentions was similar across cross-sectional (28–76%); prospective (28–73%); and RCT studies (18–63%). RCTs (18–43%) provided slightly stronger evidence for predicting behaviour. Conclusions. Few studies tested predictability of the TPB in populations with or at-risk of diabetes. This review highlighted differences in the predictive utility of the TPB suggesting that the model is behaviour and population specific. Findings on key determinants of specific behaviours contribute to a better understanding of mechanisms of behaviour change and are useful in designing targeted behavioural interventions for different diabetes populations.
Abstract: The QUT Homestay Program is an essential part of the university's commitment to me... more Abstract: The QUT Homestay Program is an essential part of the university's commitment to meet the accommodation needs of international students. Despite the importance of this style of accommodation, there is very little research addressing issues related to homestay ...
Aims: Whilst type 2 diabetes is a growing health problem for Australian Pacific Island (PI) commu... more Aims: Whilst type 2 diabetes is a growing health problem for Australian Pacific Island (PI) communities in Queensland, very little is known about self-management. The purpose of this study was to develop a socio-cultural construct of self-management for Australian Pacific Island women living with type 2 diabetes. Methods: Community-based participatory action research (PAR) using in-depth interviews, focus group discussions, and participant observations was used to explore community perceptions and beliefs about diabetes self-management. Thematic analyses were undertaken for conceptualising diabetes self-management construct for PI women with diabetes. Results: This study highlighted four socio-cultural constructs of diabetes self-management: identity, spirituality, social stigma and denial. Self-identify is an important concept which connects women to their PI heritage. It reflects multiple roles of women as primary caregivers in their community. A strong sense of identity provides women with independence and control despite having diabetes. Yet stresses of life as caregivers, which are often negotiated within family context, make it difficult to physically and emotionally maintain effective self-management. Spirituality in terms of religious beliefs is deeply embedded in all aspects of the women’s lives, particularly around health and illness and has been shown to enhance optimal management. However, discourses with spiritual causes such as a curse or punishment profoundly affect the way women approach their illness. Social stigma and denial may also constrain aspects of self-management. Shame associated with disclosure about illness prevents women from dealing with and managing their diabetes. Perceived barriers including social support from community, family and health care, lifestyle behaviours, health literacy and lack of awareness about diabetes management impedes women from addressing diabetes, seeking health care support and engaging in effective self- management. Conclusion: Socio-cultural constructs for diabetes self-management provide a useful framework to develop appropriate self-management strategies and interventions for Australian PI women. It can inform the development of culturally relevant community education health promotion resources and programs in diabetes prevention and management for PI communities in Australia. Emphasis on socio-cultural factors suggests research and intervention efforts must include attention to the broader community environment.
Purpose. To systematically review the Theory of Planned Behaviour studies predicting self-care in... more Purpose. To systematically review the Theory of Planned Behaviour studies predicting self-care intentions and behaviours in populations with and at-risk of diabetes. Methods. A systematic review using six electronic databases was conducted in 2013. A standardised protocol was used for appraisal. Studies eligibility included a measure of behaviour for healthy eating, physical activity, glucose monitoring, medication use (ii) the TPB variables (iii) the TPB tested in populations with diabetes or at-risk. Results. Sixteen studies were appraised for testing the utility of the TPB. Studies included cross-sectional (n = 7); prospective (n = 5) and randomised control trials (n = 4). Intention (18%–76%) was the most predic-tive construct for all behaviours. Explained variance for intentions was similar across cross-sectional (28–76%); prospective (28–73%); and RCT studies (18–63%). RCTs (18–43%) provided slightly stronger evidence for predicting behaviour. Conclusions. Few studies tested predictability of the TPB in populations with or at-risk of diabetes. This review highlighted differences in the predictive utility of the TPB suggesting that the model is behaviour and population specific. Findings on key determinants of specific behaviours contribute to a better understanding of mechanisms of behaviour change and are useful in designing targeted behavioural interventions for different diabetes populations.
Abstract: The QUT Homestay Program is an essential part of the university's commitment to me... more Abstract: The QUT Homestay Program is an essential part of the university's commitment to meet the accommodation needs of international students. Despite the importance of this style of accommodation, there is very little research addressing issues related to homestay ...
Aims: Whilst type 2 diabetes is a growing health problem for Australian Pacific Island (PI) commu... more Aims: Whilst type 2 diabetes is a growing health problem for Australian Pacific Island (PI) communities in Queensland, very little is known about self-management. The purpose of this study was to develop a socio-cultural construct of self-management for Australian Pacific Island women living with type 2 diabetes. Methods: Community-based participatory action research (PAR) using in-depth interviews, focus group discussions, and participant observations was used to explore community perceptions and beliefs about diabetes self-management. Thematic analyses were undertaken for conceptualising diabetes self-management construct for PI women with diabetes. Results: This study highlighted four socio-cultural constructs of diabetes self-management: identity, spirituality, social stigma and denial. Self-identify is an important concept which connects women to their PI heritage. It reflects multiple roles of women as primary caregivers in their community. A strong sense of identity provides women with independence and control despite having diabetes. Yet stresses of life as caregivers, which are often negotiated within family context, make it difficult to physically and emotionally maintain effective self-management. Spirituality in terms of religious beliefs is deeply embedded in all aspects of the women’s lives, particularly around health and illness and has been shown to enhance optimal management. However, discourses with spiritual causes such as a curse or punishment profoundly affect the way women approach their illness. Social stigma and denial may also constrain aspects of self-management. Shame associated with disclosure about illness prevents women from dealing with and managing their diabetes. Perceived barriers including social support from community, family and health care, lifestyle behaviours, health literacy and lack of awareness about diabetes management impedes women from addressing diabetes, seeking health care support and engaging in effective self- management. Conclusion: Socio-cultural constructs for diabetes self-management provide a useful framework to develop appropriate self-management strategies and interventions for Australian PI women. It can inform the development of culturally relevant community education health promotion resources and programs in diabetes prevention and management for PI communities in Australia. Emphasis on socio-cultural factors suggests research and intervention efforts must include attention to the broader community environment.
This paper will articulate a participatory research approach to community engagement processes fr... more This paper will articulate a participatory research approach to community engagement processes from a Women’s Diabetes forum. The forum was hosted by Pasifika Women’s’ Alliance in a collaborative effort to address community’s concern on chronic diseases and diabetes. The aim of the forum was to run diabetes education sessions, health checks and facilitated group discussions with the women to initiate dialogue and promote awareness about diabetes in the community. This paper presents key findings from the health survey and the focus group discussions.
Whilst type 2 diabetes is a growing health problem for Australian Pacific Island (API) communitie... more Whilst type 2 diabetes is a growing health problem for Australian Pacific Island (API) communities in Queensland, very little is known about self-management. The purpose of this study was to develop a socio-cultural construct of self-management (self-care) for Australian Pacific Island women living with type 2 diabetes.
Australian Pacific Island (API) women face poorer health outcomes from diabetes-related condition... more Australian Pacific Island (API) women face poorer health outcomes from diabetes-related conditions yet there is limited information on the use of Pacific methodologies, particularly in the Australian context. The aim of this paper is to present a Pasifika Diabetes Health Research study that employed the use of Pacific methodology, talanoa in a community based-participatory action research (CBPAR) to explore lived experiences of API women with type 2 diabetes.
16 th IGSC Abstract 17 th February Friday 10:30 – 12:30 Abstract: Objectives Whilst type 2 diabet... more 16 th IGSC Abstract 17 th February Friday 10:30 – 12:30 Abstract: Objectives Whilst type 2 diabetes is a growing health problem for Australian Pacific Island (API) communities in Queensland, very little is known about self-management. The purpose of this study was to develop a socio-cultural construct of self-management (self-care) for Australian Pacific Island women living with type 2 diabetes.
16 th IGSC Abstract 17 th February Friday 8:30 – 10:30 'Talanoa': a Pacific research methodology ... more 16 th IGSC Abstract 17 th February Friday 8:30 – 10:30 'Talanoa': a Pacific research methodology to explore diabetes amongst Australian Pacific Island women
Aims: Whilst type 2 diabetes is a growing health problem for Australian Pacific Island (PI) commu... more Aims: Whilst type 2 diabetes is a growing health problem for Australian Pacific Island (PI) communities in Queensland, very little is known about self-management. The purpose of this study was to develop a socio-cultural construct of self-management for Australian Pacific Island women living with type 2 diabetes. Methods: Community-based participatory action research (PAR) using in-depth interviews, focus group discussions, and participant observations was used to explore community perceptions and beliefs about diabetes self-management. Thematic analyses were undertaken for conceptualising diabetes self-management construct for PI women with diabetes. Results: This study highlighted four socio-cultural constructs of diabetes self-management: identity, spirituality, social stigma and denial. Self-identify is an important concept which connects women to their PI heritage. It reflects multiple roles of women as primary caregivers in their community. A strong sense of identity provides women with independence and control despite having diabetes. Yet stresses of life as caregivers, which are often negotiated within family context, make it difficult to physically and emotionally maintain effective self-management. Spirituality in terms of religious beliefs is deeply embedded in all aspects of the women’s lives, particularly around health and illness and has been shown to enhance optimal management. However, discourses with spiritual causes such as a curse or punishment profoundly affect the way women approach their illness. Social stigma and denial may also constrain aspects of self-management. Shame associated with disclosure about illness prevents women from dealing with and managing their diabetes. Perceived barriers including social support from community, family and health care, lifestyle behaviours, health literacy and lack of awareness about diabetes management impedes women from addressing diabetes, seeking health care support and engaging in effective self- management. Conclusion: Socio-cultural constructs for diabetes self-management provide a useful framework to develop appropriate self-management strategies and interventions for Australian PI women. It can inform the development of culturally relevant community education health promotion resources and programs in diabetes prevention and management for PI communities in Australia. Emphasis on socio-cultural factors suggests research and intervention efforts must include attention to the broader community environment. Acknowledgement:
This project is sponsored by Diabetes Queensland and the Australian Government Postgraduate Awards.
Type 2 diabetes is an important public health priority for Pacific Islander communities in Queens... more Type 2 diabetes is an important public health priority for Pacific Islander communities in Queensland [1][2]. Disparities exist in diabetes prevalence and health outcomes of Pacific Islander (PI) migrants, particularly for women who are three to four times more likely to die from type 2 diabetes [3]. Despite growing evidence that Pacific Islanders face a higher burden of mortality and morbidity in Queensland [1], data on diabetes prevention and management are not readily available. Very little is understood about diabetes and other chronic conditions and its impact on people from Pacific Island communities. This has significant implications for healthcare costs and resources to provide culturally appropriate diabetes care.
This paper describes the participatory action research (PAR) and community engagement processes used with the Pacific Women's Alliance (PWA) to identify issues surrounding diabetes for Pacific Island women living in Queensland. A Pacific Women’s Diabetes Health Community Forum was hosted by PWA and Queensland University of Technology in a collaborative effort to address the concerns and needs of type 2 diabetes of PI women and their communities.
The forum had two purposes (1) to undertake research within a community setting and (2) to promote diabetes awareness in the community. The research component included a diabetes health survey and focus group discussions. To ensure research was in-line with community aspirations, the aim of the community forum was to provide information in a culturally safe environment on ‘diabetes prevention and management, nutrition and history of Pacific women’; provide ‘space’ for women to share their stories; and undertake health checks to promote awareness on screening for diabetes.
In collaboration with Pasifika Women's Alliance (PWA), a community engagement case study titled “... more In collaboration with Pasifika Women's Alliance (PWA), a community engagement case study titled “Engaging with Pacific Islander Communities in Queensland” was developed for a previously-funded initiative – CO-OPS (Collaboration of Community-Based obesity prevention sites). This is used as a training module for health providers working with API communities.
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Methods: Community-based participatory action research (PAR) using in-depth interviews, focus group discussions, and participant observations was used to explore community perceptions and beliefs about diabetes self-management. Thematic analyses were undertaken for conceptualising diabetes self-management construct for PI women with diabetes.
Results: This study highlighted four socio-cultural constructs of diabetes self-management: identity, spirituality, social stigma and denial. Self-identify is an important concept which connects women to their PI heritage. It reflects multiple roles of women as primary caregivers in their community. A strong sense of identity provides women with independence and control despite having diabetes. Yet stresses of life as caregivers, which are often negotiated within family context, make it difficult to physically and emotionally maintain effective self-management. Spirituality in terms of religious beliefs is deeply embedded in all aspects of the women’s lives, particularly around health and illness and has been shown to enhance optimal management. However, discourses with spiritual causes such as a curse or punishment profoundly affect the way women approach their illness. Social stigma and denial may also constrain aspects of self-management. Shame associated with disclosure about illness prevents women from dealing with and managing their diabetes. Perceived barriers including social support from community, family and health care, lifestyle behaviours, health literacy and lack of awareness about diabetes management impedes women from addressing diabetes, seeking health care support and engaging in effective self- management.
Conclusion: Socio-cultural constructs for diabetes self-management provide a useful framework to develop appropriate self-management strategies and interventions for Australian PI women. It can inform the development of culturally relevant community education health promotion resources and programs in diabetes prevention and management for PI communities in Australia. Emphasis on socio-cultural factors suggests research and intervention efforts must include attention to the broader community environment.
Methods: Community-based participatory action research (PAR) using in-depth interviews, focus group discussions, and participant observations was used to explore community perceptions and beliefs about diabetes self-management. Thematic analyses were undertaken for conceptualising diabetes self-management construct for PI women with diabetes.
Results: This study highlighted four socio-cultural constructs of diabetes self-management: identity, spirituality, social stigma and denial. Self-identify is an important concept which connects women to their PI heritage. It reflects multiple roles of women as primary caregivers in their community. A strong sense of identity provides women with independence and control despite having diabetes. Yet stresses of life as caregivers, which are often negotiated within family context, make it difficult to physically and emotionally maintain effective self-management. Spirituality in terms of religious beliefs is deeply embedded in all aspects of the women’s lives, particularly around health and illness and has been shown to enhance optimal management. However, discourses with spiritual causes such as a curse or punishment profoundly affect the way women approach their illness. Social stigma and denial may also constrain aspects of self-management. Shame associated with disclosure about illness prevents women from dealing with and managing their diabetes. Perceived barriers including social support from community, family and health care, lifestyle behaviours, health literacy and lack of awareness about diabetes management impedes women from addressing diabetes, seeking health care support and engaging in effective self- management.
Conclusion: Socio-cultural constructs for diabetes self-management provide a useful framework to develop appropriate self-management strategies and interventions for Australian PI women. It can inform the development of culturally relevant community education health promotion resources and programs in diabetes prevention and management for PI communities in Australia. Emphasis on socio-cultural factors suggests research and intervention efforts must include attention to the broader community environment.
Methods: Community-based participatory action research (PAR) using in-depth interviews, focus group discussions, and participant observations was used to explore community perceptions and beliefs about diabetes self-management. Thematic analyses were undertaken for conceptualising diabetes self-management construct for PI women with diabetes.
Results: This study highlighted four socio-cultural constructs of diabetes self-management: identity, spirituality, social stigma and denial. Self-identify is an important concept which connects women to their PI heritage. It reflects multiple roles of women as primary caregivers in their community. A strong sense of identity provides women with independence and control despite having diabetes. Yet stresses of life as caregivers, which are often negotiated within family context, make it difficult to physically and emotionally maintain effective self-management. Spirituality in terms of religious beliefs is deeply embedded in all aspects of the women’s lives, particularly around health and illness and has been shown to enhance optimal management. However, discourses with spiritual causes such as a curse or punishment profoundly affect the way women approach their illness. Social stigma and denial may also constrain aspects of self-management. Shame associated with disclosure about illness prevents women from dealing with and managing their diabetes. Perceived barriers including social support from community, family and health care, lifestyle behaviours, health literacy and lack of awareness about diabetes management impedes women from addressing diabetes, seeking health care support and engaging in effective self- management.
Conclusion: Socio-cultural constructs for diabetes self-management provide a useful framework to develop appropriate self-management strategies and interventions for Australian PI women. It can inform the development of culturally relevant community education health promotion resources and programs in diabetes prevention and management for PI communities in Australia. Emphasis on socio-cultural factors suggests research and intervention efforts must include attention to the broader community environment.
Acknowledgement:
This project is sponsored by Diabetes Queensland and the Australian Government Postgraduate Awards.
This paper describes the participatory action research (PAR) and community engagement processes used with the Pacific Women's Alliance (PWA) to identify issues surrounding diabetes for Pacific Island women living in Queensland. A Pacific Women’s Diabetes Health Community Forum was hosted by PWA and Queensland University of Technology in a collaborative effort to address the concerns and needs of type 2 diabetes of PI women and their communities.
The forum had two purposes (1) to undertake research within a community setting and (2) to promote diabetes awareness in the community. The research component included a diabetes health survey and focus group discussions. To ensure research was in-line with community aspirations, the aim of the community forum was to provide information in a culturally safe environment on ‘diabetes prevention and management, nutrition and history of Pacific women’; provide ‘space’ for women to share their stories; and undertake health checks to promote awareness on screening for diabetes.